TNCC 9th Edition Exam with Questions
and Correct Answers Latest 2025-2026
GRADED A+
You ,are ,caring ,for ,a ,patient ,who ,was ,thrown ,from ,a ,bike ,and ,was ,not ,wearing
,a ,helmet. ,While ,performing ,the ,head-to-toe ,assessment, ,you ,note ,clear
,drainage ,from ,the ,right ,ear. ,Which ,of ,the ,following ,is ,the ,most ,appropriate
,next ,step?
A. ,Clean ,the ,ear ,with ,a ,cotton-tipped ,applicator.
B. ,Pack ,the ,ear ,with ,gauze.
C. ,Notify ,the ,physician
D. ,Document ,and ,continue ,the ,exam. ,- ,CORRECT ,ANSWER-C. ,Notify ,the
,physician
A ,patient ,is ,brought ,to ,the ,emergency ,department ,of ,a ,rural ,hospital ,following
,a ,high-speed ,motor ,vehicle ,collision. ,When ,significant ,abdominal ,and ,pelvic
,injuries ,are ,noted ,in ,the ,primary ,survey, ,what ,is ,the ,priority ,intervention?
A. ,Initiate ,transfer ,to ,a ,trauma ,center
B. ,Attempt ,family ,notification
C. ,Obtain ,additional ,imaging ,studies
D. ,Place ,an ,indwelling ,urinary ,catheter ,- ,CORRECT ,ANSWER-A. ,Initiate ,transfer
,to ,a ,trauma ,center
An ,adult ,who ,fell ,from ,a ,second ,story ,roof ,is ,brought ,to ,the ,emergency
,department ,by ,private ,vehicle. ,The ,patient ,is ,confused ,with ,unlabored
,respirations ,and ,has ,strong, ,palpable ,radial ,pulses. ,There ,is ,an ,open ,wound ,in
,proximity ,to ,an ,obvious ,deformity ,of ,the ,left ,lower ,extremity. ,What ,is ,the
,priority ,intervention?
A. ,Initiate ,cervical ,spine ,stabilization
B. ,Apply ,a ,splint ,to ,the ,lower ,extremity
C. ,Put ,the ,patient ,on ,portable ,oxygen.
D. ,Log ,roll ,the ,patient ,onto ,a ,spine ,board ,- ,CORRECT ,ANSWER-A. ,Initiate
,cervical ,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?
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 ,adult ,patient ,is ,brought ,to ,the ,emergency ,department ,following ,a ,vehicle
,"roll-over" ,with ,prolonged ,extrication. ,Assessment ,reveals ,swelling ,and
,bruising ,to ,the ,right ,proximal ,thigh ,and ,a ,weak ,pedal ,pulse. ,Skin ,is ,pale, ,cool,
,and ,moist. ,What ,is ,the ,most ,appropriate ,initial ,intervention?
A. ,Application ,of ,a ,tourniquet ,to ,the ,affected ,extremity
B. ,Application ,of ,a ,pelvic ,binder
C. ,Fluid ,resuscitation ,to ,maintain ,a ,urine ,output ,of ,0.5 ,mL/kg/hour
D. ,Oxygen ,to ,maintain ,the ,ETCO2 ,between ,30-35 ,mm ,Hg ,(3.9-4.6 ,kPa) ,-
,CORRECT ,ANSWER-B. ,Application ,of ,a ,pelvic ,binder
An ,adult ,arrives ,at ,the ,emergency ,department ,with ,superficial ,burns ,to ,the
,extremities ,following ,a ,house ,fire. ,The ,patient ,is ,reporting ,a ,headache ,with
,nausea ,and ,is ,drowsy ,and ,confused. ,What ,is ,the ,most ,likely ,cause ,of ,these
,symptoms?
A. ,Capillary ,leak ,syndrome
B. ,Rhabdomyolysis
C. ,Carbon ,monoxide ,poisoning
D. ,Hypothermia ,- ,CORRECT ,ANSWER-
Using ,the ,American ,College ,of ,Surgeons ,Guidelines ,for ,Screening ,Patients ,with
,Suspected ,Spine ,Injury, ,what ,assessment ,finding ,would ,prompt ,the ,nurse ,to
,prepare ,a ,patient ,for ,cervical ,spine ,imaging?
A. ,Alert ,with ,no ,neurologic ,deficits ,or ,neck ,pain
B. ,Multiple ,abrasions ,to ,the ,extremities
C. ,Ecchymosis ,to ,the ,flank
D. ,Responds ,to ,verbal ,stimulation ,using ,AVPU ,- ,CORRECT ,ANSWER-
A ,5-month ,pregnant ,patient ,arrives ,in ,the ,emergency ,department ,stating ,she
,tripped ,and ,fell, ,landing ,on ,her ,abdomen. ,Assessment ,reveals ,bruising ,to ,the
,abdomen, ,both ,arms, ,and ,her ,neck. ,She ,states ,she ,does ,not ,take ,any
and Correct Answers Latest 2025-2026
GRADED A+
You ,are ,caring ,for ,a ,patient ,who ,was ,thrown ,from ,a ,bike ,and ,was ,not ,wearing
,a ,helmet. ,While ,performing ,the ,head-to-toe ,assessment, ,you ,note ,clear
,drainage ,from ,the ,right ,ear. ,Which ,of ,the ,following ,is ,the ,most ,appropriate
,next ,step?
A. ,Clean ,the ,ear ,with ,a ,cotton-tipped ,applicator.
B. ,Pack ,the ,ear ,with ,gauze.
C. ,Notify ,the ,physician
D. ,Document ,and ,continue ,the ,exam. ,- ,CORRECT ,ANSWER-C. ,Notify ,the
,physician
A ,patient ,is ,brought ,to ,the ,emergency ,department ,of ,a ,rural ,hospital ,following
,a ,high-speed ,motor ,vehicle ,collision. ,When ,significant ,abdominal ,and ,pelvic
,injuries ,are ,noted ,in ,the ,primary ,survey, ,what ,is ,the ,priority ,intervention?
A. ,Initiate ,transfer ,to ,a ,trauma ,center
B. ,Attempt ,family ,notification
C. ,Obtain ,additional ,imaging ,studies
D. ,Place ,an ,indwelling ,urinary ,catheter ,- ,CORRECT ,ANSWER-A. ,Initiate ,transfer
,to ,a ,trauma ,center
An ,adult ,who ,fell ,from ,a ,second ,story ,roof ,is ,brought ,to ,the ,emergency
,department ,by ,private ,vehicle. ,The ,patient ,is ,confused ,with ,unlabored
,respirations ,and ,has ,strong, ,palpable ,radial ,pulses. ,There ,is ,an ,open ,wound ,in
,proximity ,to ,an ,obvious ,deformity ,of ,the ,left ,lower ,extremity. ,What ,is ,the
,priority ,intervention?
A. ,Initiate ,cervical ,spine ,stabilization
B. ,Apply ,a ,splint ,to ,the ,lower ,extremity
C. ,Put ,the ,patient ,on ,portable ,oxygen.
D. ,Log ,roll ,the ,patient ,onto ,a ,spine ,board ,- ,CORRECT ,ANSWER-A. ,Initiate
,cervical ,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?
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 ,adult ,patient ,is ,brought ,to ,the ,emergency ,department ,following ,a ,vehicle
,"roll-over" ,with ,prolonged ,extrication. ,Assessment ,reveals ,swelling ,and
,bruising ,to ,the ,right ,proximal ,thigh ,and ,a ,weak ,pedal ,pulse. ,Skin ,is ,pale, ,cool,
,and ,moist. ,What ,is ,the ,most ,appropriate ,initial ,intervention?
A. ,Application ,of ,a ,tourniquet ,to ,the ,affected ,extremity
B. ,Application ,of ,a ,pelvic ,binder
C. ,Fluid ,resuscitation ,to ,maintain ,a ,urine ,output ,of ,0.5 ,mL/kg/hour
D. ,Oxygen ,to ,maintain ,the ,ETCO2 ,between ,30-35 ,mm ,Hg ,(3.9-4.6 ,kPa) ,-
,CORRECT ,ANSWER-B. ,Application ,of ,a ,pelvic ,binder
An ,adult ,arrives ,at ,the ,emergency ,department ,with ,superficial ,burns ,to ,the
,extremities ,following ,a ,house ,fire. ,The ,patient ,is ,reporting ,a ,headache ,with
,nausea ,and ,is ,drowsy ,and ,confused. ,What ,is ,the ,most ,likely ,cause ,of ,these
,symptoms?
A. ,Capillary ,leak ,syndrome
B. ,Rhabdomyolysis
C. ,Carbon ,monoxide ,poisoning
D. ,Hypothermia ,- ,CORRECT ,ANSWER-
Using ,the ,American ,College ,of ,Surgeons ,Guidelines ,for ,Screening ,Patients ,with
,Suspected ,Spine ,Injury, ,what ,assessment ,finding ,would ,prompt ,the ,nurse ,to
,prepare ,a ,patient ,for ,cervical ,spine ,imaging?
A. ,Alert ,with ,no ,neurologic ,deficits ,or ,neck ,pain
B. ,Multiple ,abrasions ,to ,the ,extremities
C. ,Ecchymosis ,to ,the ,flank
D. ,Responds ,to ,verbal ,stimulation ,using ,AVPU ,- ,CORRECT ,ANSWER-
A ,5-month ,pregnant ,patient ,arrives ,in ,the ,emergency ,department ,stating ,she
,tripped ,and ,fell, ,landing ,on ,her ,abdomen. ,Assessment ,reveals ,bruising ,to ,the
,abdomen, ,both ,arms, ,and ,her ,neck. ,She ,states ,she ,does ,not ,take ,any
