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TCCC PRE-TEST
EXAM||COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS 2026
Which of the following is NOT an advantage of fentanyl lozenges over morphine in
the tactical setting?
a. No need to start an IV to administer
b. Works faster than IM morphine
c. No potential for respiratory depression
d. All of the above are true - correct-answer -c
One correct landmark for performing a needle decompression (on the side of the
chest with the penetrating trauma) is:
a. Second intercostal space, mid-clavicular line
b. Second intercostal space, mid-axillary line
c. Fourth intercostal space, mid-clavicular line
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d. Fourth intercostal space, mid-axillary line - correct-answer -a
In a tactical environment, the initial treatment of choice for stopping severe distal
extremity hemorrhage is:
a. Direct pressure
b. Pressure point compression
c. A pressure dressing
d. A tourniquet - correct-answer -d
A Combat Gauze dressing is used for:
a. Control of severe external bleeding
b. Abdominal wounds without severe external bleeding
c. Open head wounds with minor bleeding and brain matter exposed
d. Control of minor superficial bleeding - correct-answer -a
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You have a casualty with severe external bleeding from a groin wound during
Tactical Field Care. Combat Gauze is unsuccessful at stopping the hemorrhage.
What should you do next?
a. Stop and take a few minutes to think about it.
b. Revert to a standard gauze dressing to control bleeding.
c. Use a second Combat Gauze on the bleeding site.
d. Move on to the next casualty - correct-answer -c
A casualty with a palpable radial pulse has a systolic blood pressure of
approximately 80mmHg or higher. - correct-answer -T
Which is the best route for administering morphine to a battlefield casualty?
a. Intramuscular
b. Subcutaneous
c. Intravenous
d. Sublingual - correct-answer -c
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After administering 500 ml of Hextend to an unconscious casualty, his mental
status has not improved and his radial pulse remains absent. At this point you
should:
a. Maintain a saline lock
b. Administer a second 500 ml bolus of Hextend
c. Administer a 1,000 ml bolus of Hextend
d. Administer 2,000 ml of Ringer's Lactate at a wide-open rate - correct-answer -b
A casualty with a sucking chest wound has been treated with an occlusive
dressing. She begins to have increasing difficulty breathing. You suspect a
developing tension pneumothorax. Which of the following would not be a
preferred first step to manage this condition in Tactical Field Care?
a. Put in a chest tube
b. Lift one side of the occlusive dressing to allow air to escape from the chest
c. Perform a needle decompression. - correct-answer -a
TCCC PRE-TEST
EXAM||COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS 2026
Which of the following is NOT an advantage of fentanyl lozenges over morphine in
the tactical setting?
a. No need to start an IV to administer
b. Works faster than IM morphine
c. No potential for respiratory depression
d. All of the above are true - correct-answer -c
One correct landmark for performing a needle decompression (on the side of the
chest with the penetrating trauma) is:
a. Second intercostal space, mid-clavicular line
b. Second intercostal space, mid-axillary line
c. Fourth intercostal space, mid-clavicular line
,2|Page
d. Fourth intercostal space, mid-axillary line - correct-answer -a
In a tactical environment, the initial treatment of choice for stopping severe distal
extremity hemorrhage is:
a. Direct pressure
b. Pressure point compression
c. A pressure dressing
d. A tourniquet - correct-answer -d
A Combat Gauze dressing is used for:
a. Control of severe external bleeding
b. Abdominal wounds without severe external bleeding
c. Open head wounds with minor bleeding and brain matter exposed
d. Control of minor superficial bleeding - correct-answer -a
,3|Page
You have a casualty with severe external bleeding from a groin wound during
Tactical Field Care. Combat Gauze is unsuccessful at stopping the hemorrhage.
What should you do next?
a. Stop and take a few minutes to think about it.
b. Revert to a standard gauze dressing to control bleeding.
c. Use a second Combat Gauze on the bleeding site.
d. Move on to the next casualty - correct-answer -c
A casualty with a palpable radial pulse has a systolic blood pressure of
approximately 80mmHg or higher. - correct-answer -T
Which is the best route for administering morphine to a battlefield casualty?
a. Intramuscular
b. Subcutaneous
c. Intravenous
d. Sublingual - correct-answer -c
, 4|Page
After administering 500 ml of Hextend to an unconscious casualty, his mental
status has not improved and his radial pulse remains absent. At this point you
should:
a. Maintain a saline lock
b. Administer a second 500 ml bolus of Hextend
c. Administer a 1,000 ml bolus of Hextend
d. Administer 2,000 ml of Ringer's Lactate at a wide-open rate - correct-answer -b
A casualty with a sucking chest wound has been treated with an occlusive
dressing. She begins to have increasing difficulty breathing. You suspect a
developing tension pneumothorax. Which of the following would not be a
preferred first step to manage this condition in Tactical Field Care?
a. Put in a chest tube
b. Lift one side of the occlusive dressing to allow air to escape from the chest
c. Perform a needle decompression. - correct-answer -a
