TNCC 9TH EDITION TRAUMA NURSING
CORE COURSE PRACTICE TEST PAPER
2026 COMPLETE QUESTIONS CORRECT
ANSWERS VERIFIED EMERGENCY CARE
STUDY MATERIAL GRADED A+
⩥ Which normal anatomic or physiologic change in an older adult places
them at a higher risk for aspiration? Answer: Relaxed muscles of the
oropharynx
⩥ A patient has been diagnosed with an incomplete spinal cord injury at
L1. Which finding would indicate sacral sparing? Answer: Voluntary
anal sphincter tone
⩥ An adult patient weighing 75 kg sustained partial and full thickness
burns to 32% of their body 2 hours prior to arrival. Intravenous fluid
resuscitation was calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the nurse anticipate?
Answer: Increase isotonic crystalloid infusion rate
⩥ A patient is diagnosed with a T12 spinal cord injury following a 20-
foot fall. Which finding is consistent with spinal shock? Answer: Loss of
reflexes
, ⩥ A patient is brought to the emergency department following a motor
vehicle rollover and is complaining of left upper abdominal pain and left
shoulder pain. This presentation is most consistent with an injury to
which organ? Answer: Spleen
⩥ An adult patient is brought to the emergency department following a
motor vehicle collision with complaints of neck pain. They have
identified as a person in the process of transitioning from male to
female. What effect of hormone therapy should be considered when
planning care for this patient? Answer: Testosterone therapy may
decrease blood pressure
Correct rationale: A person who is in the process of transitioning from
male to female will usually be taking female hormones such as
estrogen/estradiol to assist with the transition. This can cause a decrease
in muscle mass, increased risk of thromboembolism, and possibly
increased bone density. These patients would not be taking testosterone.
⩥ An adult patient presents to the emergency department after sustaining
severe facial injuries during an altercation. The patient is awake,
confused, and smells heavily of alcohol. Pulse oximetry is 94% on room
air. Immediate intubation should be anticipated based on which clinical
indicator? Answer: Severe facial injuries
⩥ A patient involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating wound to the
sixth intercostal space in the left lateral chest. Which finding is most
CORE COURSE PRACTICE TEST PAPER
2026 COMPLETE QUESTIONS CORRECT
ANSWERS VERIFIED EMERGENCY CARE
STUDY MATERIAL GRADED A+
⩥ Which normal anatomic or physiologic change in an older adult places
them at a higher risk for aspiration? Answer: Relaxed muscles of the
oropharynx
⩥ A patient has been diagnosed with an incomplete spinal cord injury at
L1. Which finding would indicate sacral sparing? Answer: Voluntary
anal sphincter tone
⩥ An adult patient weighing 75 kg sustained partial and full thickness
burns to 32% of their body 2 hours prior to arrival. Intravenous fluid
resuscitation was calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the nurse anticipate?
Answer: Increase isotonic crystalloid infusion rate
⩥ A patient is diagnosed with a T12 spinal cord injury following a 20-
foot fall. Which finding is consistent with spinal shock? Answer: Loss of
reflexes
, ⩥ A patient is brought to the emergency department following a motor
vehicle rollover and is complaining of left upper abdominal pain and left
shoulder pain. This presentation is most consistent with an injury to
which organ? Answer: Spleen
⩥ An adult patient is brought to the emergency department following a
motor vehicle collision with complaints of neck pain. They have
identified as a person in the process of transitioning from male to
female. What effect of hormone therapy should be considered when
planning care for this patient? Answer: Testosterone therapy may
decrease blood pressure
Correct rationale: A person who is in the process of transitioning from
male to female will usually be taking female hormones such as
estrogen/estradiol to assist with the transition. This can cause a decrease
in muscle mass, increased risk of thromboembolism, and possibly
increased bone density. These patients would not be taking testosterone.
⩥ An adult patient presents to the emergency department after sustaining
severe facial injuries during an altercation. The patient is awake,
confused, and smells heavily of alcohol. Pulse oximetry is 94% on room
air. Immediate intubation should be anticipated based on which clinical
indicator? Answer: Severe facial injuries
⩥ A patient involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating wound to the
sixth intercostal space in the left lateral chest. Which finding is most
