TNCC Written Exam questions and answers
2026\2027 A+ Grade
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of
resuscitation?
- correct answer Base deficit used in conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature?
- correct answer Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit?
- correct answer Metabolic acidosis
What type of shock results in generalized vasodilation?
- correct answer Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what?
- correct answer Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury?
- correct answer Compartment Syndrome
What is a high risk of frostbite?
- correct answer Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite injury along with
rewarming?
- correct answer Tissue plasminogen activator or non steroidal anti-inflammatory medication (NSAIDS)
, An rise in diastolic blood pressures is a sign of increasing what?
- correct answer Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric patient?
- correct answer Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or
penetrating injuries?
- correct answer Secondary Phase
What phase of a blast results from any explosion-related illness or injury including hyperglycemia,
hypertension, angina, asthma, COPD, or sepsis?
- correct answer Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or
any hard object?
- correct answer Tertiary Phase
What phase of a blast results from impact of the over and under pressurization wave with body
surfaces. Injuries include blast lung, tympanic membrane rupture, abdominal hemorrhage, globe
rupture, and mild traumatic brain injury?
- correct answer Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise,
and elevated creatinine kinase levels?
- correct answer Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea,
adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension?
- correct answer Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of
consciousness?
- correct answer Increased intracranial pressure
2026\2027 A+ Grade
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of
resuscitation?
- correct answer Base deficit used in conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature?
- correct answer Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit?
- correct answer Metabolic acidosis
What type of shock results in generalized vasodilation?
- correct answer Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what?
- correct answer Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury?
- correct answer Compartment Syndrome
What is a high risk of frostbite?
- correct answer Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite injury along with
rewarming?
- correct answer Tissue plasminogen activator or non steroidal anti-inflammatory medication (NSAIDS)
, An rise in diastolic blood pressures is a sign of increasing what?
- correct answer Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric patient?
- correct answer Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or
penetrating injuries?
- correct answer Secondary Phase
What phase of a blast results from any explosion-related illness or injury including hyperglycemia,
hypertension, angina, asthma, COPD, or sepsis?
- correct answer Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or
any hard object?
- correct answer Tertiary Phase
What phase of a blast results from impact of the over and under pressurization wave with body
surfaces. Injuries include blast lung, tympanic membrane rupture, abdominal hemorrhage, globe
rupture, and mild traumatic brain injury?
- correct answer Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise,
and elevated creatinine kinase levels?
- correct answer Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea,
adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension?
- correct answer Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of
consciousness?
- correct answer Increased intracranial pressure
