TNCC final exam Questions and answers 2025/2026

TNCC final exam Questions and
answers 2025/2026
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on the
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bicycle cross bars which performing an aerial BMX maneuver. Secondary assessment
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reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would
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the nurse questions?
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Answer: C - Answer A) Fast exam kj kj kj kj kj kj




B) CT scan kj kj




C) straight cath for urine sample ***
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D) ice and elevation of the scrotum
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A 35-year old male presents with facial trauma after bring struck inthe face with a baseball.
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a tear-drop shaped left pupil is noted on exam. What type of injury is suspected?
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Answer: B - Answer A) oculomotor nerve palsy kj kj kj kj kj kj kj




B) globe rupture ***
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C) uncal herniation
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D) retinal detachment
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A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her
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hand due to pain. Which of the following is the most appropriate intervention?
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Answer: B - Answer A) apply a sling and elevate the extremity to the level of the heart.
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B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
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C) Apply a sling and elevate the extremity above the level of the heart
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D) apply a splint and elevate the extremity to the level of the heart.
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A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd,
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pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of
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these negative fast exam except which of the following?
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The FAST exam is done at the bedside to identify pathological fluid in the abdominal and
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pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal lavage
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and can be repeated if clinical changes or hemodynamic changes occur. A negative FAST
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study does not rule out injury and may warrant a follow-up computed tomography scan.
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Serial FAST exams can identify increasing abdominal fluid collections from hemorrhage.
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Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed by the surgical
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, team to rapidly identify the presence of hemorrhage in patients who are hemodynamically
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unstable after trauma. - Answer A) diagnostic peritoneal lavage ***
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B) serial fast exams
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C) abdominal and pelvic CT scans
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D) serial abdominal assessments
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A 5-year old child presents to the ED with bruises to the upper arms and buttocks in various
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stages of healing and multiple small, clean, round burns to the back. There are no
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abnormalities found based on the pediatric assessment triangle or primary survey. Which
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of the following is the priority nursing intervention?
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Answer: A - Answer A) report your suspicion of the maltreatment in accordance with local
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regulations ***
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B) apply ice to the bruises and consult wound care
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C) engage in therapeutic communication to determine the MOI
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D) provide the family with injury prevention resourse
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A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
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facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
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follows:
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BP 98/71 kj




HR 125 beats/min kj kj




RR 26 breaths/minkj kj




SpO2 94% on high flow O2 via NRB mask
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which of the following is the priority intervention for this patient?
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Answer: C - Answer A) Expedite transport to the CT scanner
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B) prepare the patient for spinal radiographs
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C) expedite transfer to the closest trauma center ***
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D) notify the patients family
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A passenger is brought to the emergency department of a rural hospital following a high-
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speed MVC. When significant abdominal and pelvic injuries are noted in the primary
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survey, which of the following is the priority interventions?
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Answer: A - Answer A) initiate transfer to a trauma center **
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B) provide report to the operating room nurse
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C) Obtained imaging studies
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D) Place a gastric tube
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A patient arrives with a large open chest wound after being assault ed with a machete,
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Prehospital providers placed a nonporous dressing over the chest wound and tapes it on 3
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sides. He is now showing signs of anxiety, restlessness, severe respiratory distress,
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cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate
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interventions?
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