TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
Your patient was the unrestrained driver involved in a moderate speed motor vehicle
collision. Assessment reveals tenderness in the upper right quadrant, crepitus in the
lower right ribs, and ecchymosis around the umbilicus. The nurse is concerned about
injury to which organ?
Your patient was the unrestrained driver involved in a moderate speed motor vehicle
collision. Assessment reveals tenderness in the upper right quadrant, crepitus in the
lower right ribs, and ecchymosis around the umbilicus. The nurse is concerned about
injury to which organ?
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious
at the scene but became responsive with initial and subsequent Glasgow Coma Scale
(GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and
is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-
5). What is the priority nursing intervention?
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious
at the scene but became responsive with initial and subsequent Glasgow Coma Scale
(GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and
is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-
5). What is the priority nursing intervention?
You are treating a 27-year old male in respiratory distress who was involved in a house
fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what
rate should you begin fluid resuscitation?
You are treating a 27-year old male in respiratory distress who was involved in a house
fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what
rate should you begin fluid resuscitation?
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal high at the
costal margin, and some dark bloody show. Varying, accelerations and decelerations
are noted on the cardiotocography. These findings are most consistent with which of the
following?
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal high at the
costal margin, and some dark bloody show. Varying, accelerations and decelerations
are noted on the cardiotocography. These findings are most consistent with which of the
following?
Widening pulse pressure
Widening pulse pressure
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
,TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
While caring for a trauma patient in the emergency department, what finding raises
suspicion of a complete spinal cord injury?
While caring for a trauma patient in the emergency department, what finding raises
suspicion of a complete spinal cord injury?
While caring for a child who has been injured, what nursing intervention is consistent
with a family-center approach?
While caring for a child who has been injured, what nursing intervention is consistent
with a family-center approach?
Which pulse pressure description is an indication of early hypovolemic shock?
Which pulse pressure description is an indication of early hypovolemic shock?
Which of the following situations could cause functional grief?
Which of the following situations could cause functional grief?
Which of the following patients warrants referral to a burn center?
Which of the following patients warrants referral to a burn center?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
Which of the following is true about use of the focused assessment sonography for
trauma exam for a patient with abdominal trauma?
Which of the following is true about use of the focused assessment sonography for
trauma exam for a patient with abdominal trauma?
Which of the following is true about the log-roll maneuver?
Which of the following is true about the log-roll maneuver?
Which of the following is true about the log roll maneuver?
Which of the following is true about the log roll maneuver?
which of the following is the priority intervention for this patient?
which of the following is the priority intervention for this patient?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is an expected finding in a patient with a thoracostomy connected
to a chest drainage system?
Which of the following is an expected finding in a patient with a thoracostomy connected
to a chest drainage system?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a late sign of increased intracranial pressure?
,TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a component of the trauma triad of death?
Which of the following is a component of the trauma triad of death?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following considerations is most important when caring for a geriatric
trauma patient?
Which of the following considerations is most important when caring for a geriatric
trauma patient?
Which of the following assessment findings differentiates a tension PTX from a simple
PTX?
Which of the following assessment findings differentiates a tension PTX from a simple
PTX?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which if the following values indicates the need for alcohol withdrawal interventions?
Which if the following values indicates the need for alcohol withdrawal interventions?
Which blood pressure finding is associated with early or compensated hypovolemic
shock?
Which blood pressure finding is associated with early or compensated hypovolemic
shock?
When should the definitive calculation for intravenous fluid resuscitation rate be
performed for a patient with burns?
When should the definitive calculation for intravenous fluid resuscitation rate be
performed for a patient with burns?
When should 2 IV sites be established? - ansDuring "Circulation" assessment
When should 2 IV sites be established? - ansDuring "Circulation" assessment
What three items are obtained during the pertinent history assessment? - ansMedical
records, prehospital report, SAMPLE
What three items are obtained during the pertinent history assessment? - ansMedical
records, prehospital report, SAMPLE
What three assessments must be done if the patient is intubated? - ans1. attach CO2
detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the
chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for
bilateral breath sounds
What three assessments must be done if the patient is intubated? - ans1. attach CO2
detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the
chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for
bilateral breath sounds
, TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
What should you verbalize after completing all ETT assessments? - ansmoving patient
from assisted ventilation to mechanical
What should you verbalize after completing all ETT assessments? - ansmoving patient
from assisted ventilation to mechanical
What position optimizes ventilation in the obese patient with a lumbar fracture?
What position optimizes ventilation in the obese patient with a lumbar fracture?
What is the rationale for obtaining a serum lactate level during the initial assessment of
a trauma patient?
What is the rationale for obtaining a serum lactate level during the initial assessment of
a trauma patient?
What is the priority intervention for a child who has been diagnosed with an atlanto-
occipital dislocation following a high-speed motor vehicle collision?
What is the priority intervention for a child who has been diagnosed with an atlanto-
occipital dislocation following a high-speed motor vehicle collision?
What is the most important consideration during the initial assessment when caring for
an older adult who has sustained serious injuries?
What is the most important consideration during the initial assessment when caring for
an older adult who has sustained serious injuries?
What is sometimes deferred at the end of the head-to-toe? - ansinspecting posterior
What is sometimes deferred at the end of the head-to-toe? - ansinspecting posterior
What finding raises suspicion of complete spinal cord injury?
What finding raises suspicion of complete spinal cord injury?
What factor contributes most the kinetic energy of a body in motion?
What factor contributes most the kinetic energy of a body in motion?
What does VIPP stand for? - ansvital signs, injuries/interventions, primary survey, pain
What does VIPP stand for? - ansvital signs, injuries/interventions, primary survey, pain
What does the J stand for at the end of the secondary survery? - ansjust keep
evaluating - vipp
What does the J stand for at the end of the secondary survery? - ansjust keep
evaluating - vipp
What do you do when alterations are identified in any of the steps in the primary
survery? - ansintervene as appropriate and reassess
What do you do when alterations are identified in any of the steps in the primary
survery? - ansintervene as appropriate and reassess
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section? - anscardiac monitor
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section? - anscardiac monitor
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation?
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
Your patient was the unrestrained driver involved in a moderate speed motor vehicle
collision. Assessment reveals tenderness in the upper right quadrant, crepitus in the
lower right ribs, and ecchymosis around the umbilicus. The nurse is concerned about
injury to which organ?
Your patient was the unrestrained driver involved in a moderate speed motor vehicle
collision. Assessment reveals tenderness in the upper right quadrant, crepitus in the
lower right ribs, and ecchymosis around the umbilicus. The nurse is concerned about
injury to which organ?
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious
at the scene but became responsive with initial and subsequent Glasgow Coma Scale
(GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and
is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-
5). What is the priority nursing intervention?
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious
at the scene but became responsive with initial and subsequent Glasgow Coma Scale
(GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and
is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-
5). What is the priority nursing intervention?
You are treating a 27-year old male in respiratory distress who was involved in a house
fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what
rate should you begin fluid resuscitation?
You are treating a 27-year old male in respiratory distress who was involved in a house
fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what
rate should you begin fluid resuscitation?
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal high at the
costal margin, and some dark bloody show. Varying, accelerations and decelerations
are noted on the cardiotocography. These findings are most consistent with which of the
following?
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal high at the
costal margin, and some dark bloody show. Varying, accelerations and decelerations
are noted on the cardiotocography. These findings are most consistent with which of the
following?
Widening pulse pressure
Widening pulse pressure
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
,TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
While caring for a trauma patient in the emergency department, what finding raises
suspicion of a complete spinal cord injury?
While caring for a trauma patient in the emergency department, what finding raises
suspicion of a complete spinal cord injury?
While caring for a child who has been injured, what nursing intervention is consistent
with a family-center approach?
While caring for a child who has been injured, what nursing intervention is consistent
with a family-center approach?
Which pulse pressure description is an indication of early hypovolemic shock?
Which pulse pressure description is an indication of early hypovolemic shock?
Which of the following situations could cause functional grief?
Which of the following situations could cause functional grief?
Which of the following patients warrants referral to a burn center?
Which of the following patients warrants referral to a burn center?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
Which of the following is true about use of the focused assessment sonography for
trauma exam for a patient with abdominal trauma?
Which of the following is true about use of the focused assessment sonography for
trauma exam for a patient with abdominal trauma?
Which of the following is true about the log-roll maneuver?
Which of the following is true about the log-roll maneuver?
Which of the following is true about the log roll maneuver?
Which of the following is true about the log roll maneuver?
which of the following is the priority intervention for this patient?
which of the following is the priority intervention for this patient?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is an expected finding in a patient with a thoracostomy connected
to a chest drainage system?
Which of the following is an expected finding in a patient with a thoracostomy connected
to a chest drainage system?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a late sign of increased intracranial pressure?
,TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a component of the trauma triad of death?
Which of the following is a component of the trauma triad of death?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following considerations is most important when caring for a geriatric
trauma patient?
Which of the following considerations is most important when caring for a geriatric
trauma patient?
Which of the following assessment findings differentiates a tension PTX from a simple
PTX?
Which of the following assessment findings differentiates a tension PTX from a simple
PTX?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which if the following values indicates the need for alcohol withdrawal interventions?
Which if the following values indicates the need for alcohol withdrawal interventions?
Which blood pressure finding is associated with early or compensated hypovolemic
shock?
Which blood pressure finding is associated with early or compensated hypovolemic
shock?
When should the definitive calculation for intravenous fluid resuscitation rate be
performed for a patient with burns?
When should the definitive calculation for intravenous fluid resuscitation rate be
performed for a patient with burns?
When should 2 IV sites be established? - ansDuring "Circulation" assessment
When should 2 IV sites be established? - ansDuring "Circulation" assessment
What three items are obtained during the pertinent history assessment? - ansMedical
records, prehospital report, SAMPLE
What three items are obtained during the pertinent history assessment? - ansMedical
records, prehospital report, SAMPLE
What three assessments must be done if the patient is intubated? - ans1. attach CO2
detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the
chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for
bilateral breath sounds
What three assessments must be done if the patient is intubated? - ans1. attach CO2
detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the
chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for
bilateral breath sounds
, TNCC 20th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
What should you verbalize after completing all ETT assessments? - ansmoving patient
from assisted ventilation to mechanical
What should you verbalize after completing all ETT assessments? - ansmoving patient
from assisted ventilation to mechanical
What position optimizes ventilation in the obese patient with a lumbar fracture?
What position optimizes ventilation in the obese patient with a lumbar fracture?
What is the rationale for obtaining a serum lactate level during the initial assessment of
a trauma patient?
What is the rationale for obtaining a serum lactate level during the initial assessment of
a trauma patient?
What is the priority intervention for a child who has been diagnosed with an atlanto-
occipital dislocation following a high-speed motor vehicle collision?
What is the priority intervention for a child who has been diagnosed with an atlanto-
occipital dislocation following a high-speed motor vehicle collision?
What is the most important consideration during the initial assessment when caring for
an older adult who has sustained serious injuries?
What is the most important consideration during the initial assessment when caring for
an older adult who has sustained serious injuries?
What is sometimes deferred at the end of the head-to-toe? - ansinspecting posterior
What is sometimes deferred at the end of the head-to-toe? - ansinspecting posterior
What finding raises suspicion of complete spinal cord injury?
What finding raises suspicion of complete spinal cord injury?
What factor contributes most the kinetic energy of a body in motion?
What factor contributes most the kinetic energy of a body in motion?
What does VIPP stand for? - ansvital signs, injuries/interventions, primary survey, pain
What does VIPP stand for? - ansvital signs, injuries/interventions, primary survey, pain
What does the J stand for at the end of the secondary survery? - ansjust keep
evaluating - vipp
What does the J stand for at the end of the secondary survery? - ansjust keep
evaluating - vipp
What do you do when alterations are identified in any of the steps in the primary
survery? - ansintervene as appropriate and reassess
What do you do when alterations are identified in any of the steps in the primary
survery? - ansintervene as appropriate and reassess
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section? - anscardiac monitor
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section? - anscardiac monitor
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation?
