TNCC EXAM 8TH EDITION EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2025/2026
.A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? - - ANSWER -
>Bradycardia and absent motor function below the level of injury Patients
with a complete spinal cord injury will have absent motor function below the
level of the lesion. They become hypotensive and bradycardic due to loss
of autonomic nervous system function.
Which of the following patients warrants referral to a burn center? - -
ANSWER - >A 52-year-old diabetic male with a partial-thickness burn to
the left lower leg This patient has a 7% TBSA burn with a preexisting
medical history that could complicate management, prolong recovery, or
affect mortality.
,You are caring for a patient who was involved in a motor vehicle crash and
is 32 weeks pregnant. Findings of your secondary survey include
abdominal pain on palpation, fundal height at the costal margin, and some
dark bloody show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the
following? - - ANSWER - >Placental abruption The findings of abdominal
pain, elevated fundal height, dark bloody show, and fetal distress are most
consistent with placental abruption.
A 20-year-old male presents to the ED complaining of severe lower
abdominal pain after landing hard on the bicycle cross bars while
performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following
orders would the nurse question? -
- ANSWER - >Straight catheter for urine sample Insertion of a urinary
catheter is contraindicated if urethral transection is suspected. Signs and
symptoms of urethral injury include blood at the meatus, perineal
ecchymosis, scrotal ecchymosis, and a high-riding or non-palpable
prostate.
Which of the following occurs during the third impact of a motor vehicle
crash? - - ANSWER - >The aorta is torn at its attachment with the
ligamentum arteriosum This occurs during the third impact.
All of these are considered a critical communication point in trauma care
EXCEPT which of the following? - - ANSWER - >Defusings A defusing is
, part of critical incident stress management but is not considered a critical
communication point in trauma care.
Which of the following mnemonics can help the nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? - - ANSWER -
>MARCH The MARCH mnemonic stands for massive
hemorrhage, airway, respiration, circulation, and head injury/hypothermia.
The MARCH mnemonic recognizes uncontrolled hemorrhage as the major
cause of preventable death after injury.
You are treating a 27-year-old male in respiratory distress who was
involved in a house fire. Calculating total body surface area (TBSA) burned
is deferred due to the need for emergent intubation. At what rate should
you begin fluid resuscitation? - - ANSWER - >500 mL/hour Prior to
calculating TBSA, this is the recommended starting point for fluid
resuscitation for patients 14 years of age and older
A 49-year-old restrained driver involved in a motor vehicle collision
presents to the trauma center complaining of abdominal, pelvic, and
bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the
following? -
- ANSWER - >Diagnostic peritoneal lavage
Diagnostic peritoneal lavage is indicated for hemodynamically unstable
patients or if FAST and CT are not available.
SOLUTIONS 2025/2026
.A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? - - ANSWER -
>Bradycardia and absent motor function below the level of injury Patients
with a complete spinal cord injury will have absent motor function below the
level of the lesion. They become hypotensive and bradycardic due to loss
of autonomic nervous system function.
Which of the following patients warrants referral to a burn center? - -
ANSWER - >A 52-year-old diabetic male with a partial-thickness burn to
the left lower leg This patient has a 7% TBSA burn with a preexisting
medical history that could complicate management, prolong recovery, or
affect mortality.
,You are caring for a patient who was involved in a motor vehicle crash and
is 32 weeks pregnant. Findings of your secondary survey include
abdominal pain on palpation, fundal height at the costal margin, and some
dark bloody show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the
following? - - ANSWER - >Placental abruption The findings of abdominal
pain, elevated fundal height, dark bloody show, and fetal distress are most
consistent with placental abruption.
A 20-year-old male presents to the ED complaining of severe lower
abdominal pain after landing hard on the bicycle cross bars while
performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following
orders would the nurse question? -
- ANSWER - >Straight catheter for urine sample Insertion of a urinary
catheter is contraindicated if urethral transection is suspected. Signs and
symptoms of urethral injury include blood at the meatus, perineal
ecchymosis, scrotal ecchymosis, and a high-riding or non-palpable
prostate.
Which of the following occurs during the third impact of a motor vehicle
crash? - - ANSWER - >The aorta is torn at its attachment with the
ligamentum arteriosum This occurs during the third impact.
All of these are considered a critical communication point in trauma care
EXCEPT which of the following? - - ANSWER - >Defusings A defusing is
, part of critical incident stress management but is not considered a critical
communication point in trauma care.
Which of the following mnemonics can help the nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? - - ANSWER -
>MARCH The MARCH mnemonic stands for massive
hemorrhage, airway, respiration, circulation, and head injury/hypothermia.
The MARCH mnemonic recognizes uncontrolled hemorrhage as the major
cause of preventable death after injury.
You are treating a 27-year-old male in respiratory distress who was
involved in a house fire. Calculating total body surface area (TBSA) burned
is deferred due to the need for emergent intubation. At what rate should
you begin fluid resuscitation? - - ANSWER - >500 mL/hour Prior to
calculating TBSA, this is the recommended starting point for fluid
resuscitation for patients 14 years of age and older
A 49-year-old restrained driver involved in a motor vehicle collision
presents to the trauma center complaining of abdominal, pelvic, and
bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the
following? -
- ANSWER - >Diagnostic peritoneal lavage
Diagnostic peritoneal lavage is indicated for hemodynamically unstable
patients or if FAST and CT are not available.
