TNCC WRITTEN EXAM | COMPLETE QUESTIONS WITH 100%
GRADED EXPERT SOLUTIONS| 2026 LATEST UPDATED | GET A+
Expedite transfer to the closest trauma center - (Answer)A 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain,
SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - (Answer)Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - (Answer)Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe?
Multiple requests for water - (Answer)EMS brings a pt who fell while riding his bicycle. Using
the American College of Surgeobs screening guidelines, which assessment finding would prompt
the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - (Answer)What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
,acidosis - (Answer)Which of the following is a component of the trauma triad of death?
Complete - (Answer)EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F
(36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - (Answer)Which of the following is an expected finding in
a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - (Answer)During the primary survey of
an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority
nursing interventions should be preformed next?
globe rupture - (Answer)A 35 y/o M presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - (Answer)A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108,
RR 28. The pt is demonstrating s/sx of which stage of shock?
,ventilate with a bag mask device - (Answer)An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - (Answer)When is the tertiary survey completed fora trauma pt?
pressure - (Answer)An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
worsening pneumothorax - (Answer)Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability - (Answer)the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - (Answer)Which of the following pulse pressures indicate early hypovolemic shock?
, dysrhythmias - (Answer)Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - (Answer)Tearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - (Answer)A 20 y/o M presents to the ED complaining of severe
lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of
the following orders would the RN question?
placental abruption - (Answer)You are caring for a pt who was involved in a MVC and is 32
weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at
the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted
on cariocgraphy. These findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - (Answer)Which of the following is
true about the log-roll?
defusings - (Answer)All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
GRADED EXPERT SOLUTIONS| 2026 LATEST UPDATED | GET A+
Expedite transfer to the closest trauma center - (Answer)A 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain,
SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - (Answer)Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - (Answer)Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe?
Multiple requests for water - (Answer)EMS brings a pt who fell while riding his bicycle. Using
the American College of Surgeobs screening guidelines, which assessment finding would prompt
the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - (Answer)What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
,acidosis - (Answer)Which of the following is a component of the trauma triad of death?
Complete - (Answer)EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F
(36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - (Answer)Which of the following is an expected finding in
a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - (Answer)During the primary survey of
an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority
nursing interventions should be preformed next?
globe rupture - (Answer)A 35 y/o M presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - (Answer)A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108,
RR 28. The pt is demonstrating s/sx of which stage of shock?
,ventilate with a bag mask device - (Answer)An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - (Answer)When is the tertiary survey completed fora trauma pt?
pressure - (Answer)An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
worsening pneumothorax - (Answer)Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability - (Answer)the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - (Answer)Which of the following pulse pressures indicate early hypovolemic shock?
, dysrhythmias - (Answer)Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - (Answer)Tearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - (Answer)A 20 y/o M presents to the ED complaining of severe
lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of
the following orders would the RN question?
placental abruption - (Answer)You are caring for a pt who was involved in a MVC and is 32
weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at
the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted
on cariocgraphy. These findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - (Answer)Which of the following is
true about the log-roll?
defusings - (Answer)All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
