TNCCOTHEDITION EXAM| LATEST 2026 |COMPLETE 50 QUESTIONS
AND
DETAILED ANSWERS WITH RATIONALES.
1. A 35-year old male presents with facial trauma after bring struck in
the face with a baseball. a tear-drop shaped left pupil is noted on
exam. What type of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
2. A 36-year old female has a deformity of the left wrist after a fall. She
is reluctant to move her hand due to pain. Which of the following is
the most appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
3. Why is a measure of serum lactate obtained in the initial assessment
of the trauma patient?
Answer: ¢ - ANSWER-a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
, TNCCOTHEDITION EXAM| LATEST 2026 |COMPLETE 50 QUESTIONS
AND
DETAILED ANSWERS WITH RATIONALES.
d) to determine the underlying cause of shock
4. Atrauma patient is restless and repeatedly asking "where am I?" vital
signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR
24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer: A - ANSWER-A) compensated **
B) Progressive
C) irreversible
D) decompensated
5. An elderly patient with a history of anticoagulant use presents after a
fall at home that day. she denies any loss of consciousness. She
has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her
symptoms?
Answer: D - ANSWER-A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
6. EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
, TNCCOTHEDITION EXAM| LATEST 2026 |COMPLETE 50 QUESTIONS
AND
DETAILED ANSWERS WITH RATIONALES.
Answer: D - ANSWER-A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
7. Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C - ANSWER-A) The driver of the vehicle collides with the steering
wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
8. A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - ANSWER-A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
9. Which of the following injuries is LEAST likely
to be promptly
identified?
AND
DETAILED ANSWERS WITH RATIONALES.
1. A 35-year old male presents with facial trauma after bring struck in
the face with a baseball. a tear-drop shaped left pupil is noted on
exam. What type of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
2. A 36-year old female has a deformity of the left wrist after a fall. She
is reluctant to move her hand due to pain. Which of the following is
the most appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
3. Why is a measure of serum lactate obtained in the initial assessment
of the trauma patient?
Answer: ¢ - ANSWER-a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
, TNCCOTHEDITION EXAM| LATEST 2026 |COMPLETE 50 QUESTIONS
AND
DETAILED ANSWERS WITH RATIONALES.
d) to determine the underlying cause of shock
4. Atrauma patient is restless and repeatedly asking "where am I?" vital
signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR
24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer: A - ANSWER-A) compensated **
B) Progressive
C) irreversible
D) decompensated
5. An elderly patient with a history of anticoagulant use presents after a
fall at home that day. she denies any loss of consciousness. She
has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her
symptoms?
Answer: D - ANSWER-A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
6. EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
, TNCCOTHEDITION EXAM| LATEST 2026 |COMPLETE 50 QUESTIONS
AND
DETAILED ANSWERS WITH RATIONALES.
Answer: D - ANSWER-A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
7. Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C - ANSWER-A) The driver of the vehicle collides with the steering
wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
8. A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - ANSWER-A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
9. Which of the following injuries is LEAST likely
to be promptly
identified?
