TNCC Test prep 8th Edition with
reviewed questions and answers
2024/2025
Expedite transfer to the closest trauma center - CORRECT ANSWER -A 56 y/o M
involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse
abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-
flow O2 via NRB mask. Which is the priority intervention for this patient?
a pertinent medical hx is crucial - CORRECT ANSWER -Which of the following
considerations is the most important when caring for a geriatric trauma pt?
Mitigation - CORRECT ANSWER -Following a review of recent drills and a real
disaster event, a hospital has identified deficiencies and is taking steps to minimize
the impact of a future disaster . Which phase of the disaster life cycle does this
describe?
smell of alcohol on breath - CORRECT ANSWER -EMS brings a pt who fell while
riding his bicycle. Using the American College of Surgeobs screening guidelines,
which assessment finding would prompt the RN to prepare the pt for a radiologic
spine clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT
ANSWER -What is the effect of hypothermia on the oxyhemoglobin dissociation
curve?
acidosis - CORRECT ANSWER -Which of the following is a component of the
trauma triad of death?
Complete - CORRECT ANSWER -EMS brings a pt from MVC. VS: BP 90/49, HR 48,
RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism.
These assessment findings are most consistent with which of the following types of
spinal cord injury?
flucuation in the water seal chamber - CORRECT ANSWER -Which of the following
is an expected finding in a pt with a tube thoracstomy connected to a chest drainage
system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWER -
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next?
, globe rupture - CORRECT ANSWER -A 35 y/o M presents with facial trauma after
being struck in the face with a baseball. A teardrop-shaped left pupil is noted on
exam. What type of injury is suspected?
compensated - CORRECT ANSWER -A trauma pt is restless and repeatedly asking
"where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry.
Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which
stage of shock?
ventilate with a bag mask device - CORRECT ANSWER -An unresponsive trauma pt
has an oropharygeal airway in place, shallow and labored respirations, and dusky
skin. The trauma team has administered medications for drug-assisted intubation
and attempted intubation but was unsuccessful. What is the most appropriate
immediate next step?
within 24 hrs of trauma - CORRECT ANSWER -When is the tertiary survey
completed fora trauma pt?
pressure - CORRECT ANSWER -An intubated and sedated pt in the ED has multiple
extremity injuries with the potential for causing compartment syndrome. What is the
most reliable indication of compartment syndrome in a patient who is unconscious?
worsening pneumothorax - CORRECT ANSWER -Which of the following is possible
complication of positive-pressure ventilation?
pelvic stability - CORRECT ANSWER -the most reassuring finding for a male pt with
hip pain after a fall is which of the following?
narrowed - CORRECT ANSWER -Which of the following pulse pressures indicate
early hypovolemic shock?
dysrhythmias - CORRECT ANSWER -Patients with a crush injury should be
monitored for which of the following conditions?
subdural hematoma - CORRECT ANSWER -Tearing of the bridging veins is most
frequently associated with which brain injury?
straight cath for urine sample - CORRECT ANSWER -A 20 y/o M presents to the ED
complaining of severe lower abd pain after landing hard on the bicycle cross bars
while preforming an aerial BMX maneuver. Secondary assessment reveals lower
abd tenderness and scrotal ecchymosis. Which of the following orders would the RN
question?
placental abruption - CORRECT ANSWER -You are caring for a pt who was involved
in a MVC and is 32 weeks pregnant. Findings of your secondary survey include abd
pain on palpation, fundal ht at the costal margin, and some dark bloody show.
Varying accelerations and decelerations are noted on cariocgraphy. These findings
are most consistent with which of the following?
reviewed questions and answers
2024/2025
Expedite transfer to the closest trauma center - CORRECT ANSWER -A 56 y/o M
involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse
abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-
flow O2 via NRB mask. Which is the priority intervention for this patient?
a pertinent medical hx is crucial - CORRECT ANSWER -Which of the following
considerations is the most important when caring for a geriatric trauma pt?
Mitigation - CORRECT ANSWER -Following a review of recent drills and a real
disaster event, a hospital has identified deficiencies and is taking steps to minimize
the impact of a future disaster . Which phase of the disaster life cycle does this
describe?
smell of alcohol on breath - CORRECT ANSWER -EMS brings a pt who fell while
riding his bicycle. Using the American College of Surgeobs screening guidelines,
which assessment finding would prompt the RN to prepare the pt for a radiologic
spine clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT
ANSWER -What is the effect of hypothermia on the oxyhemoglobin dissociation
curve?
acidosis - CORRECT ANSWER -Which of the following is a component of the
trauma triad of death?
Complete - CORRECT ANSWER -EMS brings a pt from MVC. VS: BP 90/49, HR 48,
RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism.
These assessment findings are most consistent with which of the following types of
spinal cord injury?
flucuation in the water seal chamber - CORRECT ANSWER -Which of the following
is an expected finding in a pt with a tube thoracstomy connected to a chest drainage
system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWER -
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next?
, globe rupture - CORRECT ANSWER -A 35 y/o M presents with facial trauma after
being struck in the face with a baseball. A teardrop-shaped left pupil is noted on
exam. What type of injury is suspected?
compensated - CORRECT ANSWER -A trauma pt is restless and repeatedly asking
"where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry.
Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which
stage of shock?
ventilate with a bag mask device - CORRECT ANSWER -An unresponsive trauma pt
has an oropharygeal airway in place, shallow and labored respirations, and dusky
skin. The trauma team has administered medications for drug-assisted intubation
and attempted intubation but was unsuccessful. What is the most appropriate
immediate next step?
within 24 hrs of trauma - CORRECT ANSWER -When is the tertiary survey
completed fora trauma pt?
pressure - CORRECT ANSWER -An intubated and sedated pt in the ED has multiple
extremity injuries with the potential for causing compartment syndrome. What is the
most reliable indication of compartment syndrome in a patient who is unconscious?
worsening pneumothorax - CORRECT ANSWER -Which of the following is possible
complication of positive-pressure ventilation?
pelvic stability - CORRECT ANSWER -the most reassuring finding for a male pt with
hip pain after a fall is which of the following?
narrowed - CORRECT ANSWER -Which of the following pulse pressures indicate
early hypovolemic shock?
dysrhythmias - CORRECT ANSWER -Patients with a crush injury should be
monitored for which of the following conditions?
subdural hematoma - CORRECT ANSWER -Tearing of the bridging veins is most
frequently associated with which brain injury?
straight cath for urine sample - CORRECT ANSWER -A 20 y/o M presents to the ED
complaining of severe lower abd pain after landing hard on the bicycle cross bars
while preforming an aerial BMX maneuver. Secondary assessment reveals lower
abd tenderness and scrotal ecchymosis. Which of the following orders would the RN
question?
placental abruption - CORRECT ANSWER -You are caring for a pt who was involved
in a MVC and is 32 weeks pregnant. Findings of your secondary survey include abd
pain on palpation, fundal ht at the costal margin, and some dark bloody show.
Varying accelerations and decelerations are noted on cariocgraphy. These findings
are most consistent with which of the following?
