TNCC 8TH EDITION PRACTICE EXAM PAPER
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ You are caring for a patient who was involved in a motor vehicle
crash and is 32 weeks pregnant. Findings of your secondary survey
include abdominal pain on palpation, fundal height at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are
noted on cardiotocography. These findings are most consistent with
which of the following?
Placental abruption. Answer: Placental abruption
◉ Patients with a crush injury should be monitored for which of the
following conditions?
Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead
to life-threatening dysrhythmias. Answer: Dysrhythmias Hyperkalemia
and other electrolyte abnormalities can lead to life-threatening
dysrhythmias.
◉ A 49-year-old restrained driver involved in a motor vehicle collision
presents to the trauma center complaining of abdominal, pelvic, and
, bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the
following?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated
for hemodynamically unstable patients or if FAST and CT are not
available. Answer: Diagnostic peritoneal lavage is indicated for
hemodynamically unstable patients or if FAST and CT are not available.
◉ 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?
Initiate transfer to a trauma center. Answer: Initiate transfer to a trauma
center
◉ What finding raises suspicion of a complete spinal cord injury?
Priapism. Answer: Priapism
◉ Which of the following is a component of the trauma triad of death?
Acidosis. Answer: Acidosis
◉ Tearing of the bridging veins is most frequently associated with which
brain injury?
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ You are caring for a patient who was involved in a motor vehicle
crash and is 32 weeks pregnant. Findings of your secondary survey
include abdominal pain on palpation, fundal height at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are
noted on cardiotocography. These findings are most consistent with
which of the following?
Placental abruption. Answer: Placental abruption
◉ Patients with a crush injury should be monitored for which of the
following conditions?
Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead
to life-threatening dysrhythmias. Answer: Dysrhythmias Hyperkalemia
and other electrolyte abnormalities can lead to life-threatening
dysrhythmias.
◉ A 49-year-old restrained driver involved in a motor vehicle collision
presents to the trauma center complaining of abdominal, pelvic, and
, bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the
following?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated
for hemodynamically unstable patients or if FAST and CT are not
available. Answer: Diagnostic peritoneal lavage is indicated for
hemodynamically unstable patients or if FAST and CT are not available.
◉ 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?
Initiate transfer to a trauma center. Answer: Initiate transfer to a trauma
center
◉ What finding raises suspicion of a complete spinal cord injury?
Priapism. Answer: Priapism
◉ Which of the following is a component of the trauma triad of death?
Acidosis. Answer: Acidosis
◉ Tearing of the bridging veins is most frequently associated with which
brain injury?
