2025 TNCC Exam Questions (1-100) with 100% Correct Answers

TNCC Exam Questions (1-100)
1. What is the primary goal of the primary survey in trauma care?
A. To identify all fractures
B. To address life-threatening conditions immediately
C. To perform a detailed neurological exam
D. To administer pain medication
Answer: B. To address life-threatening conditions immediately

2. Which of the following is the correct order of the primary survey
in TNCC?
A. Airway, Breathing, Circulation, Disability, Exposure
B. Breathing, Airway, Circulation, Disability, Exposure
C. Circulation, Airway, Breathing, Disability, Exposure
D. Disability, Airway, Breathing, Circulation, Exposure
Answer: A. Airway, Breathing, Circulation, Disability, Exposure

3. A patient with a flail chest is most likely to exhibit which of the
following?
A. Paradoxical chest movement
B. Decreased heart rate
C. Absent breath sounds on one side
D. Hyperresonance to percussion
Answer: A. Paradoxical chest movement

4. Which of the following is the most appropriate fluid for initial
resuscitation in a trauma patient?
A. 5% Dextrose in Water
B. 0.9% Normal Saline
C. Lactated Ringer’s
D. Packed Red Blood Cells
Answer: C. Lactated Ringer’s

5. A patient with a suspected spinal injury should be immobilized in
which position?
A. Supine with the head elevated
B. Lateral recumbent position
C. Supine with inline spinal stabilization
D. Prone position
Answer: C. Supine with inline spinal stabilization

6. Which of the following is a sign of increased intracranial pressure
(ICP)?
A. Bradycardia
B. Hypertension
C. Widening pulse pressure

,D. All of the above
Answer: D. All of the above

7. What is the most common cause of shock in trauma patients?
A. Cardiogenic shock
B. Hypovolemic shock
C. Neurogenic shock
D. Septic shock
Answer: B. Hypovolemic shock

8. A patient with a tension pneumothorax will most likely present
with which of the following?
A. Tracheal deviation to the affected side
B. Absent breath sounds on the unaffected side
C. Tracheal deviation to the unaffected side
D. Hyperresonance on the unaffected side
Answer: C. Tracheal deviation to the unaffected side

9. Which of the following is the most appropriate intervention for a
patient with a tension pneumothorax?
A. Needle decompression
B. Chest tube insertion
C. Administer high-flow oxygen
D. Perform a tracheostomy
Answer: A. Needle decompression

10. What is the minimum Glasgow Coma Scale (GCS) score that
indicates severe traumatic brain injury?
A. 15
B. 12
C. 8
D. 3
Answer: C. 8

11. Which of the following is a late sign of shock?
A. Tachycardia
B. Hypotension
C. Restlessness
D. Cool, clammy skin
Answer: B. Hypotension

12. What is the first step in managing a patient with a compromised
airway?
A. Administer oxygen
B. Perform a jaw thrust maneuver
C. Intubate the patient

, D. Suction the airway
Answer: B. Perform a jaw thrust maneuver

13. Which of the following is a contraindication for nasopharyngeal
airway insertion?
A. Facial trauma
B. Unconscious patient
C. GCS score of 8
D. Tachycardia
Answer: A. Facial trauma

14. What is the most common cause of airway obstruction in an
unconscious trauma patient?
A. Foreign body
B. Tongue
C. Blood clots
D. Vomitus
Answer: B. Tongue

15. Which of the following is the most appropriate initial
intervention for a patient with a sucking chest wound?
A. Apply a sterile occlusive dressing
B. Insert a chest tube
C. Administer high-flow oxygen
D. Perform needle decompression
Answer: A. Apply a sterile occlusive dressing

16. What is the most common type of shock in pediatric trauma
patients?
A. Cardiogenic shock
B. Hypovolemic shock
C. Neurogenic shock
D. Septic shock
Answer: B. Hypovolemic shock

17. Which of the following is a sign of pericardial tamponade?
A. Hypertension
B. Muffled heart sounds
C. Bounding pulses
D. Bradycardia
Answer: B. Muffled heart sounds

18. What is the most appropriate fluid for resuscitation in a
pediatric trauma patient?
A. 5% Dextrose in Water
B. 0.9% Normal Saline