TECC EXAM (ACTUAL 2025/2026) COMPLETE 250 QUESTIONS
AND 100% CORRECT DETAILED ANSWERS
40) Prior to placing a casualty on a litter for evacuation, you
observe significant swelling to the patient's left upper arm.
Upon further examination, it is apparent that capillary refill is
delayed, the extremity is cool to the touch, and the radial pulse
is weak. What should you suspect?
A) Hypotension
B) Cardiac tamponade
C) Hemorrhagic shock
D) Closed humeral fracture - --Answewrs---D.
41) A police officer was shot in the neck and arm while
investigating a suspicious person at a convenience store. The
officer was able to walk back from his patrol car and call for
help. The suspect has been apprehended by other responding
officers. As you approach the wounded officer, he appears to
be disoriented. What should you do?
A) Ensure the officer's weapons are secured
B) Initiate IV access
C) Treat the junctional wound
D) Treat the extremity wound - --Answewrs---A.
,42) A police officer is wounded and unable to self-extract from
the point of injury. The nearest cover is approximately 10 feet
away. The officer appears to have a broken leg in addition to
multiple penetrating wounds. Which casualty movement
technique is appropriate?
A) Pack-strap carry
B) One-person drag
C) Rigid litter
D) Poleless litter - --Answewrs---B.
43) What side-effect does morphine have on the
cardiovascular system?
A) Dromotropic
B) Vasoconstriction
C) Increases cardiac output
D) Vasodilation - --Answewrs---D.
44) A 25 year old male has a gunshot wound to the left leg. A
tourniquet was applied to control bleeding and he is managing
his airway. In the Casualty Collection Point, he is anxious with
a weak radial pulse and is shivering. What should you do?
A) Administer warmed 1,000 mL IV infusion
B) Initiate skin-to-skin contact warming
C) Administer warmed blood product with a disposable blanket
, D) Remove wet clothing and apply a thermal barrier - --
Answewrs---D.
45) Which parameters are appropriate for adult needle
decompression and are documented to have a high success
rate, especially in patients with higher body mass index (BMI)?
A) Fifth intercostal space, midaxillary line, 14-gauge, 1.25
needle
B) Second intercostal space, midaxillary line, 14-gauge, 3.25
needle
C) Second intercostal space, midclavicular line, 14-gauge, 1.25
needle
D) Fifth intercostal space, anterior axillary line, 14-gauge, 3.25
needle - --Answewrs---D.
46) What is the preferred route to establish vascular access
for fluid resuscitation in the TECC setting?
A) 18 gauge catheter with a saline lock
B) Bilateral 20 gauge catheters without a saline lock
C) 14 gauge catheter without a saline lock
D) Bilateral 16 gauge catheters with a saline lock - --
Answewrs---A.
47) A 39 year old female casualty is bleeding from a junctional
wound. What should you do?
AND 100% CORRECT DETAILED ANSWERS
40) Prior to placing a casualty on a litter for evacuation, you
observe significant swelling to the patient's left upper arm.
Upon further examination, it is apparent that capillary refill is
delayed, the extremity is cool to the touch, and the radial pulse
is weak. What should you suspect?
A) Hypotension
B) Cardiac tamponade
C) Hemorrhagic shock
D) Closed humeral fracture - --Answewrs---D.
41) A police officer was shot in the neck and arm while
investigating a suspicious person at a convenience store. The
officer was able to walk back from his patrol car and call for
help. The suspect has been apprehended by other responding
officers. As you approach the wounded officer, he appears to
be disoriented. What should you do?
A) Ensure the officer's weapons are secured
B) Initiate IV access
C) Treat the junctional wound
D) Treat the extremity wound - --Answewrs---A.
,42) A police officer is wounded and unable to self-extract from
the point of injury. The nearest cover is approximately 10 feet
away. The officer appears to have a broken leg in addition to
multiple penetrating wounds. Which casualty movement
technique is appropriate?
A) Pack-strap carry
B) One-person drag
C) Rigid litter
D) Poleless litter - --Answewrs---B.
43) What side-effect does morphine have on the
cardiovascular system?
A) Dromotropic
B) Vasoconstriction
C) Increases cardiac output
D) Vasodilation - --Answewrs---D.
44) A 25 year old male has a gunshot wound to the left leg. A
tourniquet was applied to control bleeding and he is managing
his airway. In the Casualty Collection Point, he is anxious with
a weak radial pulse and is shivering. What should you do?
A) Administer warmed 1,000 mL IV infusion
B) Initiate skin-to-skin contact warming
C) Administer warmed blood product with a disposable blanket
, D) Remove wet clothing and apply a thermal barrier - --
Answewrs---D.
45) Which parameters are appropriate for adult needle
decompression and are documented to have a high success
rate, especially in patients with higher body mass index (BMI)?
A) Fifth intercostal space, midaxillary line, 14-gauge, 1.25
needle
B) Second intercostal space, midaxillary line, 14-gauge, 3.25
needle
C) Second intercostal space, midclavicular line, 14-gauge, 1.25
needle
D) Fifth intercostal space, anterior axillary line, 14-gauge, 3.25
needle - --Answewrs---D.
46) What is the preferred route to establish vascular access
for fluid resuscitation in the TECC setting?
A) 18 gauge catheter with a saline lock
B) Bilateral 20 gauge catheters without a saline lock
C) 14 gauge catheter without a saline lock
D) Bilateral 16 gauge catheters with a saline lock - --
Answewrs---A.
47) A 39 year old female casualty is bleeding from a junctional
wound. What should you do?
