TNCC Written Exam Questions and
Answers 2025-2026(Distinction
guaranteed)
What \is \the \best \measure \of \the \adequacy \of \cellular \perfusion \and \helps \predict \the \outcome \
of \resuscitation? \- \ANSBase \deficit \used \in \conjunction \with \serum \lactate
Will \hypocapnia \cause \vasoconstriction \or \vasodilation, \especially \in \the \cerebral \
vasculature? \- \ANSVasoconstriction
What \results \from \tissue \hypo \perfusion \and \oxygen \deficit? \- \ANSMetabolic \acidosis
What \type \of \shock \results \in \generalized \vasodilation? \- \ANSNeurogenic \shock
Spinal \cord \injuries \at \C3-C5 \causes \loss \of \what \nerves \function, \resulting \in \what? \- \
ANSPhrenic \nerve; \paralyzed \diaphragm \and \inability \to \breath
Extremity \elevation \AT \the \level \of \the \heart \is \beneficial \for \what \type \of \injury? \- \
ANSCompartment \Syndrome
What \is \a \high \risk \of \frostbite? \- \ANSThrombus \formation
What \two \medications \can \be \administered \to \maintain \perfusion \after \a \frostbite \injury \along \
with \rewarming? \- \ANSTissue \plasminogen \activator \or \non \steroidal \anti-inflammatory \
medication \(NSAIDS)
An \rise \in \diastolic \blood \pressures \is \a \sign \of \increasing \what? \- \ANSPeripheral \resistance
, What \position \will \benefit \the \airway \and \work \of \breathing \for \the \bariatric \patient? \- \
ANSReverse \Trendelenburg
Which \phase \of \a \blast \results \from \flying \debris, \projectiles, \and \bomb \fragments \causing \
lacerations \or \penetrating \injuries? \- \ANSSecondary \Phase
What \phase \of \a \blast \results \from \any \explosion-related \illness \or \injury \including \
hyperglycemia, \hypertension, \angina, \asthma, \COPD, \or \sepsis? \- \ANSQuaternary \Phase
What \phase \of \a \blast \results \from \individuals \being \thrown \by \the \blast \and \impacting \walls, \
ground, \or \any \hard \object? \- \ANSTertiary \Phase
What \phase \of \a \blast \results \from \impact \of \the \over \and \under \pressurization \wave \with \
body \surfaces. \Injuries \include \blast \lung, \tympanic \membrane \rupture, \abdominal \
hemorrhage, \globe \rupture, \and \mild \traumatic \brain \injury? \- \ANSPrimary \Phase
Signs \of \what \include \muscle \pain \or \weakness, \dark \red \or \brown \urine, \general \weakness \or \
malaise, \and \elevated \creatinine \kinase \levels? \- \ANSRhabdomyolosis
Signs \of \what \include \anxiety, \pleuritic \chest \pain, \dyspnea, \hypoxemia, \hemoptysis, \cough, \
orthopnea, \adventitious \lung \sounds, \decreased \lung \sounds, \jugular \vein \distention, \or \
hypotension? \- \ANSPulmonary \Embolus
Signs \of \what \include \headache, \nausea \and \vomiting, \amnesia, \behavioral \changes, \altered \
level \of \consciousness? \- \ANSIncreased \intracranial \pressure
Signs \of \what \include \asymmetric \pupillary \reactivity, \unilateral \dilation, \widening \pulse \
pressure, \abnormal \motor \posturing, \bradycardia, \and \decreased \respiratory \effort? \- \ANSLate \
signs \of \increased \ICP \with \Herniation \Syndrome
Answers 2025-2026(Distinction
guaranteed)
What \is \the \best \measure \of \the \adequacy \of \cellular \perfusion \and \helps \predict \the \outcome \
of \resuscitation? \- \ANSBase \deficit \used \in \conjunction \with \serum \lactate
Will \hypocapnia \cause \vasoconstriction \or \vasodilation, \especially \in \the \cerebral \
vasculature? \- \ANSVasoconstriction
What \results \from \tissue \hypo \perfusion \and \oxygen \deficit? \- \ANSMetabolic \acidosis
What \type \of \shock \results \in \generalized \vasodilation? \- \ANSNeurogenic \shock
Spinal \cord \injuries \at \C3-C5 \causes \loss \of \what \nerves \function, \resulting \in \what? \- \
ANSPhrenic \nerve; \paralyzed \diaphragm \and \inability \to \breath
Extremity \elevation \AT \the \level \of \the \heart \is \beneficial \for \what \type \of \injury? \- \
ANSCompartment \Syndrome
What \is \a \high \risk \of \frostbite? \- \ANSThrombus \formation
What \two \medications \can \be \administered \to \maintain \perfusion \after \a \frostbite \injury \along \
with \rewarming? \- \ANSTissue \plasminogen \activator \or \non \steroidal \anti-inflammatory \
medication \(NSAIDS)
An \rise \in \diastolic \blood \pressures \is \a \sign \of \increasing \what? \- \ANSPeripheral \resistance
, What \position \will \benefit \the \airway \and \work \of \breathing \for \the \bariatric \patient? \- \
ANSReverse \Trendelenburg
Which \phase \of \a \blast \results \from \flying \debris, \projectiles, \and \bomb \fragments \causing \
lacerations \or \penetrating \injuries? \- \ANSSecondary \Phase
What \phase \of \a \blast \results \from \any \explosion-related \illness \or \injury \including \
hyperglycemia, \hypertension, \angina, \asthma, \COPD, \or \sepsis? \- \ANSQuaternary \Phase
What \phase \of \a \blast \results \from \individuals \being \thrown \by \the \blast \and \impacting \walls, \
ground, \or \any \hard \object? \- \ANSTertiary \Phase
What \phase \of \a \blast \results \from \impact \of \the \over \and \under \pressurization \wave \with \
body \surfaces. \Injuries \include \blast \lung, \tympanic \membrane \rupture, \abdominal \
hemorrhage, \globe \rupture, \and \mild \traumatic \brain \injury? \- \ANSPrimary \Phase
Signs \of \what \include \muscle \pain \or \weakness, \dark \red \or \brown \urine, \general \weakness \or \
malaise, \and \elevated \creatinine \kinase \levels? \- \ANSRhabdomyolosis
Signs \of \what \include \anxiety, \pleuritic \chest \pain, \dyspnea, \hypoxemia, \hemoptysis, \cough, \
orthopnea, \adventitious \lung \sounds, \decreased \lung \sounds, \jugular \vein \distention, \or \
hypotension? \- \ANSPulmonary \Embolus
Signs \of \what \include \headache, \nausea \and \vomiting, \amnesia, \behavioral \changes, \altered \
level \of \consciousness? \- \ANSIncreased \intracranial \pressure
Signs \of \what \include \asymmetric \pupillary \reactivity, \unilateral \dilation, \widening \pulse \
pressure, \abnormal \motor \posturing, \bradycardia, \and \decreased \respiratory \effort? \- \ANSLate \
signs \of \increased \ICP \with \Herniation \Syndrome
