TNCC final exam test
50 questions and correct answers
1. Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
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 - Correct answer Answer: c"
2. "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?
A) compensated
B) Progressive
C) irreversible
D) decompensated - Correct answer Answer: A"
3. "An elderly patient with a history of anticoagulant use presents after a fall at home that day. she
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her symptoms?
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma - Correct answer Answer: D"
4. "EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic
spine clearance?
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath - Correct answer Answer: D"
5. "A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd, pelvic, and
bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of these negative fast
exam except which of the following?
A) diagnostic peritoneal lavage
B) serial fast exams
C) abdominal and pelvic CT scans
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