TNCC ENA 9th Edition Pre Test 2026
Exam Questions And Answers Already
Graded A+
While performing an assessment on a 13-month-old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a sign of
possible altered mental status?
A. Sunken fontanel
B. Crying, but consolable
C. Spontaneous movement of arms and legs
D. Cooperation with the assessment - CORRECT ANSWER-D. Cooperation with the
assessment
Rationale: An alert older infant or toddler will recognize their caregiver, be cautious of
strangers, and may not respond to commands or cooperate, which are normal.
What is the best measure of the adequacy of the cellular perfusion and can help to
predict the outcome of resuscitation?
A. End-tidal carbon dioxide
B. Hematocrit
C. Base deficit
D. Oxygen saturation - CORRECT ANSWER-C. Base deficit
Rationale: Base deficit serves as an endpoint measurement of the adequacy of cellular
perfusion and, when used in conjunction with serum lactate, helps predict the success
of the resuscitation.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially - CORRECT
ANSWER-B. Apply gentle pressure over the iliac crests, downward and medially
, Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac
crests, downward and medially.
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of the
following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department - CORRECT
ANSWER-A. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their own
practice, a sign of resilience. B indicates the nurse is still not ready to return to their
previous level of engagement in their job. C shows signs of burnout, irritability and
frustration. D shows decreased satisfaction with the job, a sign of burnout.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mmHg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome - CORRECT ANSWER-B. Normal vital signs in
pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This
is also a small decrease in systolic blood pressure and a larger decrease in diastolic
blood pressure due to a decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute.
Which of the following is considered a cornerstone of a high-performance trauma team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication - CORRECT ANSWER-D. Effective communication
Rationale: Skilled communication, cooperation, and coordination are the cornerstones
of high-performance and high-quality trauma care.
Exam Questions And Answers Already
Graded A+
While performing an assessment on a 13-month-old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a sign of
possible altered mental status?
A. Sunken fontanel
B. Crying, but consolable
C. Spontaneous movement of arms and legs
D. Cooperation with the assessment - CORRECT ANSWER-D. Cooperation with the
assessment
Rationale: An alert older infant or toddler will recognize their caregiver, be cautious of
strangers, and may not respond to commands or cooperate, which are normal.
What is the best measure of the adequacy of the cellular perfusion and can help to
predict the outcome of resuscitation?
A. End-tidal carbon dioxide
B. Hematocrit
C. Base deficit
D. Oxygen saturation - CORRECT ANSWER-C. Base deficit
Rationale: Base deficit serves as an endpoint measurement of the adequacy of cellular
perfusion and, when used in conjunction with serum lactate, helps predict the success
of the resuscitation.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially - CORRECT
ANSWER-B. Apply gentle pressure over the iliac crests, downward and medially
, Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac
crests, downward and medially.
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of the
following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department - CORRECT
ANSWER-A. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their own
practice, a sign of resilience. B indicates the nurse is still not ready to return to their
previous level of engagement in their job. C shows signs of burnout, irritability and
frustration. D shows decreased satisfaction with the job, a sign of burnout.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mmHg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome - CORRECT ANSWER-B. Normal vital signs in
pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This
is also a small decrease in systolic blood pressure and a larger decrease in diastolic
blood pressure due to a decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute.
Which of the following is considered a cornerstone of a high-performance trauma team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication - CORRECT ANSWER-D. Effective communication
Rationale: Skilled communication, cooperation, and coordination are the cornerstones
of high-performance and high-quality trauma care.
