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TNCC Test 02: Secondary Survey and Clinical Complications

TNCC Test 02: Key Themes

This exam evaluates Thoracic Trauma, Neurological Emergencies, and Secondary Assessment protocols.

Chest Trauma: Open pneumothorax requires a three-sided dressing to prevent air from entering the chest while allowing it to escape.
Cardiac Rhythms: Pulseless Ventricular Tachycardia and Ventricular Fibrillation are treated with the same immediate shock protocol.
Geriatric Care: Be aware that older adults may not show a fast heart rate during shock because of medications like beta-blockers.
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Q:1Which statement about a pulmonary contusion is FALSE?
Q:2What is the goal oxygen saturation when giving COPD patients supplemental oxygen?
Q:3Which of the following is NOT typically seen with a spinal cord injury?
Q:4Release of which neurotransmitter is inhibited by tetanus toxin?
Q:5Which finding is NOT typically present in a patient with fat embolism syndrome?
Q:6What is a common side effect of morphine?
Q:7What is the initial treatment for an open pneumothorax?
Q:8What is the most common cause of traumatic brain injury (TBI) in the United States?
Q:9Which component of the Glasgow Coma Scale (GCS) is used to assess motor response?
Q:10An 18-year-old male presents after a fall with his left arm abducted and externally rotated. Sensation is intact, but he resists any range of motion. What is his most likely diagnosis?
Q:11During the secondary survey of a trauma patient, which of the following is the most appropriate action?
Q:12Which of the following is true regarding aspiration pneumonia in a trauma patient?
Q:13Which scenario will NOT compromise the airway after endotracheal intubation?
Q:14Which injury is produced by a force that drives the trunk forward while the head lags behind?
Q:15Ventricular fibrillation (VF) is treated the same as which other cardiac rhythm?
Q:16What is the goal urine output for an adult burn patient during resuscitation?
Q:17Which of the following is the most serious consequence of ventricular tachycardia (VT)?
Q:18If a trauma patient has clear fluid draining from their nose, the provider should do which of the following?
Q:19Entrapment of which nerve is a common complication of a Smith fracture?
Q:20What is a key consideration when assessing an older adult with a traumatic injury?

Test 02 Study Summary

1. Pulmonary Contusions Bruised lungs often do not show up on early X-rays. Clinical signs like low oxygen usually appear before imaging changes.
2. Secondary Survey Only start the head-to-toe check after the primary survey (ABCDE) is finished and the patient is stable.
3. Airway Management A breathing tube is in the right place if it sits about 2 to 5 centimeters above the spot where the lungs divide.

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