TNCC Pre-Course Practice Exam – Updated 2026 Trauma Nursing Review with Detailed Answers

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TNCC Study Guide (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED 2026




QUESTION : Is your facility involved in injury prevention programs? -
CORRECT ANSWER no


QUESTION : what are the most common causes of injury related to death in your
country? Your Community? - CORRECT ANSWER -unintentional
poisoning (overdose)
-MVC
-falls
(In AL, overdoses, MVCs, firearm-related injuries)


QUESTION : When preparing to receive a seriously injured patient, what are
some examples of equipment you would anticipate needing? - CORRECT
ANSWER -IV supplies
-fluids
-intubation box


QUESTION : Who responds to the arrival of trauma patient at your facility? What
are their roles? - CORRECT ANSWER anyone who is not currently
working with patients, no roles are typically assigned lol



2026 2027 GRADED A+

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QUESTION : At your facility, are there clear predetermined responsibilities for
each member of the team that responds to the trauma patient? - CORRECT
ANSWER NOPE :)


QUESTION : When caring for a seriously ill patient what communication
challenges between team members have you experienced that for your facility?
What steps are being taped to address those challenges? - CORRECT
ANSWER -too many other people talkign during the trauma
-too many people coming in to watch
-too many people stand in the way as opposed to help


QUESTION : Why is it important to understand bio mechanics as it relates to the
types of energy forces and mechanisms of injury? - CORRECT ANSWER
understanding the law of physics and applying biomechanics, kinematics, and
mechanism of injury principles, along with knowledge of anatomy and
physiology, can assist the trauma-care nurse in anticipating the intervention and
management needs of the patient


QUESTION : What are common mechanisms of injury That result in trauma? -
CORRECT ANSWER -Blunt trauma
-penetrating trauma
- thermal trauma
-blast trauma


QUESTION : Do you have criteria for trauma activation at your facility? Do the
criteria include clear guidelines for identifying activations for in following



2026 2027 GRADED A+

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conditions: false, motor vehicle crash, crashes, and penetrating injuries? -
CORRECT ANSWER -uncontrolled bleed
- fall from greater than 20 feet
-open fracture
-airway compromise


QUESTION : What is the most common mechanism of blunt trauma seen at your
facility? Penetrating trauma? - CORRECT ANSWER our most common
cause of blunt trauma MVCs or Falls. Our most common cause of penetrating
trauma would be GSWs


QUESTION : What injuries can be anticipated for each stage associated with an
explosion injury? - CORRECT ANSWER Primary: blast lung, tympanic
membrane rupture, abdominal hemorrhage, TBI
Secondary: penetrating ballistic, eye penetration, close or open brain injury
Tertiary: blunt or penetrating trauma, fractures, traumatic amputations
Quaternary: external and internal burns, crush injuries, asthma, COPD, angina,
hypertension, hyperglycemia
Quinary: variety of health effects depending on agents


QUESTION : Why is it important to use systematic approach in the initial
assessment of a trauma patient? - CORRECT ANSWER the systemic
approach is the best ot use because it allows you to rapidly assess for life-
threatening injuries and intervene in a systemic manner, and it is the basis for
TNP




2026 2027 GRADED A+

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QUESTION : What is included in the preparation for a trauma patient? -
CORRECT ANSWER Don PPE
activate trauma team
prep the trauma room


QUESTION : What information is obtained during the general impression? -
CORRECT ANSWER - physiological status
identify any uncontrolled bleeding
- main goal is to immediately identify any and all life threatening conditions
within the first few minutes upon arrival


QUESTION : What does the a to E pneumonic stand for? - CORRECT
ANSWER -airway and alertness
-breathing and ventilation
-circulation
-disability
E- exposure


QUESTION : Why is alertness included in the airway assessment? - CORRECT
ANSWER this assessment helps the RN to evaluate the patient's ability to
protect their own airway


QUESTION : When an intervention is taken during a primary survey, what must
the nurse do after the intervention? - CORRECT ANSWER once an
intervention is established, continue down the list of the A-E mneumonic to look
for other life threatening injuries



2026 2027 GRADED A+