TNCC 8th Edition Exam Prep Bundle 2026–2027 | Complete Study
Guide, Test Prep, Written Exam Notes, Practice Questions &
Answer Explanations
Expedite transfer to the closest trauma center - correct answers -A 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and
diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB
mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - correct answers -Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - correct answers -Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of
the disaster life cycle does this describe?
Multiple requests for water - correct answers -EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - correct answers -What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - correct answers -Which of the following is a component of the trauma triad of death?
Complete - correct answers -EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment findings are most consistent
with which of the following types of spinal cord injury?
1
,flucuation in the water seal chamber - correct answers -Which of the following is an expected finding in
a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - correct answers -During the primary survey of
an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
globe rupture - correct answers -A 35 y/o M presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - correct answers -A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The
pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - correct answers -An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the
most appropriate immediate next step?
within 24 hrs of trauma - correct answers -When is the tertiary survey completed fora trauma pt?
pressure - correct answers -An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious?
worsening pneumothorax - correct answers -Which of the following is possible complication of positive-
pressure ventilation?
2
,pelvic stability - correct answers -the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - correct answers -Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - correct answers -Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - correct answers -Tearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - correct answers -A 20 y/o M presents to the ED complaining of severe
lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX maneuver.
Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following
orders would the RN question?
placental abruption - correct answers -You are caring for a pt who was involved in a MVC and is 32
weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - correct answers -Which of the following is
true about the log-roll?
defusings - correct answers -All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography - correct answers -What bedside monitoring parameters are used to
assess for adequacy of O2 and effectiveness of ventilation?
3
, padding the upper back while stabilizing the cervical spine - correct answers -Caregivers carry in a 2 y/o
into the ED who fell out of a second-story window. The pt is awake and crying with increased work of
breathing and pale skin. Which of the following interventions has the highest priority?
bowel - correct answers -Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - correct answers -A pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - correct answers -A pt with a complete
spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs?
apply splint and elevate above the level of the heart - correct answers -a 37 y/o F has a deformity of the
L wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - correct answers -which of the
following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - correct answers -a 5 y/o
child presents to the ED with bruises to the upper arm and buttocks in various stages of healing and
multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric
assessment triangle or primary survey. Which of the following is the priority survey. Which of the
following is the priority nursing intervention?
to guage end-organ perfusion and tissue hypoxia - correct answers -Why is a measure of serum lactate
obtained in the initial assessment of a trauma patient?
4
Guide, Test Prep, Written Exam Notes, Practice Questions &
Answer Explanations
Expedite transfer to the closest trauma center - correct answers -A 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and
diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB
mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - correct answers -Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - correct answers -Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of
the disaster life cycle does this describe?
Multiple requests for water - correct answers -EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - correct answers -What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - correct answers -Which of the following is a component of the trauma triad of death?
Complete - correct answers -EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment findings are most consistent
with which of the following types of spinal cord injury?
1
,flucuation in the water seal chamber - correct answers -Which of the following is an expected finding in
a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - correct answers -During the primary survey of
an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
globe rupture - correct answers -A 35 y/o M presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - correct answers -A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The
pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - correct answers -An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the
most appropriate immediate next step?
within 24 hrs of trauma - correct answers -When is the tertiary survey completed fora trauma pt?
pressure - correct answers -An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious?
worsening pneumothorax - correct answers -Which of the following is possible complication of positive-
pressure ventilation?
2
,pelvic stability - correct answers -the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - correct answers -Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - correct answers -Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - correct answers -Tearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - correct answers -A 20 y/o M presents to the ED complaining of severe
lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX maneuver.
Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following
orders would the RN question?
placental abruption - correct answers -You are caring for a pt who was involved in a MVC and is 32
weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - correct answers -Which of the following is
true about the log-roll?
defusings - correct answers -All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography - correct answers -What bedside monitoring parameters are used to
assess for adequacy of O2 and effectiveness of ventilation?
3
, padding the upper back while stabilizing the cervical spine - correct answers -Caregivers carry in a 2 y/o
into the ED who fell out of a second-story window. The pt is awake and crying with increased work of
breathing and pale skin. Which of the following interventions has the highest priority?
bowel - correct answers -Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - correct answers -A pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - correct answers -A pt with a complete
spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs?
apply splint and elevate above the level of the heart - correct answers -a 37 y/o F has a deformity of the
L wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - correct answers -which of the
following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - correct answers -a 5 y/o
child presents to the ED with bruises to the upper arm and buttocks in various stages of healing and
multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric
assessment triangle or primary survey. Which of the following is the priority survey. Which of the
following is the priority nursing intervention?
to guage end-organ perfusion and tissue hypoxia - correct answers -Why is a measure of serum lactate
obtained in the initial assessment of a trauma patient?
4
