Excellence is key | 2024/2025 ~Page |1
TNCC 9th Edition Questions & 100%
Correct Answers- Latest Test | Graded A+
| Passed
You are caring for a patient who was thrown from a bike and was not wearing a helmet.
While performing the head-to-toe assessment, you note clear drainage from the right ear.
Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
֎ -:- C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-
speed motor vehicle collision. When significant abdominal and pelvic injuries are noted in
the primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
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, Excellence is key | 2024/2025 ~Page |2
D. Place an indwelling urinary catheter
֎ -:- A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by
private vehicle. The patient is confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in proximity to an obvious deformity of the
left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
֎ -:- A. Initiate cervical spine stabilization
An adult patient 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 patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is
the most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
26/08/2024 | © Copyright- This work may not be copied for profit.
, Excellence is key | 2024/2025 ~Page |3
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
֎ -:- A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-over"
with prolonged extrication. Assessment reveals swelling and bruising to the right proximal
thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is the most appropriate
initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
֎ -:- B. Application of a pelvic binder
An adult arrives at the emergency department with superficial burns to the extremities
following a house fire. The patient is reporting a headache with nausea and is drowsy and
confused. What is the most likely cause of these symptoms?
26/08/2024 | © Copyright- This work may not be copied for profit.
TNCC 9th Edition Questions & 100%
Correct Answers- Latest Test | Graded A+
| Passed
You are caring for a patient who was thrown from a bike and was not wearing a helmet.
While performing the head-to-toe assessment, you note clear drainage from the right ear.
Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
֎ -:- C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-
speed motor vehicle collision. When significant abdominal and pelvic injuries are noted in
the primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
26/08/2024 | © Copyright- This work may not be copied for profit.
, Excellence is key | 2024/2025 ~Page |2
D. Place an indwelling urinary catheter
֎ -:- A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by
private vehicle. The patient is confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in proximity to an obvious deformity of the
left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
֎ -:- A. Initiate cervical spine stabilization
An adult patient 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 patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is
the most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
26/08/2024 | © Copyright- This work may not be copied for profit.
, Excellence is key | 2024/2025 ~Page |3
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
֎ -:- A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-over"
with prolonged extrication. Assessment reveals swelling and bruising to the right proximal
thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is the most appropriate
initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
֎ -:- B. Application of a pelvic binder
An adult arrives at the emergency department with superficial burns to the extremities
following a house fire. The patient is reporting a headache with nausea and is drowsy and
confused. What is the most likely cause of these symptoms?
26/08/2024 | © Copyright- This work may not be copied for profit.
