TNCC 2026
QUESTIONS
AND ANSWERS
ALL VERIFIED
A+
YouBareBcaringBforBaBpatientBwhoBwasBthrownBfromBaBbikeBandBwasBnotBwearingBa
Bhelmet.BWhileBperformingBtheBhead-to-
toeBassessment,ByouBnoteBclearBdrainageBfromBtheBrightBear.BWhichBofBtheBfollowing
BisBtheBmostBappropriateBnextBstep?
A.BCleanBtheBearBwithBaBcotton-tippedBapplicator.
B.BPackBtheBearBwithBgauze.
C.BNotifyBtheBphysician
D.BDocumentBandBcontinueBtheBexam.B-BAnswerBC.BNotifyBtheBphysician
ABpatientBisBbroughtBtoBtheBemergencyBdepartmentBofBaBruralBhospitalBfollowingBaB
high-
speedBmotorBvehicleBcollision.BWhenBsignificantBabdominalBandBpelvicBinjuriesBareBno
tedBinBtheBprimaryBsurvey,BwhatBisBtheBpriorityBintervention?
A.BInitiateBtransferBtoBaBtraumaBcenter
B.BAttemptBfamilyBnotification
C.BObtainBadditionalBimagingBstudies
,D.BPlaceBanBindwellingBurinaryBcatheterB-
BAnswerBA.BInitiateBtransferBtoBaBtraumaBcenter
AnBadultBwhoBfellBfromBaBsecondBstoryBroofBisBbroughtBtoBtheBemergencyBdepartme
ntBbyBprivateBvehicle.BTheBpatientBisBconfusedBwithBunlaboredBrespirationsBandBhasBs
trong,BpalpableBradialBpulses.BThereBisBanBopenBwoundBinBproximityBtoBanBobviousB
deformityBofBtheBleftBlowerBextremity.BWhatBisBtheBpriorityBintervention?
A.BInitiateBcervicalBspineBstabilization
B.BApplyBaBsplintBtoBtheBlowerBextremity
C.BPutBtheBpatientBonBportableBoxygen.
D.BLogBrollBtheBpatientBontoBaBspineBboardB-
BAnswerBA.BInitiateBcervicalBspineBstabilization
AnBadultBpatientBwhoBsustainedBaBsevereBheadBtraumaBhasBbeenBintubatedBandBisBb
eingBmanuallyBventilatedBviaBaBbag-
maskBdeviceBatBaBrateBofB18Bbreaths/minute.BTheBpatientBhasBreceivedBoneBintraven
ousBfluidBbolusBofB500BmLBofBwarmedBisotonicBcrystalloidBsolution.BTheBPaCO2BisB30
BmmBHgB(4.0BkPa),BandBtheBpulseBoximetryBisB92%.BBPBisB142/70BmmBHg.BWhatBis
BtheBmostBimportantBinterventionBtoBmanageBtheBcerebralBbloodBflow?
A.BDecreaseBtheBrateBofBmanualBventilation
B.BInitiateBanotherBfluidBbolus.
C.BRecheckBendotrachealBtubeBplacement.
D.BIncreaseBtheBamountBofBoxygenBdeliveredB-
BAnswerBA.BDecreaseBtheBrateBofBmanualBventilation
AnBadultBpatientBisBbroughtBtoBtheBemergencyBdepartmentBfollowingBaBvehicleB"roll-
over"BwithBprolongedBextrication.BAssessmentBrevealsBswellingBandBbruisingBtoBtheBri
ghtBproximalBthighBandBaBweakBpedalBpulse.BSkinBisBpale,Bcool,BandBmoist.BWhatBisB
theBmostBappropriateBinitialBintervention?
A.BApplicationBofBaBtourniquetBtoBtheBaffectedBextremity
, B.BApplicationBofBaBpelvicBbinder
C.BFluidBresuscitationBtoBmaintainBaBurineBoutputBofB0.5BmL/kg/hour
D.BOxygenBtoBmaintainBtheBETCO2BbetweenB30-35BmmBHgB(3.9-4.6BkPa)B-
BAnswerBB.BApplicationBofBaBpelvicBbinder
AnBadultBarrivesBatBtheBemergencyBdepartmentBwithBsuperficialBburnsBtoBtheBextremi
tiesBfollowingBaBhouseBfire.BTheBpatientBisBreportingBaBheadacheBwithBnauseaBandBis
BdrowsyBandBconfused.BWhatBisBtheBmostBlikelyBcauseBofBtheseBsymptoms?
A.BCapillaryBleakBsyndrome
B.BRhabdomyolysis
C.BCarbonBmonoxideBpoisoning
D.BHypothermiaB-BAnswerBC.BCarbonBmonoxideBpoisoning
UsingBtheBAmericanBCollegeBofBSurgeonsBGuidelinesBforBScreeningBPatientsBwithBSusp
ectedBSpineBInjury,BwhatBassessmentBfindingBwouldBpromptBtheBnurseBtoBprepareBaB
patientBforBcervicalBspineBimaging?
A.BAlertBwithBnoBneurologicBdeficitsBorBneckBpain
B.BMultipleBabrasionsBtoBtheBextremities
C.BEcchymosisBtoBtheBflank
D.BRespondsBtoBverbalBstimulationBusingBAVPUB-
BAnswerBD.BRespondsBtoBverbalBstimulationBusingBAVPU
AB5-
monthBpregnantBpatientBarrivesBinBtheBemergencyBdepartmentBstatingBsheBtrippedBan
dBfell,BlandingBonBherBabdomen.BAssessmentBrevealsBbruisingBtoBtheBabdomen,Bboth
Barms,BandBherBneck.BSheBstatesBsheBdoesBnotBtakeBanyBmedicationsBandBhasBnotBh
adBanyBprenatalBcare.BTheBnurseBsuspectsBtheBfindingsBareBmostBlikelyBrelatedBtoBwh
ichBofBtheBfollowing?
A.IntentionalBviolence
QUESTIONS
AND ANSWERS
ALL VERIFIED
A+
YouBareBcaringBforBaBpatientBwhoBwasBthrownBfromBaBbikeBandBwasBnotBwearingBa
Bhelmet.BWhileBperformingBtheBhead-to-
toeBassessment,ByouBnoteBclearBdrainageBfromBtheBrightBear.BWhichBofBtheBfollowing
BisBtheBmostBappropriateBnextBstep?
A.BCleanBtheBearBwithBaBcotton-tippedBapplicator.
B.BPackBtheBearBwithBgauze.
C.BNotifyBtheBphysician
D.BDocumentBandBcontinueBtheBexam.B-BAnswerBC.BNotifyBtheBphysician
ABpatientBisBbroughtBtoBtheBemergencyBdepartmentBofBaBruralBhospitalBfollowingBaB
high-
speedBmotorBvehicleBcollision.BWhenBsignificantBabdominalBandBpelvicBinjuriesBareBno
tedBinBtheBprimaryBsurvey,BwhatBisBtheBpriorityBintervention?
A.BInitiateBtransferBtoBaBtraumaBcenter
B.BAttemptBfamilyBnotification
C.BObtainBadditionalBimagingBstudies
,D.BPlaceBanBindwellingBurinaryBcatheterB-
BAnswerBA.BInitiateBtransferBtoBaBtraumaBcenter
AnBadultBwhoBfellBfromBaBsecondBstoryBroofBisBbroughtBtoBtheBemergencyBdepartme
ntBbyBprivateBvehicle.BTheBpatientBisBconfusedBwithBunlaboredBrespirationsBandBhasBs
trong,BpalpableBradialBpulses.BThereBisBanBopenBwoundBinBproximityBtoBanBobviousB
deformityBofBtheBleftBlowerBextremity.BWhatBisBtheBpriorityBintervention?
A.BInitiateBcervicalBspineBstabilization
B.BApplyBaBsplintBtoBtheBlowerBextremity
C.BPutBtheBpatientBonBportableBoxygen.
D.BLogBrollBtheBpatientBontoBaBspineBboardB-
BAnswerBA.BInitiateBcervicalBspineBstabilization
AnBadultBpatientBwhoBsustainedBaBsevereBheadBtraumaBhasBbeenBintubatedBandBisBb
eingBmanuallyBventilatedBviaBaBbag-
maskBdeviceBatBaBrateBofB18Bbreaths/minute.BTheBpatientBhasBreceivedBoneBintraven
ousBfluidBbolusBofB500BmLBofBwarmedBisotonicBcrystalloidBsolution.BTheBPaCO2BisB30
BmmBHgB(4.0BkPa),BandBtheBpulseBoximetryBisB92%.BBPBisB142/70BmmBHg.BWhatBis
BtheBmostBimportantBinterventionBtoBmanageBtheBcerebralBbloodBflow?
A.BDecreaseBtheBrateBofBmanualBventilation
B.BInitiateBanotherBfluidBbolus.
C.BRecheckBendotrachealBtubeBplacement.
D.BIncreaseBtheBamountBofBoxygenBdeliveredB-
BAnswerBA.BDecreaseBtheBrateBofBmanualBventilation
AnBadultBpatientBisBbroughtBtoBtheBemergencyBdepartmentBfollowingBaBvehicleB"roll-
over"BwithBprolongedBextrication.BAssessmentBrevealsBswellingBandBbruisingBtoBtheBri
ghtBproximalBthighBandBaBweakBpedalBpulse.BSkinBisBpale,Bcool,BandBmoist.BWhatBisB
theBmostBappropriateBinitialBintervention?
A.BApplicationBofBaBtourniquetBtoBtheBaffectedBextremity
, B.BApplicationBofBaBpelvicBbinder
C.BFluidBresuscitationBtoBmaintainBaBurineBoutputBofB0.5BmL/kg/hour
D.BOxygenBtoBmaintainBtheBETCO2BbetweenB30-35BmmBHgB(3.9-4.6BkPa)B-
BAnswerBB.BApplicationBofBaBpelvicBbinder
AnBadultBarrivesBatBtheBemergencyBdepartmentBwithBsuperficialBburnsBtoBtheBextremi
tiesBfollowingBaBhouseBfire.BTheBpatientBisBreportingBaBheadacheBwithBnauseaBandBis
BdrowsyBandBconfused.BWhatBisBtheBmostBlikelyBcauseBofBtheseBsymptoms?
A.BCapillaryBleakBsyndrome
B.BRhabdomyolysis
C.BCarbonBmonoxideBpoisoning
D.BHypothermiaB-BAnswerBC.BCarbonBmonoxideBpoisoning
UsingBtheBAmericanBCollegeBofBSurgeonsBGuidelinesBforBScreeningBPatientsBwithBSusp
ectedBSpineBInjury,BwhatBassessmentBfindingBwouldBpromptBtheBnurseBtoBprepareBaB
patientBforBcervicalBspineBimaging?
A.BAlertBwithBnoBneurologicBdeficitsBorBneckBpain
B.BMultipleBabrasionsBtoBtheBextremities
C.BEcchymosisBtoBtheBflank
D.BRespondsBtoBverbalBstimulationBusingBAVPUB-
BAnswerBD.BRespondsBtoBverbalBstimulationBusingBAVPU
AB5-
monthBpregnantBpatientBarrivesBinBtheBemergencyBdepartmentBstatingBsheBtrippedBan
dBfell,BlandingBonBherBabdomen.BAssessmentBrevealsBbruisingBtoBtheBabdomen,Bboth
Barms,BandBherBneck.BSheBstatesBsheBdoesBnotBtakeBanyBmedicationsBandBhasBnotBh
adBanyBprenatalBcare.BTheBnurseBsuspectsBtheBfindingsBareBmostBlikelyBrelatedBtoBwh
ichBofBtheBfollowing?
A.IntentionalBviolence