TECC Provider Course Exam 2026/2027 | 300 Practice Questions,
Correct Answers & Detailed Rationales
TECC Principles, Tactical Care & Assessment
1. Which sequence correctly represents MARCH?
A. Massive hemorrhage, Airway, Respirations, Circulation, Head
injury/Hypothermia
B. Airway, Massive hemorrhage, Respirations, Circulation,
Hypothermia
C. Massive hemorrhage, Circulation, Airway, Respirations, Disability
D. Respirations, Airway, Circulation, Massive hemorrhage,
Hypothermia
Correct Answer: A
Rationale: MARCH prioritizes massive hemorrhage first, followed by
airway, respirations, circulation, and head injury/hypothermia.
2. What does the X in X-ABCDE emphasize?
A. Exposure
B. Exsanguination
C. Examination
D. Expiration
Correct Answer: B
Rationale: X represents exsanguination, emphasizing immediately
life-threatening blood loss before the traditional ABCDE sequence.
3. During Direct Threat Care, the primary concern is:
A. Completing a full secondary survey
B. Responder and team safety while addressing immediate life threats
C. Starting two IV lines
D. Obtaining a complete medical history
Correct Answer: B
,Rationale: Direct Threat Care occurs while significant danger
remains. Care should not unnecessarily expose responders to the
threat.
4. Which TECC phase occurs when the threat has been reduced
sufficiently to permit more casualty care?
A. Direct Threat Care
B. Indirect Threat Care
C. Recovery Care
D. Rehabilitation Care
Correct Answer: B
Rationale: Indirect Threat Care, commonly associated with the warm
zone, allows more comprehensive casualty assessment and
treatment.
5. Evacuation Care primarily focuses on:
A. Returning responders to normal duties
B. Continuing appropriate care during movement to definitive medical
care
C. Performing administrative duties only
D. Delaying transportation until all injuries are treated
Correct Answer: B
Rationale: Evacuation Care continues appropriate assessment and
treatment while the casualty is moved toward higher-level medical
care.
6. What is the main purpose of TECC?
A. Replace hospital-based trauma care
B. Adapt emergency trauma care to civilian tactical environments
C. Provide only law-enforcement training
D. Eliminate the need for EMS
Correct Answer: B
,Rationale: TECC applies evidence-based trauma principles to
situations involving threats, limited resources, and tactical
environments.
7. Which condition should generally receive immediate attention
because uncontrolled bleeding can cause death rapidly?
A. Minor abrasion
B. Massive hemorrhage
C. Small bruise
D. Mild headache
Correct Answer: B
Rationale: Massive hemorrhage is one of the most immediately
lethal and preventable causes of traumatic death.
8. A TECC provider should perform interventions according to:
A. Personal preference only
B. Scope of practice, training, and applicable protocols
C. What another responder casually recommends
D. Procedures seen online regardless of training
Correct Answer: B
Rationale: TECC interventions must remain within the provider's
training, authorization, equipment, and applicable medical
protocols.
9. What is the primary purpose of a rapid trauma assessment?
A. Identify immediately life-threatening conditions
B. Determine the patient's complete medical history
C. Diagnose every injury definitively
D. Complete hospital discharge documentation
Correct Answer: A
Rationale: The initial assessment prioritizes life threats requiring
immediate intervention.
, 10. Which finding should increase concern for deterioration in a
trauma patient?
A. Improving mental status
B. Increasing respiratory distress
C. Decreasing pain after treatment
D. Warm, normal skin
Correct Answer: B
Rationale: Increasing respiratory distress can indicate worsening
thoracic injury, airway compromise, shock, or another serious
condition.
11. What should a provider do after treating an immediate life
threat?
A. Stop assessing the patient
B. Reassess the intervention and the casualty
C. Immediately discharge the casualty
D. Assume the problem is permanently corrected
Correct Answer: B
Rationale: Trauma care requires repeated reassessment because
conditions and interventions can change.
12. Why is communication important during TECC operations?
A. It eliminates the need for patient assessment
B. It supports coordination, safety, evacuation, and continuity of care
C. It replaces documentation
D. It is only needed after hospital arrival
Correct Answer: B
Rationale: Effective communication helps coordinate responders,
casualty movement, evacuation, and transfer of clinical information.
Correct Answers & Detailed Rationales
TECC Principles, Tactical Care & Assessment
1. Which sequence correctly represents MARCH?
A. Massive hemorrhage, Airway, Respirations, Circulation, Head
injury/Hypothermia
B. Airway, Massive hemorrhage, Respirations, Circulation,
Hypothermia
C. Massive hemorrhage, Circulation, Airway, Respirations, Disability
D. Respirations, Airway, Circulation, Massive hemorrhage,
Hypothermia
Correct Answer: A
Rationale: MARCH prioritizes massive hemorrhage first, followed by
airway, respirations, circulation, and head injury/hypothermia.
2. What does the X in X-ABCDE emphasize?
A. Exposure
B. Exsanguination
C. Examination
D. Expiration
Correct Answer: B
Rationale: X represents exsanguination, emphasizing immediately
life-threatening blood loss before the traditional ABCDE sequence.
3. During Direct Threat Care, the primary concern is:
A. Completing a full secondary survey
B. Responder and team safety while addressing immediate life threats
C. Starting two IV lines
D. Obtaining a complete medical history
Correct Answer: B
,Rationale: Direct Threat Care occurs while significant danger
remains. Care should not unnecessarily expose responders to the
threat.
4. Which TECC phase occurs when the threat has been reduced
sufficiently to permit more casualty care?
A. Direct Threat Care
B. Indirect Threat Care
C. Recovery Care
D. Rehabilitation Care
Correct Answer: B
Rationale: Indirect Threat Care, commonly associated with the warm
zone, allows more comprehensive casualty assessment and
treatment.
5. Evacuation Care primarily focuses on:
A. Returning responders to normal duties
B. Continuing appropriate care during movement to definitive medical
care
C. Performing administrative duties only
D. Delaying transportation until all injuries are treated
Correct Answer: B
Rationale: Evacuation Care continues appropriate assessment and
treatment while the casualty is moved toward higher-level medical
care.
6. What is the main purpose of TECC?
A. Replace hospital-based trauma care
B. Adapt emergency trauma care to civilian tactical environments
C. Provide only law-enforcement training
D. Eliminate the need for EMS
Correct Answer: B
,Rationale: TECC applies evidence-based trauma principles to
situations involving threats, limited resources, and tactical
environments.
7. Which condition should generally receive immediate attention
because uncontrolled bleeding can cause death rapidly?
A. Minor abrasion
B. Massive hemorrhage
C. Small bruise
D. Mild headache
Correct Answer: B
Rationale: Massive hemorrhage is one of the most immediately
lethal and preventable causes of traumatic death.
8. A TECC provider should perform interventions according to:
A. Personal preference only
B. Scope of practice, training, and applicable protocols
C. What another responder casually recommends
D. Procedures seen online regardless of training
Correct Answer: B
Rationale: TECC interventions must remain within the provider's
training, authorization, equipment, and applicable medical
protocols.
9. What is the primary purpose of a rapid trauma assessment?
A. Identify immediately life-threatening conditions
B. Determine the patient's complete medical history
C. Diagnose every injury definitively
D. Complete hospital discharge documentation
Correct Answer: A
Rationale: The initial assessment prioritizes life threats requiring
immediate intervention.
, 10. Which finding should increase concern for deterioration in a
trauma patient?
A. Improving mental status
B. Increasing respiratory distress
C. Decreasing pain after treatment
D. Warm, normal skin
Correct Answer: B
Rationale: Increasing respiratory distress can indicate worsening
thoracic injury, airway compromise, shock, or another serious
condition.
11. What should a provider do after treating an immediate life
threat?
A. Stop assessing the patient
B. Reassess the intervention and the casualty
C. Immediately discharge the casualty
D. Assume the problem is permanently corrected
Correct Answer: B
Rationale: Trauma care requires repeated reassessment because
conditions and interventions can change.
12. Why is communication important during TECC operations?
A. It eliminates the need for patient assessment
B. It supports coordination, safety, evacuation, and continuity of care
C. It replaces documentation
D. It is only needed after hospital arrival
Correct Answer: B
Rationale: Effective communication helps coordinate responders,
casualty movement, evacuation, and transfer of clinical information.