TNCC Complete Exam Challenge
Containing 1,262 Questions with
Definitive Solutions 2024-2025
Primary concern when a person cannot stop coughing/clearing their throat
following house fire/smoke? - Answer: Airway/Intubate
Lab evidence of cellular perfusion - Answer: Base Excess (Less than -6 is BAD)
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Multiple people are in the ER of different ages who all go to the same church.
They all have the same symptoms. What is the most likely cause? - Answer:
Biologic
Suspected shock type with a spinal cord injury - Answer: Distributive Shock
(Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing.
What is the cause? - Answer: Herniation
Middle Meningeal Artery - Answer: Epidural Hematoma (results from collection of
blood that forms between dura mater and skull)
Prior to having a concussion (TBI), the patient had a brain injury that was not fully
healed. What is the cause? - Answer: 2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? - Answer:
Ruptured diaphragm
Symptoms of __________________: include muffled heart sounds and
hypotension - Answer: Pericardiocentesis
How should you dress a severed limb? - Answer: Sterile gauze with normal saline
THEN put ice on it
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Amylase level looks at _____________ - Answer: Pancreas
What should you do if your patient has hyphema (collection of blood inside the
front part of the eye?) - Answer: Sit HOB up to 30 degrees
Principle that people have to take action after suffering a loss in order to decrease
severity, seriousness, or painfulness - Answer: Mitigation
What organ is most at risk following a gunshot - Answer: Liver
8 year old child with longitudinal thigh lacerations - Answer: Sign of child abuse
Bleeding around belly button - Answer: Cullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? - Answer:
Carboxyhemoglobin (increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body -
Answer: Biomechanics
Study of energy transfer as it applies to identifying actual or potential injuries -
Answer: Kinematics
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Refers to the separation of tissue resulting from a sound and/or hydraulic wave
force- the effect is a crushing pressure wave which creates a temporary cavity,
followed by a rapid and violent closing of the cavity. - Answer: Cavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue -
Answer: Cavitation
Used in OR; does not provide protection against aspiration and not recommended
in patients who have eaten recently. It is a supraglottic airway. - Answer: Laryngeal
Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis
opening between an esophageal cuff and an oropharyngeal cuff. Designed with 2
ports/lumens each with a separate cuff. Does NOT provide protection against
aspiration and is not indicated in children. It is a retroglottic airway. - Answer: King
Tube
Types of Shock (4) - Answer: Hypovolemic, Obstructive, Cardiogenic, Distributive
Hemorrhage is the leading cause. Can result from vomiting, diarrhea, and burn
trauma. Decreased circulating volume --> decreased preload. Therapy includes
replacing the type of volume that was lost. - Answer: Hypovolemic Shock