TNCC 9th exam with Questions and
Correct Answers Latest 2025-2026
GRADED A+
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?
A.Decrease ,the ,rate ,of ,manual ,ventilation.
B.Initiate ,another ,fluid ,bolus.
C.Recheck ,endotracheal ,tube ,placement.
D.Increase ,the ,amount ,of ,oxygen ,delivered. ,- ,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 ,on ,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?
A.Severe ,left-sided ,abdominal ,pain
B.Bowel ,sounds ,heard ,in ,the ,left ,lower ,chest
C.Pain ,radiating ,to ,the ,left ,shoulder.
D.Decreased ,breath ,sounds ,on ,the ,left ,side ,- ,CORRECT ,ANSWER-Bowel
,sounds ,heard ,in ,the ,left ,lower ,chest
A ,patient ,has ,been ,in ,the ,emergency ,department ,for ,several ,hours ,waiting ,to
,be ,admitted. ,They ,sustained ,multiple ,rib ,fractures ,and ,a ,femur ,fracture ,after ,a
,fall. ,The ,patient ,has ,been ,awake, ,alert, ,and ,complaining ,of ,leg ,pain. ,Their
,spouse ,reported ,that ,the ,patient ,suddenly ,became ,anxious ,and ,confused.
,Upon ,reassessment, ,the ,patient ,is ,restless, ,with ,respiratory ,distress ,and
,petechiae ,to ,his ,neck. ,The ,patient ,is ,exhibiting ,signs ,and ,symptoms ,most
,commonly ,associated ,with ,which ,of ,the ,following ,conditions?
A.Acute ,lung ,injury
B.Fat ,embolism
C.Pneumothorax
D.Pulmonary ,contusion ,- ,CORRECT ,ANSWER-fat ,embolism
Three ,adults ,present ,at ,different ,times ,during ,a ,one-hour ,period ,with ,a ,high
,fever, ,fatigue, ,and ,headache. ,All ,three ,patients ,have ,a ,rash ,which ,started ,on
,their ,mouth, ,face, ,and ,arms ,with ,progression ,to ,the ,chest ,and ,abdomen. ,They
,all ,visited ,the ,same ,grocery ,store ,within ,the ,last ,week. ,What ,is ,the ,most
,appropriate ,intervention ,from ,triage ,for ,these ,patients?
A.Move ,them ,to ,a ,decontamination ,area
B.Mask ,the ,patients ,and ,send ,them ,to ,the ,waiting ,room
C.Immediately ,initiate ,isolation ,precautions
D.Send ,them ,to ,the ,waiting ,room ,without ,a ,mask ,- ,CORRECT ,ANSWER-
Immediately ,initiate ,isolation ,precautions
A ,35-year-old ,male ,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?
A.Oculomotor ,nerve ,palsy
B.Globe ,rupture
C.Retrobulbar ,hematoma
D.Retinal ,detachment ,- ,CORRECT ,ANSWER-Globe ,rupture
Correct Answers Latest 2025-2026
GRADED A+
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?
A.Decrease ,the ,rate ,of ,manual ,ventilation.
B.Initiate ,another ,fluid ,bolus.
C.Recheck ,endotracheal ,tube ,placement.
D.Increase ,the ,amount ,of ,oxygen ,delivered. ,- ,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 ,on ,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?
A.Severe ,left-sided ,abdominal ,pain
B.Bowel ,sounds ,heard ,in ,the ,left ,lower ,chest
C.Pain ,radiating ,to ,the ,left ,shoulder.
D.Decreased ,breath ,sounds ,on ,the ,left ,side ,- ,CORRECT ,ANSWER-Bowel
,sounds ,heard ,in ,the ,left ,lower ,chest
A ,patient ,has ,been ,in ,the ,emergency ,department ,for ,several ,hours ,waiting ,to
,be ,admitted. ,They ,sustained ,multiple ,rib ,fractures ,and ,a ,femur ,fracture ,after ,a
,fall. ,The ,patient ,has ,been ,awake, ,alert, ,and ,complaining ,of ,leg ,pain. ,Their
,spouse ,reported ,that ,the ,patient ,suddenly ,became ,anxious ,and ,confused.
,Upon ,reassessment, ,the ,patient ,is ,restless, ,with ,respiratory ,distress ,and
,petechiae ,to ,his ,neck. ,The ,patient ,is ,exhibiting ,signs ,and ,symptoms ,most
,commonly ,associated ,with ,which ,of ,the ,following ,conditions?
A.Acute ,lung ,injury
B.Fat ,embolism
C.Pneumothorax
D.Pulmonary ,contusion ,- ,CORRECT ,ANSWER-fat ,embolism
Three ,adults ,present ,at ,different ,times ,during ,a ,one-hour ,period ,with ,a ,high
,fever, ,fatigue, ,and ,headache. ,All ,three ,patients ,have ,a ,rash ,which ,started ,on
,their ,mouth, ,face, ,and ,arms ,with ,progression ,to ,the ,chest ,and ,abdomen. ,They
,all ,visited ,the ,same ,grocery ,store ,within ,the ,last ,week. ,What ,is ,the ,most
,appropriate ,intervention ,from ,triage ,for ,these ,patients?
A.Move ,them ,to ,a ,decontamination ,area
B.Mask ,the ,patients ,and ,send ,them ,to ,the ,waiting ,room
C.Immediately ,initiate ,isolation ,precautions
D.Send ,them ,to ,the ,waiting ,room ,without ,a ,mask ,- ,CORRECT ,ANSWER-
Immediately ,initiate ,isolation ,precautions
A ,35-year-old ,male ,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?
A.Oculomotor ,nerve ,palsy
B.Globe ,rupture
C.Retrobulbar ,hematoma
D.Retinal ,detachment ,- ,CORRECT ,ANSWER-Globe ,rupture
