Study guides, Class notes & Summaries

TNCC Final Exam Test 2023 Question and Answers – Open Book Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which stage of shock? An elderly patient wi...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? - subdural hematoma A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation? - Elevated creatine kinase...

TNCC Final Exam

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Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - Answer-a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is...

TNCC 9th Edition FINAL TEST QUESTIONS AND ANSWERS. GRADED A+, Exams of Nursing Which of the following is true about the log-roll maneuver? A.It causes less spinal motion than the lift-and-slide maneuver B.It is recommended for patients with unstable pelvic fractures C.It should be avoided with a suspected spine injury prior to imaging D.It decreases the risk of hemorrhage from unstable pelvic injuries A patient has uncontrolled bleeding from a wound to his right upper extremity. Wh...

TNCC 9th Edition FINAL TEST QUESTIONS AND ANSWERS & Rationale. GRADED A+, Exams of Nursing “An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the c...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - answer Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - answer Vasoconstriction What results from tissue hypo perfusion and oxygen deficit? - answer Metabolic acidosis What type of shock results in generalized vasodilation? - answer Neurogenic shock Spinal cord injuries at C3-...

TNCC Final Exam Test 2023

What is kinetic energy (KE)? - KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? - A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental controls (remove clothing and keep the patient warm) What is the Mnemonic for the Secondary Assessment? - F = Full set of VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and gastric...

1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate trauma nurse - Initial Assessment 1. A- airway and Alertness with simultaneous cervical spinal stabilization 2. B- breathing and Ventilation 3. circulation and control of hemorrhage 4. D - disability (neurologic st...

Which of the following mnemonics can help a nurse prioritize care for a trauma patient with massive uncontrolled hemorrhage? - MARCH You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpitation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the...