• TNCC 9TH 09/09/2026
EDITION EXAM
TNCC 9TH EDITION EXAM PREP NEW
2026/2027 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)|ALREADY
GRADED A+||BRAND NEW VERSION!!
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
P 1
, • TNCC 9TH 09/09/2026
EDITION EXAM
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss
of sight.
3. What is the most important consideration during the initial assessment when caring for an older adult who has
sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
B. Medical history including current medications
4. You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the
head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most
appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
5. When should the definitive calculation for intravenous fluid resuscitation rate be performed for a patient with
burns?
P 2
, • TNCC 9TH 09/09/2026
EDITION EXAM
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment
B. After removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is based on percentage of total body surface area
which requires a good skin assessment and is calculated after clothing is removed.
6. In a motor vehicle collision, which injury pathway is most likely to increase the patient's morbidity and
mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
B. Ejection
7. A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved
by pain medications. Which of the following is the priority nursing intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for ultrasound of the leg
P 3
, • TNCC 9TH 09/09/2026
EDITION EXAM
C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
This patient is exhibiting signs of possible compartment syndrome which is a dangerous complication of
fractured extremities. The pain is often out of proportion to the injury and might not respond to pain
medications. Elevate the limb to the level of the heart to decrease dependent edema but not above the heart,
which can cause increased venous congestion and pressure within the compartment.
8. A teenaged patient presents to the emergency department with left arm pain after a ground level fall. The
patient identifies as transgender and shares they are homeless. The ED staff are concerned the patient is
experiencing human trafficking. What is most consistent with human trafficking?
A. The individual appears well nourished.
B. Those who are being trafficked rarely seek medical care.
C. It is infrequently associated with substance abuse.
D. Those experiencing human trafficking rarely self-disclose.
D. Those experiencing human trafficking rarely self-disclose.
9. An intubated trauma patient has just been transported back from CT scan. Upon arrival to their room in the
emergency department, resistance is noted with bag-mask ventilations and auscultation reveals unequal breath
sounds. What is the most appropriate initial intervention for this patient?
A. Place the patient back on the ventilator.
B. Extubated the patient.
C. Reposition the endotracheal tube.
D. Suction the endotracheal tube.
C. Reposition the endotracheal tube.
10. Which of the following assessment findings differentiates a tension pneumothorax from a simple
pneumothorax?
P 4
EDITION EXAM
TNCC 9TH EDITION EXAM PREP NEW
2026/2027 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)|ALREADY
GRADED A+||BRAND NEW VERSION!!
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
P 1
, • TNCC 9TH 09/09/2026
EDITION EXAM
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss
of sight.
3. What is the most important consideration during the initial assessment when caring for an older adult who has
sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
B. Medical history including current medications
4. You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the
head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most
appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
5. When should the definitive calculation for intravenous fluid resuscitation rate be performed for a patient with
burns?
P 2
, • TNCC 9TH 09/09/2026
EDITION EXAM
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment
B. After removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is based on percentage of total body surface area
which requires a good skin assessment and is calculated after clothing is removed.
6. In a motor vehicle collision, which injury pathway is most likely to increase the patient's morbidity and
mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
B. Ejection
7. A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved
by pain medications. Which of the following is the priority nursing intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for ultrasound of the leg
P 3
, • TNCC 9TH 09/09/2026
EDITION EXAM
C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
This patient is exhibiting signs of possible compartment syndrome which is a dangerous complication of
fractured extremities. The pain is often out of proportion to the injury and might not respond to pain
medications. Elevate the limb to the level of the heart to decrease dependent edema but not above the heart,
which can cause increased venous congestion and pressure within the compartment.
8. A teenaged patient presents to the emergency department with left arm pain after a ground level fall. The
patient identifies as transgender and shares they are homeless. The ED staff are concerned the patient is
experiencing human trafficking. What is most consistent with human trafficking?
A. The individual appears well nourished.
B. Those who are being trafficked rarely seek medical care.
C. It is infrequently associated with substance abuse.
D. Those experiencing human trafficking rarely self-disclose.
D. Those experiencing human trafficking rarely self-disclose.
9. An intubated trauma patient has just been transported back from CT scan. Upon arrival to their room in the
emergency department, resistance is noted with bag-mask ventilations and auscultation reveals unequal breath
sounds. What is the most appropriate initial intervention for this patient?
A. Place the patient back on the ventilator.
B. Extubated the patient.
C. Reposition the endotracheal tube.
D. Suction the endotracheal tube.
C. Reposition the endotracheal tube.
10. Which of the following assessment findings differentiates a tension pneumothorax from a simple
pneumothorax?
P 4
