TNCC final exam with Questions and
Correct Answers Latest 2025-2026
GRADED A+
Why ,is ,a ,measure ,of ,serum ,lactate ,obtained ,in ,the ,initial ,assessment ,of ,the
,trauma ,patient? ,
Answer: ,c ,- ,CORRECT ,ANSWER-a) ,to ,measure ,oxygenation ,and ,ventilation
b) ,to ,quantify ,the ,base ,deficit ,for ,the ,adequacy ,of ,cellular ,perfusion
c) ,*to ,gauge ,end-organ ,perfusion ,and ,tissue ,hypoxia ,**
d) ,to ,determine ,the ,underlying ,cause ,of ,shock
A ,trauma ,patient ,is ,restless ,and ,repeatedly ,asking ,"where ,am ,I?" ,vital ,signs
,upon ,arrival ,were ,BP ,100/60 ,mm ,Hg, ,HR ,96 ,beats/min, ,and ,RR ,24 ,breaths/min.
,Her ,skin ,is ,cool ,and ,dry. ,Current ,vital ,signs ,are ,BP ,104/84mm ,Hg, ,HR ,108, ,RR
,28 ,breaths/min. ,The ,patient ,is ,demonstrating ,signs ,and ,symptoms ,of ,which
,stage ,of ,shock? ,
Answer: ,A ,- ,CORRECT ,ANSWER-A) ,compensated ,**
B) ,Progressive
C) ,irreversible
D) ,decompensated
An ,elderly ,patient ,with ,a ,history ,of ,anticoagulant ,use ,presents ,after ,a ,fall ,at
,home ,that ,day. ,She ,denies ,any ,loss ,of ,consciousness. ,She ,has ,a ,hematoma ,to
,her ,forehead ,and ,complains ,of ,headache, ,dizziness, ,and ,nausea. ,Which ,is ,the
,most ,likely ,cause ,of ,her ,symptoms?
Answer: ,D ,- ,CORRECT ,ANSWER-A) ,epidural ,hematoma
B) ,diffuse ,axonal ,injury
C) ,post-concussive ,syndrome
D) ,subdural ,hematoma ,***
EMS ,brings ,a ,patient ,who ,fell ,riding ,his ,bicycle. ,Using ,the ,American ,College ,of
,Surgeons ,screening ,guidelines, ,which ,assessment ,finding ,would ,prompt ,the
,nurse ,to ,prepare ,the ,patient ,for ,radiologic ,spine ,clearance?
, Answer: ,D ,- ,CORRECT ,ANSWER-A) ,Alert ,with ,no ,neurologic ,deficits
B) ,Multiple ,abrasions ,to ,the ,extremities ,
C) ,Multiple ,requests ,of ,water
D) ,Smell ,of ,alcohol ,on ,breath ,***
Which ,of ,the ,following ,occurs ,during ,the ,third ,impact ,of ,a ,motor ,vehicle ,crash?
Answer: ,C ,- ,CORRECT ,ANSWER-A) ,The ,driver ,of ,the ,vehicle ,collides ,with ,the
,steering ,wheel
B) ,the ,vehicle ,collides ,with ,a ,tree
C) ,the ,aorta ,is ,torn ,at ,its ,attachment ,with ,the ,ligamentum ,arteriosum ,
D) ,the ,airbag ,deploys ,and ,strikes ,the ,front ,seat ,passenger ,***
A ,passenger ,is ,brought ,to ,the ,emergency ,department ,of ,a ,rural ,hospital
,following ,a ,high-speed ,MVC. ,When ,significant ,abdominal ,and ,pelvic ,injuries
,are ,noted ,in ,the ,primary ,survey, ,which ,of ,the ,following ,is ,the ,priority
,interventions?
Answer: ,A ,- ,CORRECT ,ANSWER-A) ,initiate ,transfer ,to ,a ,trauma ,center ,**
B) ,provide ,report ,to ,the ,operating ,room ,nurse
C) ,Obtained ,imaging ,studies
D) ,Place ,a ,gastric ,tube
Which ,of ,the ,following ,injuries ,is ,LEAST ,likely ,to ,be ,promptly ,identified?
Answer: ,C ,- ,CORRECT ,ANSWER-A) ,spleen
B) ,lung
C) ,bowel ,***
D) ,brain
Patients ,with ,a ,crush ,injury ,should ,be ,monitored ,for ,which ,of ,the ,following
,conditions?
Answer: ,C ,- ,CORRECT ,ANSWER-A) ,Hypernatremia ,
B) ,Hypercalcemia ,
C) ,Dysrhthmias ,**
D) ,polyuria
What ,finding ,raises ,suspicion ,of ,complete ,spinal ,cord ,injury?
Answer: ,B ,- ,CORRECT ,ANSWER-A) ,Weakness ,in ,the ,lower ,extremities
B) ,Priapism ,***
C) ,voluntary ,anal ,sphincter ,tone
D) ,intact ,reflexes ,distal ,to ,the ,injury
Correct Answers Latest 2025-2026
GRADED A+
Why ,is ,a ,measure ,of ,serum ,lactate ,obtained ,in ,the ,initial ,assessment ,of ,the
,trauma ,patient? ,
Answer: ,c ,- ,CORRECT ,ANSWER-a) ,to ,measure ,oxygenation ,and ,ventilation
b) ,to ,quantify ,the ,base ,deficit ,for ,the ,adequacy ,of ,cellular ,perfusion
c) ,*to ,gauge ,end-organ ,perfusion ,and ,tissue ,hypoxia ,**
d) ,to ,determine ,the ,underlying ,cause ,of ,shock
A ,trauma ,patient ,is ,restless ,and ,repeatedly ,asking ,"where ,am ,I?" ,vital ,signs
,upon ,arrival ,were ,BP ,100/60 ,mm ,Hg, ,HR ,96 ,beats/min, ,and ,RR ,24 ,breaths/min.
,Her ,skin ,is ,cool ,and ,dry. ,Current ,vital ,signs ,are ,BP ,104/84mm ,Hg, ,HR ,108, ,RR
,28 ,breaths/min. ,The ,patient ,is ,demonstrating ,signs ,and ,symptoms ,of ,which
,stage ,of ,shock? ,
Answer: ,A ,- ,CORRECT ,ANSWER-A) ,compensated ,**
B) ,Progressive
C) ,irreversible
D) ,decompensated
An ,elderly ,patient ,with ,a ,history ,of ,anticoagulant ,use ,presents ,after ,a ,fall ,at
,home ,that ,day. ,She ,denies ,any ,loss ,of ,consciousness. ,She ,has ,a ,hematoma ,to
,her ,forehead ,and ,complains ,of ,headache, ,dizziness, ,and ,nausea. ,Which ,is ,the
,most ,likely ,cause ,of ,her ,symptoms?
Answer: ,D ,- ,CORRECT ,ANSWER-A) ,epidural ,hematoma
B) ,diffuse ,axonal ,injury
C) ,post-concussive ,syndrome
D) ,subdural ,hematoma ,***
EMS ,brings ,a ,patient ,who ,fell ,riding ,his ,bicycle. ,Using ,the ,American ,College ,of
,Surgeons ,screening ,guidelines, ,which ,assessment ,finding ,would ,prompt ,the
,nurse ,to ,prepare ,the ,patient ,for ,radiologic ,spine ,clearance?
, Answer: ,D ,- ,CORRECT ,ANSWER-A) ,Alert ,with ,no ,neurologic ,deficits
B) ,Multiple ,abrasions ,to ,the ,extremities ,
C) ,Multiple ,requests ,of ,water
D) ,Smell ,of ,alcohol ,on ,breath ,***
Which ,of ,the ,following ,occurs ,during ,the ,third ,impact ,of ,a ,motor ,vehicle ,crash?
Answer: ,C ,- ,CORRECT ,ANSWER-A) ,The ,driver ,of ,the ,vehicle ,collides ,with ,the
,steering ,wheel
B) ,the ,vehicle ,collides ,with ,a ,tree
C) ,the ,aorta ,is ,torn ,at ,its ,attachment ,with ,the ,ligamentum ,arteriosum ,
D) ,the ,airbag ,deploys ,and ,strikes ,the ,front ,seat ,passenger ,***
A ,passenger ,is ,brought ,to ,the ,emergency ,department ,of ,a ,rural ,hospital
,following ,a ,high-speed ,MVC. ,When ,significant ,abdominal ,and ,pelvic ,injuries
,are ,noted ,in ,the ,primary ,survey, ,which ,of ,the ,following ,is ,the ,priority
,interventions?
Answer: ,A ,- ,CORRECT ,ANSWER-A) ,initiate ,transfer ,to ,a ,trauma ,center ,**
B) ,provide ,report ,to ,the ,operating ,room ,nurse
C) ,Obtained ,imaging ,studies
D) ,Place ,a ,gastric ,tube
Which ,of ,the ,following ,injuries ,is ,LEAST ,likely ,to ,be ,promptly ,identified?
Answer: ,C ,- ,CORRECT ,ANSWER-A) ,spleen
B) ,lung
C) ,bowel ,***
D) ,brain
Patients ,with ,a ,crush ,injury ,should ,be ,monitored ,for ,which ,of ,the ,following
,conditions?
Answer: ,C ,- ,CORRECT ,ANSWER-A) ,Hypernatremia ,
B) ,Hypercalcemia ,
C) ,Dysrhthmias ,**
D) ,polyuria
What ,finding ,raises ,suspicion ,of ,complete ,spinal ,cord ,injury?
Answer: ,B ,- ,CORRECT ,ANSWER-A) ,Weakness ,in ,the ,lower ,extremities
B) ,Priapism ,***
C) ,voluntary ,anal ,sphincter ,tone
D) ,intact ,reflexes ,distal ,to ,the ,injury
