TNCC 9TH EDITION EXAM 50 MCQS QUESTIONS AND ANSWERS GRADED
A
A patient with a spinal cord injuryt at C5 is being cared for in the emergency department while awaiting transport to a
trauma center. Which of the following represents the highest priority for ongoing assessment and management for this
patient?
a. maintain adequate respiratory status
b. administer balanced fluid resucscitation
c. perform serial assessment of neurological function
d. maintain core temperature
A. Maintain respiratory status- injuries at C3-C5 can cause loss of phrenic nerve function, resulting in a paralyzed
diaphragm and inability to breathe. Maintenance of respiratory function is the highest priority.
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine
c. Reverse trendelenburg
d. right lateral recumbent
c. Reverse trendelenburg
An adult patient sustained a knife injury to the neck. The airway is intact and the patient is hemodynamically stable. they
complain of difficulty swallowing and speaking. What is the most likely cause of these symptoms.
a. damage to the cervical spine
b. an expanding pneumothorax
c.laceration of the carotid artery
d. injury to the thyroid gland
a. damage to the cervical spine-penetrating neck trauma may include concurrent injuries to the cervical spine and cord,
airway. or vascular neck structures. With an intact airway and hemodynamic stability, the other common concurrent injury
is to the cervical spine.
The general impression step in the initail assessment provides the opportunity to do which of the following?
a. assess for uncontrolled internal hemorrhage
b. accurately triage the patient
c.Reprioritize circulation before airway and breathing
d. activate the trauma team
