TNCC 9th Edition TNP Exam with
Questions and Correct Answers Latest
2025-2026 GRADED A+
—What ,does ,the ,J ,stand ,for ,at ,the ,end ,of ,the ,secondary ,survey? ,- ,CORRECT
,ANSWER-just ,keep ,evaluating ,- ,vipp
—What ,does ,VIPP ,stand ,for? ,- ,CORRECT ,ANSWER-vital ,signs,
,injuries/interventions, ,primary ,survey, ,pain
—During ,the ,head-to-toe, ,where ,would ,you ,find ,Grey-Turner's ,sign? ,-
,CORRECT ,ANSWER-flank
—During ,the ,head-to-toe, ,where ,would ,you ,find ,Cullen's ,sign? ,- ,CORRECT
,ANSWER-umbilicus
-What ,is ,sometimes ,deferred ,at ,the ,end ,of ,the ,head-to-toe? ,- ,CORRECT
,ANSWER-inspecting ,posterior
-Antibiotics, ,consults, ,head ,CT, ,imaging, ,law ,enforcement, ,mandatory ,reporting,
,psychosocial ,support, ,social ,services, ,splinting, ,tetanus, ,and ,wound ,care ,are
,all ,interventions ,that ,you ,do ,AFTER ,and ,before ,WHAT? ,- ,CORRECT ,ANSWER-
AFTER ,head-to-toe, ,BEFORE ,J ,(VIPP)
-What ,three ,items ,are ,obtained ,during ,the ,pertinent ,history ,assessment? ,-
,CORRECT ,ANSWER-Medical ,records, ,prehospital ,report, ,SAMPLE
-What ,are ,examples ,of ,nonpharmacologic ,measures? ,(must ,identify ,at ,least ,one
,during ,testing) ,- ,CORRECT ,ANSWER-Distraction, ,family ,presence, ,padding
,bony ,prominences, ,repositioning, ,splinting, ,verbal ,reassurance
-For ,whom ,is ,capnography ,highly ,recommended? ,- ,CORRECT ,ANSWER-all
,patients
-In ,step ,M ,of ,"Get ,Adjuncts", ,what ,else ,might ,be ,indicated ,besides ,cardiac
,monitor? ,- ,CORRECT ,ANSWER-EKG
,-In ,Step ,16 ,of ,"Exposure ,and ,Environment", ,you ,must ,name ,at ,least ,one ,of
,these ,interventions: ,- ,CORRECT ,ANSWER-blankets, ,room ,temp ,increase,
,warmed ,fluids, ,warming ,lights
-To ,assess ,circulation, ,you ,must ,do ,these ,two ,main ,tasks: ,- ,CORRECT
,ANSWER-1. ,inspect ,AND ,palpate ,skin ,color, ,temp, ,moisture ,and ,2. ,palpate ,a
,pulse
-What ,do ,you ,do ,when ,alterations ,are ,identified ,in ,any ,of ,the ,steps ,in ,the
,primary ,survery? ,- ,CORRECT ,ANSWER-intervene ,as ,appropriate ,and ,reassess
-What ,three ,assessments ,must ,be ,done ,if ,the ,patient ,is ,intubated? ,- ,CORRECT
,ANSWER-1. ,attach ,CO2 ,detector ,and ,assess ,for ,evidence ,of ,exhaled ,CO2; ,2.
,observe ,for ,rise ,and ,fall ,of ,the ,chest ,w/ ,assisted ,ventilations; ,3. ,auscultate
,over ,epigastrium ,for ,gurgling ,AND ,lungs ,for ,bilateral ,breath ,sounds
-Four ,of ,these ,must ,be ,identified ,to ,assess ,breathing ,effectiveness: ,- ,CORRECT
,ANSWER-Breath ,sounds, ,depth/pattern/rate, ,spontaneous ,breathing,
,subcutaneous ,emphysema, ,increased ,work ,of ,breathing, ,symmetrical ,chest ,rise
,and ,fall, ,tracheal ,deviation/JVD, ,open ,wounds/deformities, ,skin ,color
-What ,can ,be ,applied ,in ,step ,12 ,of ,"Circulation ,and ,Control ,of ,Hemorrhage" ,for
,which ,credit ,is ,given ,in ,the ,LMNOP ,section? ,- ,CORRECT ,ANSWER-cardiac
,monitor
-When ,should ,2 ,IV ,sites ,be ,established? ,- ,CORRECT ,ANSWER-During
,"Circulation" ,assessment
-If ,the ,patient ,is ,intubated ,and ,you've ,already ,assessed ,ETT ,placement, ,what
,else ,needs ,to ,be ,done ,with ,the ,ETT? ,(step ,10) ,- ,CORRECT ,ANSWER-assess
,ETT ,position ,by ,noting ,the ,number ,at ,teeth/gums ,AND ,secure ,ETT
-What ,should ,you ,verbalize ,after ,completing ,all ,ETT ,assessments? ,- ,CORRECT
,ANSWER-moving ,patient ,from ,assisted ,ventilation ,to ,mechanical
-During ,which ,part ,of ,the ,primary ,survey ,would ,you ,anticipate ,the ,need ,for ,a
,chest ,tube, ,intubation, ,decompression ,of ,pneumothorax, ,oxygen, ,or ,BVMs? ,-
,CORRECT ,ANSWER-"Breathing ,and ,Ventilation"
-Four ,of ,these ,must ,be ,identified ,to ,assess ,patency ,and ,protection ,of ,the
,airway: ,- ,CORRECT ,ANSWER-bony ,deformity, ,loose ,teeth, ,edema, ,inhalation
,injury, ,sounds, ,tongue ,obstruction, ,burns, ,fluids, ,foreign ,objects, ,vocalization
-During ,which ,part ,of ,the ,primary ,survey ,would ,there ,be ,anticipation ,for
,intubation, ,insertion ,of ,OPA/NPA, ,removal ,of ,any ,loose ,teeth ,or ,foreign
, ,objects, ,or ,suctioning? ,- ,CORRECT ,ANSWER-Assessing ,patency ,and
,protection ,of ,the ,airway, ,Step ,7 ,of ,
"Alertness ,and ,Airway ,with ,Simultaneous ,Cervical ,Spinal ,Stabilization"
If ,c-spine ,stabilization ,is ,necessary, ,what ,need ,should ,be ,stated? ,- ,CORRECT
,ANSWER-the ,need ,for ,a ,second ,person ,to ,provide ,manual ,c-spine ,stabilization
*An ,adult ,patient ,who ,sustained ,a ,severe ,head ,trauma ,has ,been ,intubated ,and
,is ,being ,manually ,ventilated ,via ,a ,bag-mask ,device ,at ,a ,rate ,of ,18
,breaths/minute. ,The ,patient ,has ,received ,one ,intravenous ,fluid ,bolus ,of ,500 ,mL
,of ,warmed ,isotonic ,crystalloid ,solution. ,The ,PaCO2 ,is ,30 ,mm ,Hg ,(4.0 ,kPa), ,and
,the ,pulse ,oximetry ,is ,92%. ,BP ,is ,142/70 ,mm ,Hg. ,What ,is ,the ,most ,important
,intervention ,to ,manage ,the ,cerebral ,blood ,flow? ,- ,CORRECT ,ANSWER-
A.Decrease ,the ,rate ,of ,manual ,ventilation.
An ,older ,adult ,presents ,to ,the ,emergency ,department ,with ,complaints ,of
,dizziness, ,headache, ,and ,nausea. ,The ,patient ,was ,involved ,in ,a ,motor ,vehicle
,collision ,10 ,days ,ago. ,There ,was ,no ,loss ,of ,consciousness ,and ,a ,hematoma ,is
,noted ,to ,the ,forehead. ,The ,patient ,is ,currently ,on ,anticoagulant ,therapy. ,What
,is ,most ,likely ,the ,cause ,of ,their ,symptoms?
A.Intracerebral ,hemorrhage
B.Epidural ,hematoma
C.Diffuse ,axonal ,injury
D.Post-concussive ,syndrome ,- ,CORRECT ,ANSWER-post-concussive ,syndrome
A ,patient ,with ,a ,lower ,extremity ,fracture ,complains ,of ,severe ,pain ,and
,tightness ,in ,his ,calf, ,minimally ,relieved ,by ,pain ,medications. ,Which ,of ,the
,following ,is ,the ,priority ,nursing ,intervention?
A.Elevating ,the ,leg ,above ,the ,level ,of ,the ,heart
B.Repositioning ,the ,leg ,and ,applying ,ice
C.Elevating ,the ,leg ,to ,the ,level ,of ,the ,heart
D.Preparing ,the ,patient ,for ,ultrasound ,of ,the ,leg ,- ,CORRECT ,ANSWER-
C.Elevating ,the ,leg ,to ,the ,level ,of ,the ,heart
A ,patient ,involved ,in ,a ,high-speed ,rollover ,is ,complaining ,of ,increased
,difficulty ,breathing. ,There ,is ,a ,small ,penetrating ,wound ,to ,the ,sixth ,intercostal
,space ,in ,the ,left ,lateral ,chest. ,Which ,finding ,is ,most ,consistent ,with ,an ,injury
,to ,the ,diaphragm? ,- ,CORRECT ,ANSWER-Bowel ,sounds ,heard ,in ,the ,left ,lower
,chest
A ,ruptured ,diaphragm ,is ,a ,potentially ,life-threatening ,injury. ,The ,patient ,will
,most ,likely ,have ,decreased ,breath ,sounds ,on ,the ,affected ,side ,along ,with ,pain,
,which ,may ,radiate ,to ,the ,left ,shoulder. ,However, ,these ,signs ,do ,not
,specifically ,implicate ,an ,injury ,to ,the ,diaphragm. ,Auscultation ,of ,bowel ,sounds
Questions and Correct Answers Latest
2025-2026 GRADED A+
—What ,does ,the ,J ,stand ,for ,at ,the ,end ,of ,the ,secondary ,survey? ,- ,CORRECT
,ANSWER-just ,keep ,evaluating ,- ,vipp
—What ,does ,VIPP ,stand ,for? ,- ,CORRECT ,ANSWER-vital ,signs,
,injuries/interventions, ,primary ,survey, ,pain
—During ,the ,head-to-toe, ,where ,would ,you ,find ,Grey-Turner's ,sign? ,-
,CORRECT ,ANSWER-flank
—During ,the ,head-to-toe, ,where ,would ,you ,find ,Cullen's ,sign? ,- ,CORRECT
,ANSWER-umbilicus
-What ,is ,sometimes ,deferred ,at ,the ,end ,of ,the ,head-to-toe? ,- ,CORRECT
,ANSWER-inspecting ,posterior
-Antibiotics, ,consults, ,head ,CT, ,imaging, ,law ,enforcement, ,mandatory ,reporting,
,psychosocial ,support, ,social ,services, ,splinting, ,tetanus, ,and ,wound ,care ,are
,all ,interventions ,that ,you ,do ,AFTER ,and ,before ,WHAT? ,- ,CORRECT ,ANSWER-
AFTER ,head-to-toe, ,BEFORE ,J ,(VIPP)
-What ,three ,items ,are ,obtained ,during ,the ,pertinent ,history ,assessment? ,-
,CORRECT ,ANSWER-Medical ,records, ,prehospital ,report, ,SAMPLE
-What ,are ,examples ,of ,nonpharmacologic ,measures? ,(must ,identify ,at ,least ,one
,during ,testing) ,- ,CORRECT ,ANSWER-Distraction, ,family ,presence, ,padding
,bony ,prominences, ,repositioning, ,splinting, ,verbal ,reassurance
-For ,whom ,is ,capnography ,highly ,recommended? ,- ,CORRECT ,ANSWER-all
,patients
-In ,step ,M ,of ,"Get ,Adjuncts", ,what ,else ,might ,be ,indicated ,besides ,cardiac
,monitor? ,- ,CORRECT ,ANSWER-EKG
,-In ,Step ,16 ,of ,"Exposure ,and ,Environment", ,you ,must ,name ,at ,least ,one ,of
,these ,interventions: ,- ,CORRECT ,ANSWER-blankets, ,room ,temp ,increase,
,warmed ,fluids, ,warming ,lights
-To ,assess ,circulation, ,you ,must ,do ,these ,two ,main ,tasks: ,- ,CORRECT
,ANSWER-1. ,inspect ,AND ,palpate ,skin ,color, ,temp, ,moisture ,and ,2. ,palpate ,a
,pulse
-What ,do ,you ,do ,when ,alterations ,are ,identified ,in ,any ,of ,the ,steps ,in ,the
,primary ,survery? ,- ,CORRECT ,ANSWER-intervene ,as ,appropriate ,and ,reassess
-What ,three ,assessments ,must ,be ,done ,if ,the ,patient ,is ,intubated? ,- ,CORRECT
,ANSWER-1. ,attach ,CO2 ,detector ,and ,assess ,for ,evidence ,of ,exhaled ,CO2; ,2.
,observe ,for ,rise ,and ,fall ,of ,the ,chest ,w/ ,assisted ,ventilations; ,3. ,auscultate
,over ,epigastrium ,for ,gurgling ,AND ,lungs ,for ,bilateral ,breath ,sounds
-Four ,of ,these ,must ,be ,identified ,to ,assess ,breathing ,effectiveness: ,- ,CORRECT
,ANSWER-Breath ,sounds, ,depth/pattern/rate, ,spontaneous ,breathing,
,subcutaneous ,emphysema, ,increased ,work ,of ,breathing, ,symmetrical ,chest ,rise
,and ,fall, ,tracheal ,deviation/JVD, ,open ,wounds/deformities, ,skin ,color
-What ,can ,be ,applied ,in ,step ,12 ,of ,"Circulation ,and ,Control ,of ,Hemorrhage" ,for
,which ,credit ,is ,given ,in ,the ,LMNOP ,section? ,- ,CORRECT ,ANSWER-cardiac
,monitor
-When ,should ,2 ,IV ,sites ,be ,established? ,- ,CORRECT ,ANSWER-During
,"Circulation" ,assessment
-If ,the ,patient ,is ,intubated ,and ,you've ,already ,assessed ,ETT ,placement, ,what
,else ,needs ,to ,be ,done ,with ,the ,ETT? ,(step ,10) ,- ,CORRECT ,ANSWER-assess
,ETT ,position ,by ,noting ,the ,number ,at ,teeth/gums ,AND ,secure ,ETT
-What ,should ,you ,verbalize ,after ,completing ,all ,ETT ,assessments? ,- ,CORRECT
,ANSWER-moving ,patient ,from ,assisted ,ventilation ,to ,mechanical
-During ,which ,part ,of ,the ,primary ,survey ,would ,you ,anticipate ,the ,need ,for ,a
,chest ,tube, ,intubation, ,decompression ,of ,pneumothorax, ,oxygen, ,or ,BVMs? ,-
,CORRECT ,ANSWER-"Breathing ,and ,Ventilation"
-Four ,of ,these ,must ,be ,identified ,to ,assess ,patency ,and ,protection ,of ,the
,airway: ,- ,CORRECT ,ANSWER-bony ,deformity, ,loose ,teeth, ,edema, ,inhalation
,injury, ,sounds, ,tongue ,obstruction, ,burns, ,fluids, ,foreign ,objects, ,vocalization
-During ,which ,part ,of ,the ,primary ,survey ,would ,there ,be ,anticipation ,for
,intubation, ,insertion ,of ,OPA/NPA, ,removal ,of ,any ,loose ,teeth ,or ,foreign
, ,objects, ,or ,suctioning? ,- ,CORRECT ,ANSWER-Assessing ,patency ,and
,protection ,of ,the ,airway, ,Step ,7 ,of ,
"Alertness ,and ,Airway ,with ,Simultaneous ,Cervical ,Spinal ,Stabilization"
If ,c-spine ,stabilization ,is ,necessary, ,what ,need ,should ,be ,stated? ,- ,CORRECT
,ANSWER-the ,need ,for ,a ,second ,person ,to ,provide ,manual ,c-spine ,stabilization
*An ,adult ,patient ,who ,sustained ,a ,severe ,head ,trauma ,has ,been ,intubated ,and
,is ,being ,manually ,ventilated ,via ,a ,bag-mask ,device ,at ,a ,rate ,of ,18
,breaths/minute. ,The ,patient ,has ,received ,one ,intravenous ,fluid ,bolus ,of ,500 ,mL
,of ,warmed ,isotonic ,crystalloid ,solution. ,The ,PaCO2 ,is ,30 ,mm ,Hg ,(4.0 ,kPa), ,and
,the ,pulse ,oximetry ,is ,92%. ,BP ,is ,142/70 ,mm ,Hg. ,What ,is ,the ,most ,important
,intervention ,to ,manage ,the ,cerebral ,blood ,flow? ,- ,CORRECT ,ANSWER-
A.Decrease ,the ,rate ,of ,manual ,ventilation.
An ,older ,adult ,presents ,to ,the ,emergency ,department ,with ,complaints ,of
,dizziness, ,headache, ,and ,nausea. ,The ,patient ,was ,involved ,in ,a ,motor ,vehicle
,collision ,10 ,days ,ago. ,There ,was ,no ,loss ,of ,consciousness ,and ,a ,hematoma ,is
,noted ,to ,the ,forehead. ,The ,patient ,is ,currently ,on ,anticoagulant ,therapy. ,What
,is ,most ,likely ,the ,cause ,of ,their ,symptoms?
A.Intracerebral ,hemorrhage
B.Epidural ,hematoma
C.Diffuse ,axonal ,injury
D.Post-concussive ,syndrome ,- ,CORRECT ,ANSWER-post-concussive ,syndrome
A ,patient ,with ,a ,lower ,extremity ,fracture ,complains ,of ,severe ,pain ,and
,tightness ,in ,his ,calf, ,minimally ,relieved ,by ,pain ,medications. ,Which ,of ,the
,following ,is ,the ,priority ,nursing ,intervention?
A.Elevating ,the ,leg ,above ,the ,level ,of ,the ,heart
B.Repositioning ,the ,leg ,and ,applying ,ice
C.Elevating ,the ,leg ,to ,the ,level ,of ,the ,heart
D.Preparing ,the ,patient ,for ,ultrasound ,of ,the ,leg ,- ,CORRECT ,ANSWER-
C.Elevating ,the ,leg ,to ,the ,level ,of ,the ,heart
A ,patient ,involved ,in ,a ,high-speed ,rollover ,is ,complaining ,of ,increased
,difficulty ,breathing. ,There ,is ,a ,small ,penetrating ,wound ,to ,the ,sixth ,intercostal
,space ,in ,the ,left ,lateral ,chest. ,Which ,finding ,is ,most ,consistent ,with ,an ,injury
,to ,the ,diaphragm? ,- ,CORRECT ,ANSWER-Bowel ,sounds ,heard ,in ,the ,left ,lower
,chest
A ,ruptured ,diaphragm ,is ,a ,potentially ,life-threatening ,injury. ,The ,patient ,will
,most ,likely ,have ,decreased ,breath ,sounds ,on ,the ,affected ,side ,along ,with ,pain,
,which ,may ,radiate ,to ,the ,left ,shoulder. ,However, ,these ,signs ,do ,not
,specifically ,implicate ,an ,injury ,to ,the ,diaphragm. ,Auscultation ,of ,bowel ,sounds
