TNCC test prep A Explore New
Questions and Answers|2026 Update |
100% Correct.
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT ANSWER-hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - CORRECT
ANSWER-acidosis
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? - CORRECT
ANSWER-Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? - CORRECT ANSWER-flucuation in the water seal
chamber
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? - CORRECT ANSWER-insert an oropharyngeal airway if there is no gag reflex
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? -
CORRECT ANSWER-globe rupture
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? - CORRECT ANSWER-
compensated
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? - CORRECT ANSWER-ventilate with a bag mask
device
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
, the following is the priority intervention for this patient? - CORRECT ANSWER-Expedite
transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - CORRECT ANSWER-a pertinent medical hx is crucial
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? - CORRECT ANSWER-Mitigation
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? - CORRECT ANSWER-Multiple
requests for water
When is the tertiary survey completed fora trauma pt? - CORRECT ANSWER-within 24
hrs of trauma
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? - CORRECT ANSWER-pressure
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? -
CORRECT ANSWER-placental abruption
Which of the following is true about the log-roll? - CORRECT ANSWER-it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - CORRECT ANSWER-defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - CORRECT ANSWER-pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - CORRECT ANSWER-padding the upper back
while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - CORRECT
ANSWER-bowel
Questions and Answers|2026 Update |
100% Correct.
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT ANSWER-hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - CORRECT
ANSWER-acidosis
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? - CORRECT
ANSWER-Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? - CORRECT ANSWER-flucuation in the water seal
chamber
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? - CORRECT ANSWER-insert an oropharyngeal airway if there is no gag reflex
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? -
CORRECT ANSWER-globe rupture
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? - CORRECT ANSWER-
compensated
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? - CORRECT ANSWER-ventilate with a bag mask
device
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
, the following is the priority intervention for this patient? - CORRECT ANSWER-Expedite
transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - CORRECT ANSWER-a pertinent medical hx is crucial
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? - CORRECT ANSWER-Mitigation
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? - CORRECT ANSWER-Multiple
requests for water
When is the tertiary survey completed fora trauma pt? - CORRECT ANSWER-within 24
hrs of trauma
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? - CORRECT ANSWER-pressure
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? -
CORRECT ANSWER-placental abruption
Which of the following is true about the log-roll? - CORRECT ANSWER-it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - CORRECT ANSWER-defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - CORRECT ANSWER-pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - CORRECT ANSWER-padding the upper back
while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - CORRECT
ANSWER-bowel
