TNCC 8TH EDITION 2026 FINAL REVIEW
BUNDLED SOLUTION PACKAGE
◉ Tearing of the bridging veins is most frequently associated with which
brain injury? Answer: subdural hematoma
◉ A patient is found lying on the floor after falling 13 hours ago. Which
of the following laboratory values is expected with a musculoskeletal
complication associated with this presentation? Answer: Elevated
creatine kinase
◉ A patient is brought to the emergency department of a rural hospital
following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, which of
the following is the priority intervention? Answer: Initiate transfer to a
trauma center
◉ Which of the following injuries is LEAST likely to be promptly
identified? Answer: bowel
◉ Which of the following patients warrants referral to a burn center?
Answer: A 52-year-old diabetic male with a partial-thickness burn to the
left lower leg
◉ A patient has been in the emergency department for several hours
waiting to be admitted. He sustained multiple rib fractures and a femur
, fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. The patient is exhibiting signs and symptoms most
commonly associated with which of the follow conditions? Answer: fat
embolism
◉ A 36-year old female has a deformity of the left wrist after a fall. She
is reluctant to move her hand due to pain. Which of the following is the
most appropriate intervention? Answer: Apply a splint and elevate the
extremity ABOVE the level of the heart
◉ A 56-year-old male patient involved in a motor vehicle crash is
brought to the emergency department of a rural critical assess facility.
He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP
98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94%
on high-flow oxygen via non-rebreather mask. Which of the follow is
the priority intervention for this patient? Answer: Expedite transfer to
the closest trauma center
◉ Which of the following values indicates the need for alcohol
withdrawal interventions? Answer: CIWA-Ar of 36
◉ A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computed tomography (CT)
scanner will be out of service for several hours. The team gathers to plan
BUNDLED SOLUTION PACKAGE
◉ Tearing of the bridging veins is most frequently associated with which
brain injury? Answer: subdural hematoma
◉ A patient is found lying on the floor after falling 13 hours ago. Which
of the following laboratory values is expected with a musculoskeletal
complication associated with this presentation? Answer: Elevated
creatine kinase
◉ A patient is brought to the emergency department of a rural hospital
following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, which of
the following is the priority intervention? Answer: Initiate transfer to a
trauma center
◉ Which of the following injuries is LEAST likely to be promptly
identified? Answer: bowel
◉ Which of the following patients warrants referral to a burn center?
Answer: A 52-year-old diabetic male with a partial-thickness burn to the
left lower leg
◉ A patient has been in the emergency department for several hours
waiting to be admitted. He sustained multiple rib fractures and a femur
, fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. The patient is exhibiting signs and symptoms most
commonly associated with which of the follow conditions? Answer: fat
embolism
◉ A 36-year old female has a deformity of the left wrist after a fall. She
is reluctant to move her hand due to pain. Which of the following is the
most appropriate intervention? Answer: Apply a splint and elevate the
extremity ABOVE the level of the heart
◉ A 56-year-old male patient involved in a motor vehicle crash is
brought to the emergency department of a rural critical assess facility.
He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP
98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94%
on high-flow oxygen via non-rebreather mask. Which of the follow is
the priority intervention for this patient? Answer: Expedite transfer to
the closest trauma center
◉ Which of the following values indicates the need for alcohol
withdrawal interventions? Answer: CIWA-Ar of 36
◉ A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computed tomography (CT)
scanner will be out of service for several hours. The team gathers to plan
