TNCC 9th Edi on Final Exam – Emergency Nurses
Associa on Trauma Nursing Core Course – 2026/2027
Edi on – Verified Ques ons and Answers
1. According to the trauma primary survey, the first priority is:
A. Disability assessment
B. Airway with cervical spine protec on
C. Exposure
D. Circula on
Answer: B
Ra onale: Airway management with cervical spine protec on is always the first priority.
2. A trauma pa ent has snoring respira ons. What does this most likely indicate?
A. Pneumothorax
B. Par al airway obstruc on
C. Pulmonary edema
D. Shock
Answer: B
Ra onale: Snoring suggests the tongue is par ally obstruc ng the airway.
3. Which interven on should be performed immediately for severe external bleeding?
A. Oxygen administra on
B. Direct pressure
C. Splin ng
D. Foley catheter inser on
Answer: B
4. Which finding is most consistent with tension pneumothorax?
A. Bilateral wheezing
B. Tracheal devia on and hypotension
,C. Bradycardia only
D. Bilateral crackles
Answer: B
5. What is the normal adult Glasgow Coma Scale score?
A. 10
B. 12
C. 15
D. 18
Answer: C
6. Which assessment belongs to the "D" in ABCDE?
A. Disability
B. Drainage
C. Diagnosis
D. Defibrilla on
Answer: A
7. Which pulse should be assessed during the primary survey?
A. Radial
B. Femoral or caro d
C. Pedal
D. Brachial
Answer: B
8. Hypotension a er trauma should be assumed to result from:
A. Head injury
B. Hemorrhage un l proven otherwise
C. Anxiety
D. Pain
Answer: B
,9. Which oxygen satura on is generally considered acceptable in a stable trauma pa ent?
A. ≥95%
B. 80%
C. 85%
D. 88%
Answer: A
10. Which mechanism of injury has the highest suspicion for cervical spine injury?
A. Twisted ankle
B. High-speed motor vehicle collision
C. Finger lacera on
D. Minor burn
Answer: B
11. Which interven on helps prevent hypothermia?
A. Cold IV fluids
B. Remove wet clothing and use warm blankets
C. Leave the pa ent exposed
D. Delay warming
Answer: B
12. Unequal pupils following trauma may indicate:
A. Increased intracranial pressure
B. Dehydra on
C. Asthma
D. Hypoglycemia
Answer: A
13. A pa ent with GCS of 8 should generally:
A. Be discharged
B. Receive airway protec on
C. Walk independently
D. Receive oral fluids
, Answer: B
14. Which assessment best evaluates circula on?
A. Breath sounds
B. Skin color, pulse, and bleeding
C. Pupillary response
D. Bowel sounds
Answer: B
15. Which chest injury requires immediate decompression?
A. Rib fracture
B. Tension pneumothorax
C. Pulmonary contusion
D. Sternal fracture
Answer: B
16. Which is an early sign of shock?
A. Bradycardia
B. Tachycardia
C. Cyanosis
D. Fixed pupils
Answer: B
17. The purpose of the secondary survey is to:
A. Replace the primary survey
B. Iden fy addi onal injuries a er stabiliza on
C. Perform surgery
D. Obtain consent
Answer: B
18. Which trauma pa ent should be treated first?
Associa on Trauma Nursing Core Course – 2026/2027
Edi on – Verified Ques ons and Answers
1. According to the trauma primary survey, the first priority is:
A. Disability assessment
B. Airway with cervical spine protec on
C. Exposure
D. Circula on
Answer: B
Ra onale: Airway management with cervical spine protec on is always the first priority.
2. A trauma pa ent has snoring respira ons. What does this most likely indicate?
A. Pneumothorax
B. Par al airway obstruc on
C. Pulmonary edema
D. Shock
Answer: B
Ra onale: Snoring suggests the tongue is par ally obstruc ng the airway.
3. Which interven on should be performed immediately for severe external bleeding?
A. Oxygen administra on
B. Direct pressure
C. Splin ng
D. Foley catheter inser on
Answer: B
4. Which finding is most consistent with tension pneumothorax?
A. Bilateral wheezing
B. Tracheal devia on and hypotension
,C. Bradycardia only
D. Bilateral crackles
Answer: B
5. What is the normal adult Glasgow Coma Scale score?
A. 10
B. 12
C. 15
D. 18
Answer: C
6. Which assessment belongs to the "D" in ABCDE?
A. Disability
B. Drainage
C. Diagnosis
D. Defibrilla on
Answer: A
7. Which pulse should be assessed during the primary survey?
A. Radial
B. Femoral or caro d
C. Pedal
D. Brachial
Answer: B
8. Hypotension a er trauma should be assumed to result from:
A. Head injury
B. Hemorrhage un l proven otherwise
C. Anxiety
D. Pain
Answer: B
,9. Which oxygen satura on is generally considered acceptable in a stable trauma pa ent?
A. ≥95%
B. 80%
C. 85%
D. 88%
Answer: A
10. Which mechanism of injury has the highest suspicion for cervical spine injury?
A. Twisted ankle
B. High-speed motor vehicle collision
C. Finger lacera on
D. Minor burn
Answer: B
11. Which interven on helps prevent hypothermia?
A. Cold IV fluids
B. Remove wet clothing and use warm blankets
C. Leave the pa ent exposed
D. Delay warming
Answer: B
12. Unequal pupils following trauma may indicate:
A. Increased intracranial pressure
B. Dehydra on
C. Asthma
D. Hypoglycemia
Answer: A
13. A pa ent with GCS of 8 should generally:
A. Be discharged
B. Receive airway protec on
C. Walk independently
D. Receive oral fluids
, Answer: B
14. Which assessment best evaluates circula on?
A. Breath sounds
B. Skin color, pulse, and bleeding
C. Pupillary response
D. Bowel sounds
Answer: B
15. Which chest injury requires immediate decompression?
A. Rib fracture
B. Tension pneumothorax
C. Pulmonary contusion
D. Sternal fracture
Answer: B
16. Which is an early sign of shock?
A. Bradycardia
B. Tachycardia
C. Cyanosis
D. Fixed pupils
Answer: B
17. The purpose of the secondary survey is to:
A. Replace the primary survey
B. Iden fy addi onal injuries a er stabiliza on
C. Perform surgery
D. Obtain consent
Answer: B
18. Which trauma pa ent should be treated first?
