TNCC 9th Edition EXAM, Complete Test Questions
and Answers (Verified Answers) (Latest Update )
UPDATE!! TNCC exam| Frequently Most Tested
Questions and Expert Guarantee Pass| 100%
Accurate ,Graded A+ And Brand New Version!!!
An adult pt who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The pt
has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mmHg. What is the most important intervention to manage the
cerebral blood flow?
Correct Answer:
Decrease the rate of manual ventilation
An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The pt was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma is
noted to the forehead. The pt is currently on anticoagulant therapy. What is most
likely the cause of their symptoms?
Correct Answer:
post-concussive syndrome
A pt with a lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medication. Which of the following is the
priority nursing intervention?
Correct Answer:
Elevating the leg to the LEVEL of the heart
,(compression/crush- level of the heart)
(regular fracture- above the heart)
A pt involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the 6th intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the
diaphragm?
Correct Answer:
Bowel sounds heard in the lower left chest
A pt has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The pt has been awake, alert, and complaining of leg pain. Their spouse
reported that the pt suddenly became anxious and confused. Upon
reassessment, the pt is restless, with respiratory distress and petechiae to his
neck. The pt is exhibiting signs and symptoms most commonly associated with
which of the following conditions?
Correct Answer:
Fat embolism
3 adult pts present at different times during a 1-hour period with a high fever,
fatigue, and headache. All 3 pts have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen. They all visited the same
grocery store within the last week. What is the most appropriate intervention
from triage for these pts?
Correct Answer:
Immediately initiate contact precautions
A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied?
Correct Answer:
Globe rupture
A trauma patient who is 30 - weeks pregnant arrives at the emergency
department following a motor vehicle collision Which normal physiologic change
should be considered when assessing ventilatory status ?
,Correct Answer:
Increased oxygen consumption
A patient who sustained severe injuries was brought to the emergency
department following a high - speed motor vehicle collision . Interventions for
hypovolemic shock have been initiated . What component of the trauma triad of
death is most likely to have begun at the time of injury ?
Correct Answer:
Coagulopathy
An adult patient involved in a motor vehicle collision is brought to the
emergency department of a rural critical access facility . They complain of neck
pain , shortness of breath , and diffuse abdominal pain . The Glasgow Coma
Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats / minute , RR 26
breaths / minute , and SpO2 94 % on high - flow oxygen via non - rebreather
mask . Which of the following is the priority intervention for this patient ?
Correct Answer:
Expedite transfer to the closest trauma center
A patient who weighs 120 kg is brought to the emergency department after
sustaining partial thickness burns to both upper extremities and chest with a
total body surface area burned of 27 % . How much intravenous fluid should be
administered in the first 8 hours ?
Correct Answer:
3240 mL
A trauma patient is being held in the emergency department because there are
no available inpatient beds . The patient sustained a femur fracture and required
multiple blood products . The patient now has blood oozing from abrasions , IV
sites , the nose , and gums . What condition is most consistent with these
findings ?
Correct Answer:
Disseminated intravascular coagulopathy
A patient is brought to the emergency department following a snowmobile crash
with prolonged exposure time prior to transport . The patient is confused . Vital
signs are BP 96/54 mm Hg , HR 114 beats / minute , RR 24 breaths / minute , T
34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L per non - rebreather
, mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH
of 6.8 . Based on these findings what is the most appropriate intervention
Correct Answer:
Initiate warming measures
Which of the following is a late sign of increased intracranial pressure ?
Correct Answer:
Decreased respiratory effort
Based on fall mechanism , which patient warrants prehospital transfer to a
trauma center ?
Correct Answer:
A 2 - year - old lands on grass from a second - story balcony nurse is caring for
an unrestrained
The trauma nurse is caring for an unrestrained driver who struck their head on
the windshield following a high - speed MVC . The patient has been diagnosed
with an anterior spinal cord injury at the level of C6 . Which assessment finding
would be most concerning ?
Correct Answer:
Increasing work of breathing
While caring for a child who has been injured , what nursing intervention
consistent with a family center approach
Correct Answer:
Allowing family to participate in the care of the patient
A patient is brought to the emergency department with chest pain and shortness
of breath following a high - speed motor vehicle collision in which they were the
unrestrained driver There is crepitus to the left chest with clear and equal
breath sounds . The vital signs are BP 80/40 mmHg HR 140 beats / minute , and
RR 40 breaths / minute . Cardiac monitor shows sinus tachycardia with
premature ventricular contractions . These findings are most consistent with
which type of shock
Correct Answer:
Cardiogenic
and Answers (Verified Answers) (Latest Update )
UPDATE!! TNCC exam| Frequently Most Tested
Questions and Expert Guarantee Pass| 100%
Accurate ,Graded A+ And Brand New Version!!!
An adult pt who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The pt
has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mmHg. What is the most important intervention to manage the
cerebral blood flow?
Correct Answer:
Decrease the rate of manual ventilation
An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The pt was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma is
noted to the forehead. The pt is currently on anticoagulant therapy. What is most
likely the cause of their symptoms?
Correct Answer:
post-concussive syndrome
A pt with a lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medication. Which of the following is the
priority nursing intervention?
Correct Answer:
Elevating the leg to the LEVEL of the heart
,(compression/crush- level of the heart)
(regular fracture- above the heart)
A pt involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the 6th intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the
diaphragm?
Correct Answer:
Bowel sounds heard in the lower left chest
A pt has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The pt has been awake, alert, and complaining of leg pain. Their spouse
reported that the pt suddenly became anxious and confused. Upon
reassessment, the pt is restless, with respiratory distress and petechiae to his
neck. The pt is exhibiting signs and symptoms most commonly associated with
which of the following conditions?
Correct Answer:
Fat embolism
3 adult pts present at different times during a 1-hour period with a high fever,
fatigue, and headache. All 3 pts have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen. They all visited the same
grocery store within the last week. What is the most appropriate intervention
from triage for these pts?
Correct Answer:
Immediately initiate contact precautions
A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied?
Correct Answer:
Globe rupture
A trauma patient who is 30 - weeks pregnant arrives at the emergency
department following a motor vehicle collision Which normal physiologic change
should be considered when assessing ventilatory status ?
,Correct Answer:
Increased oxygen consumption
A patient who sustained severe injuries was brought to the emergency
department following a high - speed motor vehicle collision . Interventions for
hypovolemic shock have been initiated . What component of the trauma triad of
death is most likely to have begun at the time of injury ?
Correct Answer:
Coagulopathy
An adult patient involved in a motor vehicle collision is brought to the
emergency department of a rural critical access facility . They complain of neck
pain , shortness of breath , and diffuse abdominal pain . The Glasgow Coma
Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats / minute , RR 26
breaths / minute , and SpO2 94 % on high - flow oxygen via non - rebreather
mask . Which of the following is the priority intervention for this patient ?
Correct Answer:
Expedite transfer to the closest trauma center
A patient who weighs 120 kg is brought to the emergency department after
sustaining partial thickness burns to both upper extremities and chest with a
total body surface area burned of 27 % . How much intravenous fluid should be
administered in the first 8 hours ?
Correct Answer:
3240 mL
A trauma patient is being held in the emergency department because there are
no available inpatient beds . The patient sustained a femur fracture and required
multiple blood products . The patient now has blood oozing from abrasions , IV
sites , the nose , and gums . What condition is most consistent with these
findings ?
Correct Answer:
Disseminated intravascular coagulopathy
A patient is brought to the emergency department following a snowmobile crash
with prolonged exposure time prior to transport . The patient is confused . Vital
signs are BP 96/54 mm Hg , HR 114 beats / minute , RR 24 breaths / minute , T
34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L per non - rebreather
, mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH
of 6.8 . Based on these findings what is the most appropriate intervention
Correct Answer:
Initiate warming measures
Which of the following is a late sign of increased intracranial pressure ?
Correct Answer:
Decreased respiratory effort
Based on fall mechanism , which patient warrants prehospital transfer to a
trauma center ?
Correct Answer:
A 2 - year - old lands on grass from a second - story balcony nurse is caring for
an unrestrained
The trauma nurse is caring for an unrestrained driver who struck their head on
the windshield following a high - speed MVC . The patient has been diagnosed
with an anterior spinal cord injury at the level of C6 . Which assessment finding
would be most concerning ?
Correct Answer:
Increasing work of breathing
While caring for a child who has been injured , what nursing intervention
consistent with a family center approach
Correct Answer:
Allowing family to participate in the care of the patient
A patient is brought to the emergency department with chest pain and shortness
of breath following a high - speed motor vehicle collision in which they were the
unrestrained driver There is crepitus to the left chest with clear and equal
breath sounds . The vital signs are BP 80/40 mmHg HR 140 beats / minute , and
RR 40 breaths / minute . Cardiac monitor shows sinus tachycardia with
premature ventricular contractions . These findings are most consistent with
which type of shock
Correct Answer:
Cardiogenic
