TNCC 9TH EDITION ACTUAL
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ a pertinent medical hx is crucial. Answer: Which of the following
considerations is the most important when caring for a geriatric trauma
pt?
⩥ Mitigation. Answer: 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. Answer: 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.
Answer: What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
⩥ acidosis. Answer: Which of the following is a component of the
trauma triad of death?
,⩥ Complete. Answer: 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?
⩥ flucuation in the water seal chamber. Answer: 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. Answer:
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. Answer: 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. Answer: 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. Answer: 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. Answer: When is the tertiary survey
completed fora trauma pt?
⩥ pressure. Answer: 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. Answer: Which of the following is possible
complication of positive-pressure ventilation?
⩥ pelvic stability. Answer: the most reassuring finding for a male pt with
hip pain after a fall is which of the following?
⩥ narrowed. Answer: Which of the following pulse pressures indicate
early hypovolemic shock?
⩥ dysrhythmias. Answer: Patients with a crush injury should be
monitored for which of the following conditions?
, ⩥ subdural hematoma. Answer: Tearing of the bridging veins is most
frequently associated with which brain injury?
⩥ straight cath for urine sample. Answer: 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. Answer: 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. Answer:
Which of the following is true about the log-roll?
⩥ defusings. Answer: All of these are considered a critical
communication point in trauma care EXCEPT which of the following?
⩥ pulse oximetry and capnography. Answer: What bedside monitoring
parameters are used to assess for adequacy of O2 and effectiveness of
ventilation?
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ a pertinent medical hx is crucial. Answer: Which of the following
considerations is the most important when caring for a geriatric trauma
pt?
⩥ Mitigation. Answer: 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. Answer: 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.
Answer: What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
⩥ acidosis. Answer: Which of the following is a component of the
trauma triad of death?
,⩥ Complete. Answer: 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?
⩥ flucuation in the water seal chamber. Answer: 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. Answer:
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. Answer: 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. Answer: 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. Answer: 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. Answer: When is the tertiary survey
completed fora trauma pt?
⩥ pressure. Answer: 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. Answer: Which of the following is possible
complication of positive-pressure ventilation?
⩥ pelvic stability. Answer: the most reassuring finding for a male pt with
hip pain after a fall is which of the following?
⩥ narrowed. Answer: Which of the following pulse pressures indicate
early hypovolemic shock?
⩥ dysrhythmias. Answer: Patients with a crush injury should be
monitored for which of the following conditions?
, ⩥ subdural hematoma. Answer: Tearing of the bridging veins is most
frequently associated with which brain injury?
⩥ straight cath for urine sample. Answer: 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. Answer: 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. Answer:
Which of the following is true about the log-roll?
⩥ defusings. Answer: All of these are considered a critical
communication point in trauma care EXCEPT which of the following?
⩥ pulse oximetry and capnography. Answer: What bedside monitoring
parameters are used to assess for adequacy of O2 and effectiveness of
ventilation?
