TNCC 9TH EDITION TNP EXAM 2025 WITH
ACCURATE SOLUTIONS
1. If a patient presents with cherry red skin and altered mental status,
what should be your immediate course of action?
Administer oxygen therapy and assess for carbon monoxide
exposure.
Perform a complete blood count to check for
anemia. Initiate intravenous fluid resuscitation.
Conduct a CT scan of the head to rule out a stroke.
2. What bodily activity that results from hypothermia robs the trauma victim
of much-needed metabolic resources?
Correct answer
Shivering
3. What is a common physical examination finding associated with carbon
monoxide poisoning?
Jaundice
Pallor
Cherry red skin
Cyanosis
,4. In a scenario where a patient with tension pneumothorax is unresponsive
and has decreased breath sounds on one side, what immediate
action
should be taken?
Start a rapid sequence intubation
Administer intravenous fluids
Initiate chest compressions
Perform needle decompression
5. What is the expected change in hematocrit levels due to burn trauma?
Rise
Remain unchanged while hemoglobin levels
drop Fall
Rise initially then fall dramatically
6. Describe the role of shivering in thermoregulation during trauma care.
Shivering has no effect on body temperature.
Shivering helps to increase body temperature by generating
heat through muscle contractions.
Shivering is a response to increased blood flow to the skin.
Shivering decreases body temperature by promoting heat loss.
7. Discuss why chromic catgut sutures are more likely to cause
hypersensitivity compared to other types of sutures.
Chromic catgut sutures are used only in non-sensitive patients.
Chromic catgut sutures are made from natural materials that
can provoke an immune response, leading to hypersensitivity.
, Chromic catgut sutures are coated with materials that prevent
hypersensitivity.
Chromic catgut sutures are synthetic and do not cause immune
reactions.
8. What medication is indicated for a patient on a mechanical ventilator who
is fighting the machine and has elevated peak airway pressures?
Vecuronium
Benzodiazepines
Baclofen
Barbiturates
9. What is the first step in managing a patient diagnosed with tension
pneumothorax?
Applying a bandage
Performing CPR
Administering oxygen
Needle decompression/thoracotomy
10. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies
to this patient?
His pulse pressure will be widened.
An ABG would demonstrate a base deficit between -6 and -10
mEq/L.
His systolic blood pressure will be maintained with an
elevated diastolic pressure.
ACCURATE SOLUTIONS
1. If a patient presents with cherry red skin and altered mental status,
what should be your immediate course of action?
Administer oxygen therapy and assess for carbon monoxide
exposure.
Perform a complete blood count to check for
anemia. Initiate intravenous fluid resuscitation.
Conduct a CT scan of the head to rule out a stroke.
2. What bodily activity that results from hypothermia robs the trauma victim
of much-needed metabolic resources?
Correct answer
Shivering
3. What is a common physical examination finding associated with carbon
monoxide poisoning?
Jaundice
Pallor
Cherry red skin
Cyanosis
,4. In a scenario where a patient with tension pneumothorax is unresponsive
and has decreased breath sounds on one side, what immediate
action
should be taken?
Start a rapid sequence intubation
Administer intravenous fluids
Initiate chest compressions
Perform needle decompression
5. What is the expected change in hematocrit levels due to burn trauma?
Rise
Remain unchanged while hemoglobin levels
drop Fall
Rise initially then fall dramatically
6. Describe the role of shivering in thermoregulation during trauma care.
Shivering has no effect on body temperature.
Shivering helps to increase body temperature by generating
heat through muscle contractions.
Shivering is a response to increased blood flow to the skin.
Shivering decreases body temperature by promoting heat loss.
7. Discuss why chromic catgut sutures are more likely to cause
hypersensitivity compared to other types of sutures.
Chromic catgut sutures are used only in non-sensitive patients.
Chromic catgut sutures are made from natural materials that
can provoke an immune response, leading to hypersensitivity.
, Chromic catgut sutures are coated with materials that prevent
hypersensitivity.
Chromic catgut sutures are synthetic and do not cause immune
reactions.
8. What medication is indicated for a patient on a mechanical ventilator who
is fighting the machine and has elevated peak airway pressures?
Vecuronium
Benzodiazepines
Baclofen
Barbiturates
9. What is the first step in managing a patient diagnosed with tension
pneumothorax?
Applying a bandage
Performing CPR
Administering oxygen
Needle decompression/thoracotomy
10. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies
to this patient?
His pulse pressure will be widened.
An ABG would demonstrate a base deficit between -6 and -10
mEq/L.
His systolic blood pressure will be maintained with an
elevated diastolic pressure.
