TNCC 8TH EDITION TRAUMA NURSING CORE
COURSE EXAMINATION TEST 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ The best measure of the adequacy of cellular perfusion and helps to
predict the outcome of resuscitation. Answer: Base deficit
◉ Examples of primary blast injuries. Answer: Blast lung, ruptured
tympanic membrane, TBI, abdominal hemorrhage
◉ Examples of secondary blast injuries. Answer: Wounds from debris
and bomb fragments
◉ Examples of tertiary blast injuries. Answer: Blunt or penetrating
trauma from the body being thrown by the blast
◉ Examples of quaternary blast injuries. Answer: Injuries or illness
related to explosion: burns, toxic injury from chemicals
◉ Examples of quinary blast injuries. Answer: Injuries associated with
exposure to hazardous materials from the components of the blast
, ◉ Questions to ask for airway assessment (need 4). Answer: Is the
tongue obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
Is there blood, vomit, or secretions?
◉ Questions to ask during breathing assessment. (Need 4). Answer: Is
there symmetrical chest rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
◉ 3 ways to assess ETT placement. Answer: 1. Apply end tidal, assess
CO2 after 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
COURSE EXAMINATION TEST 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ The best measure of the adequacy of cellular perfusion and helps to
predict the outcome of resuscitation. Answer: Base deficit
◉ Examples of primary blast injuries. Answer: Blast lung, ruptured
tympanic membrane, TBI, abdominal hemorrhage
◉ Examples of secondary blast injuries. Answer: Wounds from debris
and bomb fragments
◉ Examples of tertiary blast injuries. Answer: Blunt or penetrating
trauma from the body being thrown by the blast
◉ Examples of quaternary blast injuries. Answer: Injuries or illness
related to explosion: burns, toxic injury from chemicals
◉ Examples of quinary blast injuries. Answer: Injuries associated with
exposure to hazardous materials from the components of the blast
, ◉ Questions to ask for airway assessment (need 4). Answer: Is the
tongue obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
Is there blood, vomit, or secretions?
◉ Questions to ask during breathing assessment. (Need 4). Answer: Is
there symmetrical chest rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
◉ 3 ways to assess ETT placement. Answer: 1. Apply end tidal, assess
CO2 after 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
