TNCC 8th Edition Study Guide 2026–2027: Practice
Questions & Detailed Answer Explanations
endotracheal tube - correct answers -The trauma nurse knows that placing a bariatric patient in a
"ramped position" provides better visualization during the insertion of which device?
subdural hematoma - correct answers -Tearing of the bridging veins is most frequently associated with
which brain injury?
Elevated creatine kinase - correct answers -A patient is found lying on the floor after falling 13 hours
ago. Which of the following laboratory values is expected with a musculoskeletal complication
associated with this presentation?
Initiate transfer to a trauma center - correct answers -A patient is brought to the emergency
department of a rural hospital following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority
intervention?
bowel - correct answers -Which of the following injuries is LEAST likely to be promptly identified?
A 52-year-old diabetic male with a partial-thickness burn to the left lower leg - correct answers -Which
of the following patients warrants referral to a burn center?
fat embolism - correct answers -A patient has been in the emergency department for several hours
waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been
awake, alert, and complaining of leg pain. His wife reported that he suddenly became anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly associated with which of the follow
conditions?
1
, Apply a splint and elevate the extremity ABOVE the level of the heart - correct answers -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?
Expedite transfer to the closest trauma center - correct answers -A 56-year-old male patient involved in
a motor vehicle crash is brought to the emergency department of a rural critical assess facility. He
complaints of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15.
His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94%
on high-flow oxygen via non-rebreather mask. Which of the follow is the priority intervention for this
patient?
CIWA-Ar of 36 - correct answers -Which of the following values indicates the need for alcohol
withdrawal interventions?
huddle - correct answers -A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several
hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma
team's communication?
Bradycardia and absent motor function below the level of injury - correct answers -A patient with a
complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical
signs?
It can worsen cord damage from a unstable spinal injury - correct answers -Which of the following is
true about the log-roll maneuver?
velocity - correct answers -What factor contributes most to the kinetic energy of a body in motion?
2
Questions & Detailed Answer Explanations
endotracheal tube - correct answers -The trauma nurse knows that placing a bariatric patient in a
"ramped position" provides better visualization during the insertion of which device?
subdural hematoma - correct answers -Tearing of the bridging veins is most frequently associated with
which brain injury?
Elevated creatine kinase - correct answers -A patient is found lying on the floor after falling 13 hours
ago. Which of the following laboratory values is expected with a musculoskeletal complication
associated with this presentation?
Initiate transfer to a trauma center - correct answers -A patient is brought to the emergency
department of a rural hospital following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority
intervention?
bowel - correct answers -Which of the following injuries is LEAST likely to be promptly identified?
A 52-year-old diabetic male with a partial-thickness burn to the left lower leg - correct answers -Which
of the following patients warrants referral to a burn center?
fat embolism - correct answers -A patient has been in the emergency department for several hours
waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been
awake, alert, and complaining of leg pain. His wife reported that he suddenly became anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly associated with which of the follow
conditions?
1
, Apply a splint and elevate the extremity ABOVE the level of the heart - correct answers -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?
Expedite transfer to the closest trauma center - correct answers -A 56-year-old male patient involved in
a motor vehicle crash is brought to the emergency department of a rural critical assess facility. He
complaints of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15.
His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94%
on high-flow oxygen via non-rebreather mask. Which of the follow is the priority intervention for this
patient?
CIWA-Ar of 36 - correct answers -Which of the following values indicates the need for alcohol
withdrawal interventions?
huddle - correct answers -A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several
hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma
team's communication?
Bradycardia and absent motor function below the level of injury - correct answers -A patient with a
complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical
signs?
It can worsen cord damage from a unstable spinal injury - correct answers -Which of the following is
true about the log-roll maneuver?
velocity - correct answers -What factor contributes most to the kinetic energy of a body in motion?
2
