TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition questions and correct answers
Expedite50transfer50to50the50closest50trauma50center50-50ans-
A505650y/
o50M50pt50involved50in50a50motor50vehicle50crash50is50brought50to50the50ED50of50a50rural50critical50ac
cess50facility.50He50complains50of50neck50pain,50SOB,50and50diffuse50abd50pain.50His50GCS50is501
5.50His50VS:50BP5098/71,50HR50125,50RR5026,50SpO25094%50on50high-
flow50O250via50NRB50mask.50Which50of50the50following50is50the50priority50intervention50for50this50p
atient?
a50pertinent50medical50hx50is50crucial50-50ans-
Which50of50the50following50considerations50is50the50most50important50when50caring50for50a50geria
tric50trauma50pt?
Mitigation50-50ans-
Following50a50review50of50recent50drills50and50a50real50disaster50event,50a50hospital50has50identifie
d50deficiencies50and50is50taking50steps50to50minimize50the50impact50of50a50future50disaster50.50Whi
ch50phase50of50the50disaster50life50cycle50does50this50describe?
Multiple50requests50for50water50-50ans-
EMS50brings50a50pt50who50fell50while50riding50his50bicycle.50Using50the50American50College50of50S
urgeobs50screening50guidelines,50which50assessment50finding50would50prompt50the50RN50to50pr
epare50the50pt50for50a50radiologic50spine50clearance?
hemoglobin50does50not50readily50release50O250for50use50by50the50tissues50-50ans-
What50is50the50effect50of50hypothermia50on50the50oxyhemoglobin50dissociation50curve?
acidosis50-50ans-Which50of50the50following50is50a50component50of50the50trauma50triad50of50death?
Complete50-50ans-
EMS50brings50a50pt50from50MVC.50VS:50BP5090/49,50HR5048,50RR5012,50temp5097.2F50(36.250C).50
,The50pt50exhibits50urinary50incontinence50and50priapism.50These50assessment50findings50are50
most50consistent50with50which50of50the50following50types50of50spinal50cord50injury?
flucuation50in50the50water50seal50chamber50-50ans-
Which50of50the50following50is50an50expected50finding50in50a50pt50with50a50tube50thoracstomy50conn
ected50to50a50chest50drainage50system?
insert50an50oropharyngeal50airway50if50there50is50no50gag50reflex50-50ans-
During50the50primary50survey50of50an50unconscious50pt50with50multi-
system50trauma,50the50nurse50notes50snoring50respirations.50What50priority50nursing50interventi
ons50should50be50preformed50next?
globe50rupture50-50ans-
A503550y/
o50M50presents50with50facial50trauma50after50being50struck50in50the50face50with50a50baseball.50A50te
ardrop-shaped50left50pupil50is50noted50on50exam.50What50type50of50injury50is50suspected?
compensated50-50ans-
A50trauma50pt50is50restless50and50repeatedly50asking50"where50am50i?"50VS50upon50arrival:50BP501
10/60,50HR96,50RR5024.50Her50skin50is50cool50and50dry.50Current50VS50are50BP50104/84,50HR5010
8,50RR5028.50The50pt50is50demonstrating50s/sx50of50which50stage50of50shock?
ventilate50with50a50bag50mask50device50-50ans-
An50unresponsive50trauma50pt50has50an50oropharygeal50airway50in50place,50shallow50and50labor
ed50respirations,50and50dusky50skin.50The50trauma50team50has50administered50medications50for
50drug-
assisted50intubation50and50attempted50intubation50but50was50unsuccessful.50What50is50the50mo
st50appropriate50immediate50next50step?
within502450hrs50of50trauma50-50ans-
When50is50the50tertiary50survey50completed50fora50trauma50pt?
pressure50-50ans-
An50intubated50and50sedated50pt50in50the50ED50has50multiple50extremity50injuries50with50the50pote
ntial50for50causing50compartment50syndrome.50What50is50the50most50reliable50indication50of50co
mpartment50syndrome50in50a50patient50who50is50unconscious?
worsening50pneumothorax50-50ans-
Which50of50the50following50is50possible50complication50of50positive-pressure50ventilation?
pelvic50stability50-50ans-
the50most50reassuring50finding50for50a50male50pt50with50hip50pain50after50a50fall50is50which50of50the50f
ollowing?
narrowed50-50ans-
Which50of50the50following50pulse50pressures50indicate50early50hypovolemic50shock?
,dysrhythmias50-50ans-
Patients50with50a50crush50injury50should50be50monitored50for50which50of50the50following50conditio
ns?
subdural50hematoma50-50ans-
Tearing50of50the50bridging50veins50is50most50frequently50associated50with50which50brain50injury?
straight50cath50for50urine50sample50-50ans-
A502050y/
o50M50presents50to50the50ED50complaining50of50severe50lower50abd50pain50after50landing50hard50o
n50the50bicycle50cross50bars50while50preforming50an50aerial50BMX50maneuver.50Secondary50ass
essment50reveals50lower50abd50tenderness50and50scrotal50ecchymosis.50Which50of50the50followi
ng50orders50would50the50RN50question?
placental50abruption50-50ans-
You50are50caring50for50a50pt50who50was50involved50in50a50MVC50and50is503250weeks50pregnant.50Fi
ndings50of50your50secondary50survey50include50abd50pain50on50palpation,50fundal50ht50at50the50co
stal50margin,50and50some50dark50bloody50show.50Varying50accelerations50and50decelerations50
are50noted50on50cariocgraphy.50These50findings50are50most50consistent50with50which50of50the50fo
llowing?
it50can50worsen50cord50damage50from50an50unstable50spinal50injury50-50ans-
Which50of50the50following50is50true50about50the50log-roll?
defusings50-50ans-
All50of50these50are50considered50a50critical50communication50point50in50trauma50care50EXCEPT50
which50of50the50following?
pulse50oximetry50and50capnography50-50ans-
What50bedside50monitoring50parameters50are50used50to50assess50for50adequacy50of50O250and50
effectiveness50of50ventilation?
padding50the50upper50back50while50stabilizing50the50cervical50spine50-50ans-
Caregivers50carry50in50a50250y/o50into50the50ED50who50fell50out50of50a50second-
story50window.50The50pt50is50awake50and50crying50with50increased50work50of50breathing50and50pal
e50skin.50Which50of50the50following50interventions50has50the50highest50priority?
bowel50-50ans-
Which50of50the50following50injuries50is50LEAST50likely50to50be50promptly50identified?
Initiate50transfer50to50a50trauma50center50-50ans-
A50pt50is50brought50to50the50ED50of50a50rural50hospital50following50a50high-
speed50MVC.50When50significant50abd50and50pelvic50injuries50are50noted50in50the50primary50surv
ey,50which50of50the50following50is50the50priority50interventions?
, bardycardia50and50absent50motor50function50below50the50level50of50injury50-50ans-
A50pt50with50a50complete50spinal50cord50injury50in50neurogenic50shock50will50demonstrate50hypot
ension50and50which50other50clinical50signs?
apply50splint50and50elevate50above50the50level50of50the50heart50-50ans-
a503750y/
o50F50has50a50deformity50of50the50L50wrist50after50a50fall.50She50is50reluctant50to50move50her50hand50
due50to50pain.50Which50of50the50following50is50the50most50appropriate50intervention?
the50aorta50is50torn50at50its50attachment50with50the50ligamentum50arteriosum50-50ans-
which50of50the50following50occurs50during50the50third50impact50of50a50motor50vehicle50crash?
Report50your50suspicion50of50maltreatment50in50accordance50with50local50regulations50-50ans-
a50550y/
o50child50presents50to50the50ED50with50bruises50to50the50upper50arm50and50buttocks50in50various50s
tages50of50healing50and50multiple50small,50clean,50round50burns50to50the50back.50There50are50no50
abnormalities50found50based50on50the50pediatric50assessment50triangle50or50primary50survey.50
Which50of50the50following50is50the50priority50survey.50Which50of50the50following50is50the50priority50n
ursing50intervention?
to50guage50end-organ50perfusion50and50tissue50hypoxia50-50ans-
Why50is50a50measure50of50serum50lactate50obtained50in50the50initial50assessment50of50a50trauma50
patient?
elevating50the50extremity50to50the50level50of50the50heart50-50ans-
A50pt50with50a50lower50extremity50fracture50complains50of50severe50pain50and50tightness50in50his50
calf,50minimally50by50pain50medications.50Which50of50the50following50is50the50priority50nursing50int
ervention?
velocity50-50ans-
What50factor50contributes50most50to50the50kinetic50energy50of50a50body50in50motion?
subdural50hematoma50-50ans-
An50elderly50patient50with50a50history50of50anticoagulant50use50presents50after50a50fall50at50home50
today.50She50denies50any50loss50of50consciousness.50She50has50a50hematoma50to50her50forehea
d50and50complains50of50headache,50dizziness,50and50nausea.50What50is50the50most50likely50caus
e50of50her50symptoms?
fat50embolism50-50ans-
a50pt50has50been50in50the50ED50for50several50hrs50waiting50to50be50admitted.50He50sustained50multi
ple50rib50fractures50and50a50femur50fracture50after50a50fall.50He50has50been50awake,50alert,50and50c
omplaining50of50leg50pain.50His50wife50reported50that50he50suddenly50became50anxious50and50co
nfused.50Upon50reassessment,50the50pt50is50restless50with50respiratory50distress50and50petechi
ae50to50his50neck.50The50pt50is50exhibiting50s/
sx50most50commonly50associated50with50which50of50the50following50conditions?
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition questions and correct answers
Expedite50transfer50to50the50closest50trauma50center50-50ans-
A505650y/
o50M50pt50involved50in50a50motor50vehicle50crash50is50brought50to50the50ED50of50a50rural50critical50ac
cess50facility.50He50complains50of50neck50pain,50SOB,50and50diffuse50abd50pain.50His50GCS50is501
5.50His50VS:50BP5098/71,50HR50125,50RR5026,50SpO25094%50on50high-
flow50O250via50NRB50mask.50Which50of50the50following50is50the50priority50intervention50for50this50p
atient?
a50pertinent50medical50hx50is50crucial50-50ans-
Which50of50the50following50considerations50is50the50most50important50when50caring50for50a50geria
tric50trauma50pt?
Mitigation50-50ans-
Following50a50review50of50recent50drills50and50a50real50disaster50event,50a50hospital50has50identifie
d50deficiencies50and50is50taking50steps50to50minimize50the50impact50of50a50future50disaster50.50Whi
ch50phase50of50the50disaster50life50cycle50does50this50describe?
Multiple50requests50for50water50-50ans-
EMS50brings50a50pt50who50fell50while50riding50his50bicycle.50Using50the50American50College50of50S
urgeobs50screening50guidelines,50which50assessment50finding50would50prompt50the50RN50to50pr
epare50the50pt50for50a50radiologic50spine50clearance?
hemoglobin50does50not50readily50release50O250for50use50by50the50tissues50-50ans-
What50is50the50effect50of50hypothermia50on50the50oxyhemoglobin50dissociation50curve?
acidosis50-50ans-Which50of50the50following50is50a50component50of50the50trauma50triad50of50death?
Complete50-50ans-
EMS50brings50a50pt50from50MVC.50VS:50BP5090/49,50HR5048,50RR5012,50temp5097.2F50(36.250C).50
,The50pt50exhibits50urinary50incontinence50and50priapism.50These50assessment50findings50are50
most50consistent50with50which50of50the50following50types50of50spinal50cord50injury?
flucuation50in50the50water50seal50chamber50-50ans-
Which50of50the50following50is50an50expected50finding50in50a50pt50with50a50tube50thoracstomy50conn
ected50to50a50chest50drainage50system?
insert50an50oropharyngeal50airway50if50there50is50no50gag50reflex50-50ans-
During50the50primary50survey50of50an50unconscious50pt50with50multi-
system50trauma,50the50nurse50notes50snoring50respirations.50What50priority50nursing50interventi
ons50should50be50preformed50next?
globe50rupture50-50ans-
A503550y/
o50M50presents50with50facial50trauma50after50being50struck50in50the50face50with50a50baseball.50A50te
ardrop-shaped50left50pupil50is50noted50on50exam.50What50type50of50injury50is50suspected?
compensated50-50ans-
A50trauma50pt50is50restless50and50repeatedly50asking50"where50am50i?"50VS50upon50arrival:50BP501
10/60,50HR96,50RR5024.50Her50skin50is50cool50and50dry.50Current50VS50are50BP50104/84,50HR5010
8,50RR5028.50The50pt50is50demonstrating50s/sx50of50which50stage50of50shock?
ventilate50with50a50bag50mask50device50-50ans-
An50unresponsive50trauma50pt50has50an50oropharygeal50airway50in50place,50shallow50and50labor
ed50respirations,50and50dusky50skin.50The50trauma50team50has50administered50medications50for
50drug-
assisted50intubation50and50attempted50intubation50but50was50unsuccessful.50What50is50the50mo
st50appropriate50immediate50next50step?
within502450hrs50of50trauma50-50ans-
When50is50the50tertiary50survey50completed50fora50trauma50pt?
pressure50-50ans-
An50intubated50and50sedated50pt50in50the50ED50has50multiple50extremity50injuries50with50the50pote
ntial50for50causing50compartment50syndrome.50What50is50the50most50reliable50indication50of50co
mpartment50syndrome50in50a50patient50who50is50unconscious?
worsening50pneumothorax50-50ans-
Which50of50the50following50is50possible50complication50of50positive-pressure50ventilation?
pelvic50stability50-50ans-
the50most50reassuring50finding50for50a50male50pt50with50hip50pain50after50a50fall50is50which50of50the50f
ollowing?
narrowed50-50ans-
Which50of50the50following50pulse50pressures50indicate50early50hypovolemic50shock?
,dysrhythmias50-50ans-
Patients50with50a50crush50injury50should50be50monitored50for50which50of50the50following50conditio
ns?
subdural50hematoma50-50ans-
Tearing50of50the50bridging50veins50is50most50frequently50associated50with50which50brain50injury?
straight50cath50for50urine50sample50-50ans-
A502050y/
o50M50presents50to50the50ED50complaining50of50severe50lower50abd50pain50after50landing50hard50o
n50the50bicycle50cross50bars50while50preforming50an50aerial50BMX50maneuver.50Secondary50ass
essment50reveals50lower50abd50tenderness50and50scrotal50ecchymosis.50Which50of50the50followi
ng50orders50would50the50RN50question?
placental50abruption50-50ans-
You50are50caring50for50a50pt50who50was50involved50in50a50MVC50and50is503250weeks50pregnant.50Fi
ndings50of50your50secondary50survey50include50abd50pain50on50palpation,50fundal50ht50at50the50co
stal50margin,50and50some50dark50bloody50show.50Varying50accelerations50and50decelerations50
are50noted50on50cariocgraphy.50These50findings50are50most50consistent50with50which50of50the50fo
llowing?
it50can50worsen50cord50damage50from50an50unstable50spinal50injury50-50ans-
Which50of50the50following50is50true50about50the50log-roll?
defusings50-50ans-
All50of50these50are50considered50a50critical50communication50point50in50trauma50care50EXCEPT50
which50of50the50following?
pulse50oximetry50and50capnography50-50ans-
What50bedside50monitoring50parameters50are50used50to50assess50for50adequacy50of50O250and50
effectiveness50of50ventilation?
padding50the50upper50back50while50stabilizing50the50cervical50spine50-50ans-
Caregivers50carry50in50a50250y/o50into50the50ED50who50fell50out50of50a50second-
story50window.50The50pt50is50awake50and50crying50with50increased50work50of50breathing50and50pal
e50skin.50Which50of50the50following50interventions50has50the50highest50priority?
bowel50-50ans-
Which50of50the50following50injuries50is50LEAST50likely50to50be50promptly50identified?
Initiate50transfer50to50a50trauma50center50-50ans-
A50pt50is50brought50to50the50ED50of50a50rural50hospital50following50a50high-
speed50MVC.50When50significant50abd50and50pelvic50injuries50are50noted50in50the50primary50surv
ey,50which50of50the50following50is50the50priority50interventions?
, bardycardia50and50absent50motor50function50below50the50level50of50injury50-50ans-
A50pt50with50a50complete50spinal50cord50injury50in50neurogenic50shock50will50demonstrate50hypot
ension50and50which50other50clinical50signs?
apply50splint50and50elevate50above50the50level50of50the50heart50-50ans-
a503750y/
o50F50has50a50deformity50of50the50L50wrist50after50a50fall.50She50is50reluctant50to50move50her50hand50
due50to50pain.50Which50of50the50following50is50the50most50appropriate50intervention?
the50aorta50is50torn50at50its50attachment50with50the50ligamentum50arteriosum50-50ans-
which50of50the50following50occurs50during50the50third50impact50of50a50motor50vehicle50crash?
Report50your50suspicion50of50maltreatment50in50accordance50with50local50regulations50-50ans-
a50550y/
o50child50presents50to50the50ED50with50bruises50to50the50upper50arm50and50buttocks50in50various50s
tages50of50healing50and50multiple50small,50clean,50round50burns50to50the50back.50There50are50no50
abnormalities50found50based50on50the50pediatric50assessment50triangle50or50primary50survey.50
Which50of50the50following50is50the50priority50survey.50Which50of50the50following50is50the50priority50n
ursing50intervention?
to50guage50end-organ50perfusion50and50tissue50hypoxia50-50ans-
Why50is50a50measure50of50serum50lactate50obtained50in50the50initial50assessment50of50a50trauma50
patient?
elevating50the50extremity50to50the50level50of50the50heart50-50ans-
A50pt50with50a50lower50extremity50fracture50complains50of50severe50pain50and50tightness50in50his50
calf,50minimally50by50pain50medications.50Which50of50the50following50is50the50priority50nursing50int
ervention?
velocity50-50ans-
What50factor50contributes50most50to50the50kinetic50energy50of50a50body50in50motion?
subdural50hematoma50-50ans-
An50elderly50patient50with50a50history50of50anticoagulant50use50presents50after50a50fall50at50home50
today.50She50denies50any50loss50of50consciousness.50She50has50a50hematoma50to50her50forehea
d50and50complains50of50headache,50dizziness,50and50nausea.50What50is50the50most50likely50caus
e50of50her50symptoms?
fat50embolism50-50ans-
a50pt50has50been50in50the50ED50for50several50hrs50waiting50to50be50admitted.50He50sustained50multi
ple50rib50fractures50and50a50femur50fracture50after50a50fall.50He50has50been50awake,50alert,50and50c
omplaining50of50leg50pain.50His50wife50reported50that50he50suddenly50became50anxious50and50co
nfused.50Upon50reassessment,50the50pt50is50restless50with50respiratory50distress50and50petechi
ae50to50his50neck.50The50pt50is50exhibiting50s/
sx50most50commonly50associated50with50which50of50the50following50conditions?
