TNCC 9TH EDITION TNP FINAL EXAM WITH
REAL QUESTIONS AND WELL VERIFIED
ANSWERS|| ALREADY GRADED A+ ||
GUARANTEED PASS || LATEST VERSION 2025
A patient arrives at the emergency department by private vehicle after
sustaining an injury to the right lower extremity while using a saw. There is a
large gaping wound to the right thigh area with significant bleeding. What is the
priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - ANSWER-B. Initiate
direct pressure
The first step in controlling any bleeding is application of direct pressure.
A patient involved in a MVC has sustained a fracture to the second rib of the
anterior left chest. Which concurrent injury is most commonly associated with
this fracture?
A. Blunt Cardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax - ANSWER-B. Brachial plexus injury
First and second rib fractures are most commonly associated with great vessel,
head and spinal cord, and brachial plexus injuries.
,A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management for this
patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - ANSWER-A. Maintain adequate respiratory
status
Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
resulting in paralyzed diaphragm and inability to breathe. Maintenance of
respiratory function is the highest priority.
What is the lead cause of preventable death for the trauma patient in the
prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - ANSWER-D. Uncontrolled external
hemorrhage
Uncontrolled external hemorrhage is the leading cause of preventable death
after injury in the prehospital environment; assessment to identify uncontrolled
external hemorrhage is key to the initial assessment process, beginning with the
general impression.
Understanding the kinematic concepts associated with the mechanism of injury
and energy transfer can initially assist the trauma care provider in which of the
following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
,D. Predicting the need for a surgical procedure - ANSWER-A. Anticipating the
types of injuries the may be present
Mechanism of injury and energy transfer can assist the provider in anticipating
and evaluation the types of injuries that may be present and their severity.
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 behaviors would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification
examination
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 -
ANSWER-A. They are talking about taking the emergency nursing certification
examination
This is an indication the nurse is taking positive steps to advance their own
practice, a sign of resilience.
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
A. Bradycardia
B. Loss of reflexes
C. Widened pulse pressure
D. Warm skin - ANSWER-B. Loss of reflexes
*A patient with a traumatic brain injury has a mean arterial pressure (MAP) of
65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93
kPa). Which finding is most likely an indication of the body's response to these
findings?
, A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ANSWER-D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The patient
is on a backboard with a cervical collar in place and one intravenous line
running. Respirations are shallow and there is active brisk bleeding from a large
leg wound. What is the priority intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device - ANSWER-B.Control the bleeding
*An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube?
A.Reverse Trendelenburg
B.Lying on side
C.Ramped
D.Supine - ANSWER-C.Ramped
*Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and subsequent
Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has
bilateral subdural hematomas and is awaiting transfer to the ICU. Your next
assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing
intervention?
REAL QUESTIONS AND WELL VERIFIED
ANSWERS|| ALREADY GRADED A+ ||
GUARANTEED PASS || LATEST VERSION 2025
A patient arrives at the emergency department by private vehicle after
sustaining an injury to the right lower extremity while using a saw. There is a
large gaping wound to the right thigh area with significant bleeding. What is the
priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - ANSWER-B. Initiate
direct pressure
The first step in controlling any bleeding is application of direct pressure.
A patient involved in a MVC has sustained a fracture to the second rib of the
anterior left chest. Which concurrent injury is most commonly associated with
this fracture?
A. Blunt Cardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax - ANSWER-B. Brachial plexus injury
First and second rib fractures are most commonly associated with great vessel,
head and spinal cord, and brachial plexus injuries.
,A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management for this
patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - ANSWER-A. Maintain adequate respiratory
status
Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
resulting in paralyzed diaphragm and inability to breathe. Maintenance of
respiratory function is the highest priority.
What is the lead cause of preventable death for the trauma patient in the
prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - ANSWER-D. Uncontrolled external
hemorrhage
Uncontrolled external hemorrhage is the leading cause of preventable death
after injury in the prehospital environment; assessment to identify uncontrolled
external hemorrhage is key to the initial assessment process, beginning with the
general impression.
Understanding the kinematic concepts associated with the mechanism of injury
and energy transfer can initially assist the trauma care provider in which of the
following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
,D. Predicting the need for a surgical procedure - ANSWER-A. Anticipating the
types of injuries the may be present
Mechanism of injury and energy transfer can assist the provider in anticipating
and evaluation the types of injuries that may be present and their severity.
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 behaviors would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification
examination
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 -
ANSWER-A. They are talking about taking the emergency nursing certification
examination
This is an indication the nurse is taking positive steps to advance their own
practice, a sign of resilience.
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
A. Bradycardia
B. Loss of reflexes
C. Widened pulse pressure
D. Warm skin - ANSWER-B. Loss of reflexes
*A patient with a traumatic brain injury has a mean arterial pressure (MAP) of
65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93
kPa). Which finding is most likely an indication of the body's response to these
findings?
, A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ANSWER-D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The patient
is on a backboard with a cervical collar in place and one intravenous line
running. Respirations are shallow and there is active brisk bleeding from a large
leg wound. What is the priority intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device - ANSWER-B.Control the bleeding
*An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube?
A.Reverse Trendelenburg
B.Lying on side
C.Ramped
D.Supine - ANSWER-C.Ramped
*Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and subsequent
Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has
bilateral subdural hematomas and is awaiting transfer to the ICU. Your next
assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing
intervention?
