TNCC 9th exam | 50 REAL EXAM QUESTIONS WITH CORRECT
SOLUTION | 100% RATED CORRECT | ALREADY GRADED A+| 2025
LATEST UPDATED
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.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered. - (Correct Answer)A.Decrease the rate of manual
ventilation.
An older adult presents to the emergency department with complaints of dizziness, headache, and
nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no loss of
consciousness and a hematoma is noted to the forehead. The patient is currently on anticoagulant
therapy. What is most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - (Correct Answer)post-concussive syndrome
A patient with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
A.Elevating the leg above the level of the heart
还是指某个特定的词或概念
？
,B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - (Correct Answer)C.Elevating the leg to the
level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest. Which
finding is most consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - (Correct Answer)Bowel sounds heard in the left
lower chest
A patient has been in the emergency department for several hours waiting to be admitted. They
sustained multiple rib fractures and a femur fracture after a fall. The patient has been awake,
alert, and complaining of leg pain. Their spouse reported that the patient suddenly became
anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. The patient is exhibiting signs and symptoms most commonly associated
with which of the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - (Correct Answer)fat embolism
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last
week. What is the most appropriate intervention from triage for these patients?
还是指某个特定的词或概念
？
, A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - (Correct Answer)Immediately initiate
isolation precautions
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - (Correct Answer)Globe rupture
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - (Correct Answer)Voluntary anal sphincter tone
While caring for a trauma patient in the emergency department, what finding raises suspicion of
a complete spinal cord injury?
A.Weakness in the lower extremities
B.Urinary incontinence
还是指某个特定的词或概念
？
SOLUTION | 100% RATED CORRECT | ALREADY GRADED A+| 2025
LATEST UPDATED
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.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered. - (Correct Answer)A.Decrease the rate of manual
ventilation.
An older adult presents to the emergency department with complaints of dizziness, headache, and
nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no loss of
consciousness and a hematoma is noted to the forehead. The patient is currently on anticoagulant
therapy. What is most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - (Correct Answer)post-concussive syndrome
A patient with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
A.Elevating the leg above the level of the heart
还是指某个特定的词或概念
？
,B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - (Correct Answer)C.Elevating the leg to the
level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest. Which
finding is most consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - (Correct Answer)Bowel sounds heard in the left
lower chest
A patient has been in the emergency department for several hours waiting to be admitted. They
sustained multiple rib fractures and a femur fracture after a fall. The patient has been awake,
alert, and complaining of leg pain. Their spouse reported that the patient suddenly became
anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. The patient is exhibiting signs and symptoms most commonly associated
with which of the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - (Correct Answer)fat embolism
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last
week. What is the most appropriate intervention from triage for these patients?
还是指某个特定的词或概念
？
, A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - (Correct Answer)Immediately initiate
isolation precautions
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - (Correct Answer)Globe rupture
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - (Correct Answer)Voluntary anal sphincter tone
While caring for a trauma patient in the emergency department, what finding raises suspicion of
a complete spinal cord injury?
A.Weakness in the lower extremities
B.Urinary incontinence
还是指某个特定的词或概念
？
