TNCC Initial Assessment 3

Question 1

In the 'Circulation' component of the primary survey, which is the priority intervention for uncontrolled external hemorrhage?

Accepted Answer

Direct pressure or tourniquet application

Answer

Direct pressure or tourniquet application addresses the source of hemorrhage and takes priority over fluid replacement.

Question 2

A trauma patient has the following vital signs: BP 88/60, HR 130, RR 28, GCS 13. According to the Revised Trauma Score (RTS), which component carries the highest weight?

Accepted Answer

GCS

Answer

In the Revised Trauma Score, GCS has the highest weighted coefficient (0.9368) compared to blood pressure and respiratory rate.

Question 3

During the secondary survey, the nurse notes crepitus over the pelvis. This finding suggests:

Accepted Answer

Pelvic ring disruption

Answer

Crepitus over the pelvis during manual compression suggests a pelvic ring fracture, which can cause massive hemorrhage.

Question 4

Which mechanism of injury should prompt the trauma nurse to suspect a thoracic aortic injury?

Accepted Answer

Rapid deceleration injury such as a high-speed MVA

Answer

Rapid deceleration causes shear forces at fixed aortic attachment points, making blunt aortic injury a concern in high-speed MVAs.

Question 5

The 'Get Resuscitation Adjuncts' step during the primary survey includes which of the following?

Accepted Answer

Monitoring (ECG, SpO2, ETCO2), foley catheter, and gastric tube placement

Answer

Resuscitation adjuncts include continuous monitoring devices, urinary catheter for output measurement, and gastric decompression.

(TNCC) Trauma Nursing Core Course Certified Practice Test

(TNCC) Trauma Nursing Core Course Certified Practice Test

TNCC Initial Assessment 3