TNCC 9th Edition Exam 50 Questions and Answers GRADED A+ .

TNCC 9th Edition Exam 50 Questions
and Answers GRADED A+ 2025-2026



Which ,intervention ,is ,recommended ,regarding ,the ,use ,of ,drug-assisted
,intubation ,and ,rapid ,sequence ,intubation? ,- ,CORRECT ,ANSWER-Pre-oxygenate
,to ,prolong ,the ,time ,to ,hypoxia


Which ,normal ,anatomic ,or ,physiologic ,change ,in ,an ,older ,adult ,places ,them ,at
,a ,higher ,risk ,for ,aspiration? ,- ,CORRECT ,ANSWER-Relaxed ,muscles ,of ,the
,oropharynx


A ,patient ,has ,been ,diagnosed ,with ,an ,incomplete ,spinal ,cord ,injury ,at ,L1.
,Which ,finding ,would ,indicate ,sacral ,sparing? ,- ,CORRECT ,ANSWER-Voluntary
,anal ,sphincter ,tone


An ,adult ,patient ,weighing ,75 ,kg ,sustained ,partial ,and ,full ,thickness ,burns ,to
,32% ,of ,their ,body ,2 ,hours ,prior ,to ,arrival. ,Intravenous ,fluid ,resuscitation ,was
,calculated ,to ,be ,400 ,mL/hour. ,The ,urine ,output ,over ,the ,last ,hour ,was ,15mL.
,What ,intervention ,should ,the ,nurse ,anticipate? ,- ,CORRECT ,ANSWER-Increase
,isotonic ,crystalloid ,infusion ,rate


A ,patient ,is ,diagnosed ,with ,a ,T12 ,spinal ,cord ,injury ,following ,a ,20-foot ,fall.
,Which ,finding ,is ,consistent ,with ,spinal ,shock? ,- ,CORRECT ,ANSWER-Loss ,of
,reflexes


A ,patient ,is ,brought ,to ,the ,emergency ,department ,following ,a ,motor ,vehicle
,rollover ,and ,is ,complaining ,of ,left ,upper ,abdominal ,pain ,and ,left ,shoulder ,pain.
,This ,presentation ,is ,most ,consistent ,with ,an ,injury ,to ,which ,organ? ,-
,CORRECT ,ANSWER-Spleen


An ,adult ,patient ,is ,brought ,to ,the ,emergency ,department ,following ,a ,motor
,vehicle ,collision ,with ,complaints ,of ,neck ,pain. ,They ,have ,identified ,as ,a ,person
,in ,the ,process ,of ,transitioning ,from ,male ,to ,female. ,What ,effect ,of ,hormone
,therapy ,should ,be ,considered ,when ,planning ,care ,for ,this ,patient? ,- ,CORRECT
,ANSWER-Testosterone ,therapy ,may ,decrease ,blood ,pressure


Correct ,rationale: ,A ,person ,who ,is ,in ,the ,process ,of ,transitioning ,from ,male ,to
,female ,will ,usually ,be ,taking ,female ,hormones ,such ,as ,estrogen/estradiol ,to
,assist ,with ,the ,transition. ,This ,can ,cause ,a ,decrease ,in ,muscle ,mass,

, ,increased ,risk ,of ,thromboembolism, ,and ,possibly ,increased ,bone ,density.
,These ,patients ,would ,not ,be ,taking ,testosterone.


An ,adult ,patient ,presents ,to ,the ,emergency ,department ,after ,sustaining ,severe
,facial ,injuries ,during ,an ,altercation. ,The ,patient ,is ,awake, ,confused, ,and ,smells
,heavily ,of ,alcohol. ,Pulse ,oximetry ,is ,94% ,on ,room ,air. ,Immediate ,intubation
,should ,be ,anticipated ,based ,on ,which ,clinical ,indicator? ,- ,CORRECT ,ANSWER-
Severe ,facial ,injuries

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 ,severely ,injured ,patient ,has ,been ,intubated ,and ,is ,being ,mechanically
,ventilated. ,The ,patient ,has ,received ,a ,balanced ,resuscitation ,including ,multiple
,blood ,products. ,Under ,which ,circumstance ,will ,it ,be ,harder ,for ,the ,hemoglobin
,to ,release ,oxygen ,to ,the ,tissues? ,- ,CORRECT ,ANSWER-Decreased ,body
,temperature


A ,patient ,with ,a ,chest ,tube ,is ,being ,transported ,to ,the ,intensive ,care ,unit ,and
,fluctuation ,is ,noted ,in ,the ,water ,seal ,chamber ,during ,inspiration ,and
,expiration. ,What ,is ,the ,best ,action ,for ,the ,nurse ,to ,take? ,- ,CORRECT
,ANSWER-Continue ,to ,the ,intensive ,care ,unit


An ,adult ,was ,thrown ,against ,a ,concrete ,wall ,during ,a ,factory ,explosion ,and
,sustained ,a ,femur ,fracture, ,liver ,laceration, ,and ,a ,small ,subdural ,hematoma.
,These ,injuries ,most ,likely ,occurred ,during ,what ,level ,of ,blast ,trauma? ,-
,CORRECT ,ANSWER-Tertiary


An ,obese ,trauma ,patient ,requires ,intubation. ,Assuming ,there ,are ,no
,contraindications, ,which ,position ,will ,provide ,the ,best ,visualization ,for
,insertion ,of ,the ,endotracheal ,tube? ,- ,CORRECT ,ANSWER-Ramped


A ,patient ,who ,jumped ,out ,of ,a ,second-floor ,window ,landing ,on ,their ,feet ,is
,diagnosed ,with ,a ,lumbar ,spine ,fracture. ,What ,is ,the ,most ,likely ,concurrent
,injury ,to ,have ,occurred? ,- ,CORRECT ,ANSWER-Calcaneus ,fracture


A ,patient ,arrives ,with ,a ,large ,metal ,rod ,embedded ,in ,their ,left ,thigh ,and ,no
,active ,bleeding. ,Which ,intervention ,is ,most ,appropriate ,for ,this ,patient? ,-
,CORRECT ,ANSWER-Prepare ,the ,patient ,for ,surgery ,to ,remove ,the ,rod


Which ,findings ,are ,most ,consistent ,with ,a ,complete ,transection ,of ,the ,spinal
,cord? ,- ,CORRECT ,ANSWER-Absence ,of ,sensory ,and ,motor ,function ,below ,the
,level ,of ,injury