TNCC 9th Edition Practice Exam 2025/2026 –
Version 3 | Walden University | A+ Graded
Trauma Nursing Questions
TNCC 9TH EDITION PRACTICE QUESTIONS WITH RATIONALES (2025/2026)
QUESTIONS AND ANSWERS:
1. What does the letter "J" represent at the end of the secondary survey?
Answer: Just keep evaluating
Rationale: TNCC emphasizes continuous reassessment throughout trauma care to
identify changes in patient condition.
2. What does VIPP stand for in the secondary survey?
Answer: Vital signs, Injuries/Interventions, Primary survey, Pain
Rationale: VIPP provides a structured reassessment framework following completion
of the head-to-toe examination.
3. During the head-to-toe assessment, where is Grey-Turner’s sign observed?
Answer: Flank
Rationale: Flank ecchymosis indicates possible retroperitoneal bleeding.
4. During the head-to-toe assessment, where is Cullen’s sign observed?
Answer: Umbilicus
Rationale: Periumbilical bruising suggests intra-abdominal hemorrhage.
5. What portion of the head-to-toe assessment is sometimes deferred?
Answer: Inspecting the posterior
1
, Rationale: Posterior inspection may be delayed if the patient is unstable or spinal
motion restriction is required.
6. Antibiotics, consults, imaging, tetanus, and wound care are performed after the
head-to-toe but before which step?
Answer: The J in VIPP
Rationale: These interventions occur prior to the final reassessment phase.
7. Which three items are obtained during the pertinent history assessment?
Answer: Medical records, prehospital report, SAMPLE
Rationale: These sources provide essential information for identifying injuries and
guiding care.
8. Which is an example of a nonpharmacologic pain management measure?
Answer: Repositioning
Rationale: TNCC supports both pharmacologic and nonpharmacologic pain control
strategies.
9. For whom is capnography highly recommended?
Answer: All patients
Rationale: Capnography assists in monitoring ventilation effectiveness and early
deterioration.
10. In step M of Get Adjuncts, what may be indicated in addition to a cardiac monitor?
Answer: EKG
Rationale: Cardiac rhythm assessment is essential in trauma patients at risk for
cardiac injury.
11. When should two intravenous access sites be established during trauma care?
Answer: During circulation assessment
2
Version 3 | Walden University | A+ Graded
Trauma Nursing Questions
TNCC 9TH EDITION PRACTICE QUESTIONS WITH RATIONALES (2025/2026)
QUESTIONS AND ANSWERS:
1. What does the letter "J" represent at the end of the secondary survey?
Answer: Just keep evaluating
Rationale: TNCC emphasizes continuous reassessment throughout trauma care to
identify changes in patient condition.
2. What does VIPP stand for in the secondary survey?
Answer: Vital signs, Injuries/Interventions, Primary survey, Pain
Rationale: VIPP provides a structured reassessment framework following completion
of the head-to-toe examination.
3. During the head-to-toe assessment, where is Grey-Turner’s sign observed?
Answer: Flank
Rationale: Flank ecchymosis indicates possible retroperitoneal bleeding.
4. During the head-to-toe assessment, where is Cullen’s sign observed?
Answer: Umbilicus
Rationale: Periumbilical bruising suggests intra-abdominal hemorrhage.
5. What portion of the head-to-toe assessment is sometimes deferred?
Answer: Inspecting the posterior
1
, Rationale: Posterior inspection may be delayed if the patient is unstable or spinal
motion restriction is required.
6. Antibiotics, consults, imaging, tetanus, and wound care are performed after the
head-to-toe but before which step?
Answer: The J in VIPP
Rationale: These interventions occur prior to the final reassessment phase.
7. Which three items are obtained during the pertinent history assessment?
Answer: Medical records, prehospital report, SAMPLE
Rationale: These sources provide essential information for identifying injuries and
guiding care.
8. Which is an example of a nonpharmacologic pain management measure?
Answer: Repositioning
Rationale: TNCC supports both pharmacologic and nonpharmacologic pain control
strategies.
9. For whom is capnography highly recommended?
Answer: All patients
Rationale: Capnography assists in monitoring ventilation effectiveness and early
deterioration.
10. In step M of Get Adjuncts, what may be indicated in addition to a cardiac monitor?
Answer: EKG
Rationale: Cardiac rhythm assessment is essential in trauma patients at risk for
cardiac injury.
11. When should two intravenous access sites be established during trauma care?
Answer: During circulation assessment
2
