TNCC 9th edition | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: An adult pt who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask
device at a rate of 18 breaths/minute. The pt has received one
intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the
pulse oximetry is 92%. BP is 142/70 mmHg. What is the most
important intervention to manage the cerebral blood flow?
Answer: Decrease the rate of manual ventilation
Question: An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The pt was
involved in a motor vehicle collision 10 days ago. There was no
loss of consciousness and a hematoma is noted to the
forehead. The pt is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?
Answer: post-concussive syndrome
Question: A pt with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medication.
Which of the following is the priority nursing intervention?
Answer: Elevating the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
Question: A pt involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating
wound to the 6th intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the
diaphragm?
Answer: Bowel sounds heard in the lower left chest
Question: A pt has been in the emergency department for several hours
waiting to be admitted. They sustained multiple rib fractures
and a femur fracture after a fall. The pt has been awake, alert,
and complaining of leg pain. Their spouse reported that the pt
suddenly became anxious and confused. Upon reassessment,
the pt is restless, with respiratory distress and petechiae to his
neck. The pt is exhibiting signs and symptoms most commonly
associated with which of the following conditions?
Answer: Fat embolism
, Question: 3 adult pts present at different times during a 1-hour period
with a high fever, fatigue, and headache. All 3 pts have a rash
which started on their mouth, face, and arms with progression
to the chest and abdomen. They all visited the same grocery
store within the last week. What is the most appropriate
intervention from triage for these pts?
Answer: Immediately initiate contact precautions
Question: A 35-year-old male presents with facial trauma after being
struck in the face with a baseball. A teardrop-shaped left pupil
is noted on exam.
Witai type of injury is suspecied?
Answer: Globe rupture
Question: A trauma patient who is 30 - weeks pregnant arrives at the
emergency department following a motor vehicle collision
Which normal physiologic change should be considered
when assessing ventilatory status ?
Answer: Increased oxygen consumption
Question: A patient who sustained severe injuries was brought to the
emergency department following a high - speed motor
vehicle collision . Interventions for hypovolemic shock have
been initiated . What component of the trauma triad of death
is most likely to have begun at the time of injury ?
Answer: Coagulopathy
Question: An adult patient involved in a motor vehicle collision is
brought to the emergency department of a rural critical
access facility . They complain of neck pain , shortness of
breath , and diffuse abdominal pain . The Glasgow Coma
Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats /
minute , RR 26 breaths / minute , and SpO2 94 % on high - flow
oxygen via non - rebreather mask . Which of the following is
the priority intervention for this patient ?
Answer: Expedite transfer to the closest trauma center
Question: A patient who weighs 120 kg is brought to the emergency
department after sustaining partial thickness burns to both
upper extremities and chest with a total body surface area
burned of 27 % . How much intravenous fluid should be
administered in the first 8 hours ?
Answer: 3240 mL
Latest Update 2026/2027
Question: An adult pt who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask
device at a rate of 18 breaths/minute. The pt has received one
intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the
pulse oximetry is 92%. BP is 142/70 mmHg. What is the most
important intervention to manage the cerebral blood flow?
Answer: Decrease the rate of manual ventilation
Question: An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The pt was
involved in a motor vehicle collision 10 days ago. There was no
loss of consciousness and a hematoma is noted to the
forehead. The pt is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?
Answer: post-concussive syndrome
Question: A pt with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medication.
Which of the following is the priority nursing intervention?
Answer: Elevating the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
Question: A pt involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating
wound to the 6th intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the
diaphragm?
Answer: Bowel sounds heard in the lower left chest
Question: A pt has been in the emergency department for several hours
waiting to be admitted. They sustained multiple rib fractures
and a femur fracture after a fall. The pt has been awake, alert,
and complaining of leg pain. Their spouse reported that the pt
suddenly became anxious and confused. Upon reassessment,
the pt is restless, with respiratory distress and petechiae to his
neck. The pt is exhibiting signs and symptoms most commonly
associated with which of the following conditions?
Answer: Fat embolism
, Question: 3 adult pts present at different times during a 1-hour period
with a high fever, fatigue, and headache. All 3 pts have a rash
which started on their mouth, face, and arms with progression
to the chest and abdomen. They all visited the same grocery
store within the last week. What is the most appropriate
intervention from triage for these pts?
Answer: Immediately initiate contact precautions
Question: A 35-year-old male presents with facial trauma after being
struck in the face with a baseball. A teardrop-shaped left pupil
is noted on exam.
Witai type of injury is suspecied?
Answer: Globe rupture
Question: A trauma patient who is 30 - weeks pregnant arrives at the
emergency department following a motor vehicle collision
Which normal physiologic change should be considered
when assessing ventilatory status ?
Answer: Increased oxygen consumption
Question: A patient who sustained severe injuries was brought to the
emergency department following a high - speed motor
vehicle collision . Interventions for hypovolemic shock have
been initiated . What component of the trauma triad of death
is most likely to have begun at the time of injury ?
Answer: Coagulopathy
Question: An adult patient involved in a motor vehicle collision is
brought to the emergency department of a rural critical
access facility . They complain of neck pain , shortness of
breath , and diffuse abdominal pain . The Glasgow Coma
Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats /
minute , RR 26 breaths / minute , and SpO2 94 % on high - flow
oxygen via non - rebreather mask . Which of the following is
the priority intervention for this patient ?
Answer: Expedite transfer to the closest trauma center
Question: A patient who weighs 120 kg is brought to the emergency
department after sustaining partial thickness burns to both
upper extremities and chest with a total body surface area
burned of 27 % . How much intravenous fluid should be
administered in the first 8 hours ?
Answer: 3240 mL
