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

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TNCC Pre-Course Practice Exam (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS A+
UPDATED 2026

TNCC Pre-Course Practice Exam —

PRIMARY SURVEY & TRAUMA ASSESSMENT (1–10)
1. The primary survey follows the ABCDE sequence. The “A” stands for:
A. Airway with cervical spine protection
B. Alertness
C. Assessment
D. Arterial pressure
Answer: A
Rationale: Airway assessment with cervical spine stabilization is always the first priority in
trauma.



2. The “B” in the primary survey refers to:
A. Breathing and ventilation
B. Blood pressure
C. Burns
D. Bowel sounds
Answer: A



3. During the primary survey, a patient with absent breath sounds on one side may have:
A. Tension pneumothorax
B. Hemorrhagic shock
C. Spinal cord injury
D. Liver laceration
Answer: A



4. The “C” in ABCDE stands for:
A. Circulation with hemorrhage control
B. Cerebral function
C. Compression


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D. Cardiac monitoring
Answer: A



5. A patient is pale, diaphoretic, and tachycardic after trauma. The nurse recognizes this
as:
A. Signs of hypovolemic shock
B. Head injury
C. Spinal cord injury
D. Pulmonary embolism
Answer: A



6. The “D” in ABCDE stands for:
A. Disability / neurological assessment
B. Diuresis
C. Drugs administered
D. Depth of injury
Answer: A



7. Glasgow Coma Scale (GCS) assesses:
A. Eye, verbal, and motor responses
B. Pupillary reaction only
C. Limb strength only
D. Respiratory function
Answer: A



8. The “E” in ABCDE represents:
A. Exposure / environmental control
B. Edema
C. Electrolytes
D. Examination of extremities only
Answer: A



9. During trauma assessment, maintaining the patient’s body temperature is important to
prevent:
A. Hypothermia and coagulopathy
B. Hyperglycemia


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C. Hyperthermia only
D. Infection only
Answer: A



10. The secondary survey is performed:
A. After the primary survey and stabilization
B. Before airway assessment
C. Only for minor injuries
D. During resuscitation
Answer: A




AIRWAY & BREATHING (11–20)
11. Signs of airway obstruction include:
A. Stridor, gurgling, or absence of breath sounds
B. Bradycardia only
C. Hypotension only
D. Diaphoresis only
Answer: A



12. The priority in suspected cervical spine injury is:
A. Manual in-line stabilization during airway management
B. Immediate intubation without precautions
C. Chest compressions
D. Oxygen via nasal cannula only
Answer: A



13. Tension pneumothorax is identified by:
A. Hypotension, absent breath sounds, tracheal deviation
B. Bradycardia only
C. Bilateral crackles
D. Hyperthermia
Answer: A



14. Needle decompression is performed at:
A. 2nd intercostal space, midclavicular line


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B. 5th intercostal space, midaxillary line
C. Subxiphoid region
D. 4th intercostal space, posterior axillary line
Answer: A



15. Flail chest is characterized by:
A. Paradoxical chest wall movement
B. Hemothorax only
C. Pneumothorax only
D. Rib tenderness only
Answer: A



16. Oxygen therapy in trauma is primarily used to:
A. Prevent hypoxia and maintain tissue perfusion
B. Reduce bleeding
C. Treat hypotension
D. Increase GCS score only
Answer: A



17. The preferred method for definitive airway in trauma is:
A. Endotracheal intubation
B. Nasal cannula
C. Simple face mask
D. Non-rebreather mask only
Answer: A



18. Early recognition of hypoventilation includes:
A. Altered mental status and rising CO₂
B. Bradycardia only
C. Hypotension only
D. Pallor only
Answer: A



19. Chest trauma with decreased breath sounds and hypotension should be suspected as:
A. Tension pneumothorax
B. Rib fracture only


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