68W ALC PHASE 3 TEST 1 2026/2027 |
VERIFIED QUESTIONS & ANSWERS | TCCC,
PCC & A+ STUDY GUIDE
68W ALC PHASE 3 TEST 1 2026/2027 | VERIFIED QUESTIONS & ANSWERS | TCCC,
PCC & A+ STUDY GUIDE
DOCUMENT FEATURES & STUDY APPROACH:
• Comprehensive 200-question exam covering TCCC, PCC, and A+ protocols with
verified answers and detailed rationales to reinforce critical knowledge for combat
medical operations
• Use this material for repetitive practice, focus on rationales to understand the
"why" behind each answer, and review weak areas multiple times before
certification
QUESTION 1
What is the primary goal of Tactical Combat Casualty Care (TCCC) in the Care
Under Fire phase?
A) Provide immediate pain relief to the casualty
B) Move the casualty to a safe location and return fire if trained
C) Establish intravenous access for fluid administration
D) Perform a complete primary survey assessment
E) Apply pressure dressings to all visible wounds
CORRECT ANSWER: B) Move the casualty to a safe location and return fire if
trained
RATIONALE: During the Care Under Fire phase, the primary objective is casualty
movement and threat suppression. The medic's role is to move the casualty to
cover and return fire if trained to do so. This phase prioritizes survival over
immediate medical intervention. Providing pain relief, establishing IV access, or
performing comprehensive assessments are secondary and come in later phases
(Tactical Field Care and Casualty Evacuation Care).
,QUESTION 2
In the Tactical Field Care phase, what is the correct sequence for treating a
casualty with severe hemorrhage?
A) Apply tourniquet, control bleeding with gauze, establish IV access
B) Direct pressure, wound packing, tourniquet if needed, IV access
C) Elevate limb, apply ice, monitor vital signs, call for extraction
D) Apply pressure dressing immediately, then assess for other injuries
E) Use only direct manual pressure without any dressings
CORRECT ANSWER: B) Direct pressure, wound packing, tourniquet if needed,
IV access
RATIONALE: The proper sequence for hemorrhage control follows TCCC guidelines:
start with direct manual pressure, progress to wound packing with hemostatic
gauze if bleeding persists, apply a tourniquet if packing fails (typically 2-3 minutes
of packing), and establish IV access for fluid resuscitation. This sequence maximizes
the chance of preserving limb function while controlling life-threatening
hemorrhage.
QUESTION 3
Which of the following is NOT a component of the primary survey (ABCDE)?
A) Airway
B) Breathing
C) Circulation
D) Disability
E) Medication administration
CORRECT ANSWER: E) Medication administration
,RATIONALE: The primary survey uses the ABCDE mnemonic: Airway, Breathing,
Circulation, Disability (neurological status), and Exposure. Medication
administration is part of the secondary assessment and treatment phase, not the
primary survey. The primary survey focuses on identifying and managing
immediately life-threatening conditions.
QUESTION 4
What is the maximum recommended time for application of a tourniquet in
field conditions?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 4 hours
E) 8 hours
CORRECT ANSWER: C) 2 hours
RATIONALE: Current TCCC guidelines recommend that tourniquets can be safely
left in place for up to 2 hours in field conditions. After 2 hours, the risk of
irreversible tissue damage and complications increases significantly. In hospital
settings with immediate surgical intervention available, this window may be
extended. However, in tactical and prehospital settings, 2 hours is the established
maximum safe duration.
QUESTION 5
When performing wound packing for hemorrhage control, what material is
most effective?
A) Regular sterile gauze
B) Hemostatic gauze (such as QuikClot or Celox)
, C) Cotton balls and tape
D) Paper towels or cloth
E) Dry sand or dirt from the environment
CORRECT ANSWER: B) Hemostatic gauze (such as QuikClot or Celox)
RATIONALE: Hemostatic gauze containing agents like kaolin (QuikClot) or chitosan
(Celox) is superior to regular gauze because it actively promotes blood clotting
through chemical and physical mechanisms. These materials significantly reduce
bleeding time and are now standard in TCCC protocols. Regular gauze is passive
and merely absorbs blood without promoting clotting. Environmental materials and
non-sterile items risk contamination and infection.
QUESTION 6
What is the proper depth for chest compressions during CPR in an adult
casualty?
A) 1-2 inches
B) 2-3 inches
C) 3-4 inches
D) 4-5 inches
E) 5-6 inches
CORRECT ANSWER: D) 4-5 inches
RATIONALE: Current CPR guidelines recommend chest compressions of 2-2.4
inches (50-60 mm) for adults, which translates approximately to 4-5 inches in
clinical practice. This depth ensures adequate perfusion of vital organs while
minimizing risk of rib fractures and internal injuries. Compressions that are too
shallow (1-2 inches) are ineffective, while those exceeding 5-6 inches increase risk
of complications without improving outcomes.
VERIFIED QUESTIONS & ANSWERS | TCCC,
PCC & A+ STUDY GUIDE
68W ALC PHASE 3 TEST 1 2026/2027 | VERIFIED QUESTIONS & ANSWERS | TCCC,
PCC & A+ STUDY GUIDE
DOCUMENT FEATURES & STUDY APPROACH:
• Comprehensive 200-question exam covering TCCC, PCC, and A+ protocols with
verified answers and detailed rationales to reinforce critical knowledge for combat
medical operations
• Use this material for repetitive practice, focus on rationales to understand the
"why" behind each answer, and review weak areas multiple times before
certification
QUESTION 1
What is the primary goal of Tactical Combat Casualty Care (TCCC) in the Care
Under Fire phase?
A) Provide immediate pain relief to the casualty
B) Move the casualty to a safe location and return fire if trained
C) Establish intravenous access for fluid administration
D) Perform a complete primary survey assessment
E) Apply pressure dressings to all visible wounds
CORRECT ANSWER: B) Move the casualty to a safe location and return fire if
trained
RATIONALE: During the Care Under Fire phase, the primary objective is casualty
movement and threat suppression. The medic's role is to move the casualty to
cover and return fire if trained to do so. This phase prioritizes survival over
immediate medical intervention. Providing pain relief, establishing IV access, or
performing comprehensive assessments are secondary and come in later phases
(Tactical Field Care and Casualty Evacuation Care).
,QUESTION 2
In the Tactical Field Care phase, what is the correct sequence for treating a
casualty with severe hemorrhage?
A) Apply tourniquet, control bleeding with gauze, establish IV access
B) Direct pressure, wound packing, tourniquet if needed, IV access
C) Elevate limb, apply ice, monitor vital signs, call for extraction
D) Apply pressure dressing immediately, then assess for other injuries
E) Use only direct manual pressure without any dressings
CORRECT ANSWER: B) Direct pressure, wound packing, tourniquet if needed,
IV access
RATIONALE: The proper sequence for hemorrhage control follows TCCC guidelines:
start with direct manual pressure, progress to wound packing with hemostatic
gauze if bleeding persists, apply a tourniquet if packing fails (typically 2-3 minutes
of packing), and establish IV access for fluid resuscitation. This sequence maximizes
the chance of preserving limb function while controlling life-threatening
hemorrhage.
QUESTION 3
Which of the following is NOT a component of the primary survey (ABCDE)?
A) Airway
B) Breathing
C) Circulation
D) Disability
E) Medication administration
CORRECT ANSWER: E) Medication administration
,RATIONALE: The primary survey uses the ABCDE mnemonic: Airway, Breathing,
Circulation, Disability (neurological status), and Exposure. Medication
administration is part of the secondary assessment and treatment phase, not the
primary survey. The primary survey focuses on identifying and managing
immediately life-threatening conditions.
QUESTION 4
What is the maximum recommended time for application of a tourniquet in
field conditions?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 4 hours
E) 8 hours
CORRECT ANSWER: C) 2 hours
RATIONALE: Current TCCC guidelines recommend that tourniquets can be safely
left in place for up to 2 hours in field conditions. After 2 hours, the risk of
irreversible tissue damage and complications increases significantly. In hospital
settings with immediate surgical intervention available, this window may be
extended. However, in tactical and prehospital settings, 2 hours is the established
maximum safe duration.
QUESTION 5
When performing wound packing for hemorrhage control, what material is
most effective?
A) Regular sterile gauze
B) Hemostatic gauze (such as QuikClot or Celox)
, C) Cotton balls and tape
D) Paper towels or cloth
E) Dry sand or dirt from the environment
CORRECT ANSWER: B) Hemostatic gauze (such as QuikClot or Celox)
RATIONALE: Hemostatic gauze containing agents like kaolin (QuikClot) or chitosan
(Celox) is superior to regular gauze because it actively promotes blood clotting
through chemical and physical mechanisms. These materials significantly reduce
bleeding time and are now standard in TCCC protocols. Regular gauze is passive
and merely absorbs blood without promoting clotting. Environmental materials and
non-sterile items risk contamination and infection.
QUESTION 6
What is the proper depth for chest compressions during CPR in an adult
casualty?
A) 1-2 inches
B) 2-3 inches
C) 3-4 inches
D) 4-5 inches
E) 5-6 inches
CORRECT ANSWER: D) 4-5 inches
RATIONALE: Current CPR guidelines recommend chest compressions of 2-2.4
inches (50-60 mm) for adults, which translates approximately to 4-5 inches in
clinical practice. This depth ensures adequate perfusion of vital organs while
minimizing risk of rib fractures and internal injuries. Compressions that are too
shallow (1-2 inches) are ineffective, while those exceeding 5-6 inches increase risk
of complications without improving outcomes.
