TRAUMA NURSING CORE COURSE (TNCC)EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. During the initial assessment of a trauma patient, which
priority should the nurse address first?
A. Obtain a complete medical history
B. Assess airway and cervical-spine protection
C. Determine the patient's last oral intake
D. Assess family support
Answer: B. Assess airway and cervical-spine protection
Rationale: Trauma assessment follows a systematic approach.
Airway compromise can rapidly become fatal, and cervical-
spine protection should be maintained when spinal injury is
suspected.
2. Which finding is most concerning for an impending airway
obstruction?
A. Mild anxiety
B. Hoarse or changing voice
C. Heart rate of 88/min
D. Warm skin
Answer: B. Hoarse or changing voice
,Rationale: Hoarseness, stridor, gurgling, and voice changes may
indicate upper-airway injury or obstruction and require
immediate attention.
3. A trauma patient has blood and vomitus in the mouth.
What is the priority nursing intervention?
A. Give oral fluids
B. Place the patient in a sitting position
C. Suction the airway while maintaining spinal precautions
D. Obtain a detailed history
Answer: C. Suction the airway while maintaining spinal
precautions
Rationale: Blood and vomitus can obstruct the airway and
cause aspiration. Suctioning helps clear the airway while spinal
precautions are maintained.
4. Which assessment finding is most consistent with tension
pneumothorax?
A. Bilateral equal breath sounds
B. Severe respiratory distress with unilateral absent breath
sounds
C. Bradycardia with normal breathing
D. Mild abdominal tenderness
,Answer: B. Severe respiratory distress with unilateral absent
breath sounds
Rationale: Tension pneumothorax can produce severe
respiratory compromise, unilateral absent breath sounds,
hypotension, and obstructive shock.
5. What is the primary purpose of the primary survey?
A. Identify every injury
B. Obtain a complete psychosocial history
C. Identify and immediately treat life-threatening conditions
D. Complete discharge planning
Answer: C. Identify and immediately treat life-threatening
conditions
Rationale: The primary survey focuses on rapidly identifying
conditions that threaten life and addressing them immediately.
6. Which sequence best represents the traditional trauma
primary survey?
A. Disability, exposure, circulation, airway, breathing
B. Airway, breathing, circulation, disability, exposure
C. Circulation, airway, exposure, disability, breathing
D. Exposure, breathing, airway, circulation, disability
Answer: B. Airway, breathing, circulation, disability, exposure
, Rationale: The ABCDE approach provides a systematic
framework for identifying immediate threats.
7. Which intervention is most appropriate for a trauma
patient with suspected cervical-spine injury?
A. Encourage neck movement
B. Maintain manual stabilization and appropriate spinal
precautions
C. Flex the neck to assess pain
D. Place a pillow under the neck immediately
Answer: B. Maintain manual stabilization and appropriate
spinal precautions
Rationale: Unnecessary spinal movement may worsen a spinal
injury. Stabilization should be maintained until injury has been
appropriately evaluated.
8. A trauma patient suddenly develops stridor. What should
the nurse recognize?
A. Stridor is usually harmless
B. Stridor suggests upper-airway obstruction
C. Stridor indicates adequate ventilation
D. Stridor indicates improved oxygenation
Answer: B. Stridor suggests upper-airway obstruction
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. During the initial assessment of a trauma patient, which
priority should the nurse address first?
A. Obtain a complete medical history
B. Assess airway and cervical-spine protection
C. Determine the patient's last oral intake
D. Assess family support
Answer: B. Assess airway and cervical-spine protection
Rationale: Trauma assessment follows a systematic approach.
Airway compromise can rapidly become fatal, and cervical-
spine protection should be maintained when spinal injury is
suspected.
2. Which finding is most concerning for an impending airway
obstruction?
A. Mild anxiety
B. Hoarse or changing voice
C. Heart rate of 88/min
D. Warm skin
Answer: B. Hoarse or changing voice
,Rationale: Hoarseness, stridor, gurgling, and voice changes may
indicate upper-airway injury or obstruction and require
immediate attention.
3. A trauma patient has blood and vomitus in the mouth.
What is the priority nursing intervention?
A. Give oral fluids
B. Place the patient in a sitting position
C. Suction the airway while maintaining spinal precautions
D. Obtain a detailed history
Answer: C. Suction the airway while maintaining spinal
precautions
Rationale: Blood and vomitus can obstruct the airway and
cause aspiration. Suctioning helps clear the airway while spinal
precautions are maintained.
4. Which assessment finding is most consistent with tension
pneumothorax?
A. Bilateral equal breath sounds
B. Severe respiratory distress with unilateral absent breath
sounds
C. Bradycardia with normal breathing
D. Mild abdominal tenderness
,Answer: B. Severe respiratory distress with unilateral absent
breath sounds
Rationale: Tension pneumothorax can produce severe
respiratory compromise, unilateral absent breath sounds,
hypotension, and obstructive shock.
5. What is the primary purpose of the primary survey?
A. Identify every injury
B. Obtain a complete psychosocial history
C. Identify and immediately treat life-threatening conditions
D. Complete discharge planning
Answer: C. Identify and immediately treat life-threatening
conditions
Rationale: The primary survey focuses on rapidly identifying
conditions that threaten life and addressing them immediately.
6. Which sequence best represents the traditional trauma
primary survey?
A. Disability, exposure, circulation, airway, breathing
B. Airway, breathing, circulation, disability, exposure
C. Circulation, airway, exposure, disability, breathing
D. Exposure, breathing, airway, circulation, disability
Answer: B. Airway, breathing, circulation, disability, exposure
, Rationale: The ABCDE approach provides a systematic
framework for identifying immediate threats.
7. Which intervention is most appropriate for a trauma
patient with suspected cervical-spine injury?
A. Encourage neck movement
B. Maintain manual stabilization and appropriate spinal
precautions
C. Flex the neck to assess pain
D. Place a pillow under the neck immediately
Answer: B. Maintain manual stabilization and appropriate
spinal precautions
Rationale: Unnecessary spinal movement may worsen a spinal
injury. Stabilization should be maintained until injury has been
appropriately evaluated.
8. A trauma patient suddenly develops stridor. What should
the nurse recognize?
A. Stridor is usually harmless
B. Stridor suggests upper-airway obstruction
C. Stridor indicates adequate ventilation
D. Stridor indicates improved oxygenation
Answer: B. Stridor suggests upper-airway obstruction
