TNCC 9TH EDITION FINAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. In the initial trauma assessment, what is the priority
according to the TNCC approach?
A. Obtain a complete health history
B. Perform a rapid head-to-toe assessment
C. Identify and treat life-threatening conditions
D. Document all injuries
Correct Answer: C. Identify and treat life-threatening
conditions
Rationale: The primary survey focuses on immediate threats to
life using the ABCDE approach. Life-threatening problems must
be recognized and managed before secondary assessment.
2. During the primary survey, the “A” in ABCDE stands for:
A. Airway with cervical spine protection
B. Assessment of circulation
C. Alertness level
D. Abdominal examination
Correct Answer: A. Airway with cervical spine protection
,Rationale: Airway assessment is the first priority while
maintaining cervical spine precautions in trauma patients.
3. A trauma patient has an altered level of consciousness and
snoring respirations. What should the nurse do first?
A. Administer pain medication
B. Open the airway using appropriate maneuvers
C. Obtain a CT scan
D. Assess blood glucose
Correct Answer: B. Open the airway using appropriate
maneuvers
Rationale: Snoring respirations indicate airway obstruction.
Airway management is the first priority.
4. Which assessment finding indicates inadequate
oxygenation?
A. Respiratory rate of 18/min
B. Oxygen saturation of 88%
C. Warm skin
D. Heart rate of 80/min
Correct Answer: B. Oxygen saturation of 88%
Rationale: Low oxygen saturation suggests impaired oxygen
delivery and requires immediate intervention.
,5. The best indicator of adequate ventilation is:
A. Skin color
B. Respiratory rate alone
C. End-tidal carbon dioxide monitoring
D. Blood pressure
Correct Answer: C. End-tidal carbon dioxide monitoring
Rationale: ETCO₂ provides information about ventilation
effectiveness and airway status.
6. A trauma patient with a suspected cervical spine injury
should be:
A. Allowed to sit upright
B. Immobilized until injury is ruled out
C. Turned frequently without assistance
D. Given oral fluids
Correct Answer: B. Immobilized until injury is ruled out
Rationale: Cervical spine protection prevents worsening
neurological injury.
7. The “C” in the ABCDE trauma assessment refers to:
A. Consciousness
B. Circulation and hemorrhage control
, C. Cardiac history
D. Capillary refill only
Correct Answer: B. Circulation and hemorrhage control
Rationale: Circulation assessment focuses on bleeding control,
perfusion, and shock recognition.
8. The most common preventable cause of death after trauma
is:
A. Infection
B. Uncontrolled hemorrhage
C. Hypertension
D. Diabetes complications
Correct Answer: B. Uncontrolled hemorrhage
Rationale: Severe bleeding is a leading preventable cause of
trauma mortality.
9. A patient with severe external bleeding arrives in the
emergency department. The nurse should first:
A. Apply direct pressure
B. Obtain a medical history
C. Start oral fluids
D. Perform neurological testing
Correct Answer: A. Apply direct pressure
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. In the initial trauma assessment, what is the priority
according to the TNCC approach?
A. Obtain a complete health history
B. Perform a rapid head-to-toe assessment
C. Identify and treat life-threatening conditions
D. Document all injuries
Correct Answer: C. Identify and treat life-threatening
conditions
Rationale: The primary survey focuses on immediate threats to
life using the ABCDE approach. Life-threatening problems must
be recognized and managed before secondary assessment.
2. During the primary survey, the “A” in ABCDE stands for:
A. Airway with cervical spine protection
B. Assessment of circulation
C. Alertness level
D. Abdominal examination
Correct Answer: A. Airway with cervical spine protection
,Rationale: Airway assessment is the first priority while
maintaining cervical spine precautions in trauma patients.
3. A trauma patient has an altered level of consciousness and
snoring respirations. What should the nurse do first?
A. Administer pain medication
B. Open the airway using appropriate maneuvers
C. Obtain a CT scan
D. Assess blood glucose
Correct Answer: B. Open the airway using appropriate
maneuvers
Rationale: Snoring respirations indicate airway obstruction.
Airway management is the first priority.
4. Which assessment finding indicates inadequate
oxygenation?
A. Respiratory rate of 18/min
B. Oxygen saturation of 88%
C. Warm skin
D. Heart rate of 80/min
Correct Answer: B. Oxygen saturation of 88%
Rationale: Low oxygen saturation suggests impaired oxygen
delivery and requires immediate intervention.
,5. The best indicator of adequate ventilation is:
A. Skin color
B. Respiratory rate alone
C. End-tidal carbon dioxide monitoring
D. Blood pressure
Correct Answer: C. End-tidal carbon dioxide monitoring
Rationale: ETCO₂ provides information about ventilation
effectiveness and airway status.
6. A trauma patient with a suspected cervical spine injury
should be:
A. Allowed to sit upright
B. Immobilized until injury is ruled out
C. Turned frequently without assistance
D. Given oral fluids
Correct Answer: B. Immobilized until injury is ruled out
Rationale: Cervical spine protection prevents worsening
neurological injury.
7. The “C” in the ABCDE trauma assessment refers to:
A. Consciousness
B. Circulation and hemorrhage control
, C. Cardiac history
D. Capillary refill only
Correct Answer: B. Circulation and hemorrhage control
Rationale: Circulation assessment focuses on bleeding control,
perfusion, and shock recognition.
8. The most common preventable cause of death after trauma
is:
A. Infection
B. Uncontrolled hemorrhage
C. Hypertension
D. Diabetes complications
Correct Answer: B. Uncontrolled hemorrhage
Rationale: Severe bleeding is a leading preventable cause of
trauma mortality.
9. A patient with severe external bleeding arrives in the
emergency department. The nurse should first:
A. Apply direct pressure
B. Obtain a medical history
C. Start oral fluids
D. Perform neurological testing
Correct Answer: A. Apply direct pressure
