TNCC 9th Edition, TNCC 9th Edition FINAL TEST,
TNCC 9th Edition questions and ANSWERS2025\2026
update
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performin
the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the mos
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.-ANS>>C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicl
collision. When significant abdominal and pelvic injuries are noted in the primary survey, what is th
priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter-ANS>>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 a
open wound in proximity to an obvious deformity of the left lower extremity. What is the priorit
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-ANS>>A. Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is being manually ventilate
via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolu
of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the puls
, oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the cerebra
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.-ANS>>A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-over" with prolonge
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)-ANS>>B. Application of a pelvi
binder
1. An adult patient who sustained a severe head trauma has been intubated and is being manuall
ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenou
fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and th
pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage th
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.-ANS>>A. Decrease the rate of manual ventilation
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car-ANS>>B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb, paralysis
or loss of sight.
3. What is the most important consideration during the initial assessment when caring for an older adu
who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
TNCC 9th Edition questions and ANSWERS2025\2026
update
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performin
the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the mos
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.-ANS>>C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicl
collision. When significant abdominal and pelvic injuries are noted in the primary survey, what is th
priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter-ANS>>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 a
open wound in proximity to an obvious deformity of the left lower extremity. What is the priorit
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-ANS>>A. Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is being manually ventilate
via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolu
of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the puls
, oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the cerebra
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.-ANS>>A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-over" with prolonge
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)-ANS>>B. Application of a pelvi
binder
1. An adult patient who sustained a severe head trauma has been intubated and is being manuall
ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenou
fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and th
pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage th
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.-ANS>>A. Decrease the rate of manual ventilation
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car-ANS>>B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb, paralysis
or loss of sight.
3. What is the most important consideration during the initial assessment when caring for an older adu
who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
