TNCC 20th Edition Exam Test Bank – Latest Versions A & B | Complete 200 Questions with Correct Detailed Answers and Rationales | Verified & Graded A+ 2025/2026 Updated Edition

TNCC 20TH EDITION EXAM LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
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AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
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|ALREADY GRADED A+|100 % COMPLETE
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"Breathing and Ventilation" - ansDuring which part of the primary survey would you
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anticipate the need for a chest tube, intubation, decompression of pneumothorax, oxygen,
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or BVMs?
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1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall
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of the chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs
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for bilateral breath sounds - ansWhat three assessments must be done if the patient is
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intubated?
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1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo assess
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circulation, you must do these two main tasks:
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A.Alert with no neurologic deficits - ansUsing the American College of Surgeons screening
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guidelines, what assessment finding would prompt the nurse to prepare a patient for
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cervical spine imaging?
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A.Alert with no neurologic deficits fh fh fh fh




B.Multiple abrasions to the extremities fh fh fh fh




C.Ecchymosis to the flank fh fh fh




D.Responds to verbal stimulation fh fh fh




A.Cardiogenic - ansA patient is brought to the emergency department with chest pain and fh fh fh fh fh fh fh fh fh fh fh fh fh




shortness of breath following a high-speed motor vehicle collision in which they were the
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unrestrained driver. There is crepitus to the left chest with clear and equal breath sounds.
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The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute.
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Cardiac monitor shows sinus tachycardia with premature ventricular contractions. These
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findings are most consistent with which type of shock?
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A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive

A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a severe fh fh fh fh fh fh fh fh fh fh fh fh fh




head trauma has been intubated and is being manually ventilated via a bag-mask device
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at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolus of 500
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mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the
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pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to
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manage the cerebral blood flow?
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A.Decrease the rate of manual ventilation. fh fh fh fh fh




B.Initiate another fluid bolus. fh fh fh




C.Recheck endotracheal tube placement. fh fh fh




D.Increase the amount of oxygen delivered. fh fh fh fh fh




A.Initiate warming measures - ansA patient is brought to the emergency department
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following a snowmobile crash with prolonged exposure time prior to transport. The patient
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,TNCC 20TH EDITION EXAM LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
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AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
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|ALREADY GRADED A+|100 % COMPLETE
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is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
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breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
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rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a pH of
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6.8. Based on these findings, what is the most appropriate intervention?
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A.Initiate warming measures fh fh




B.Titrate oxygen to 6 L per nasal cannula fh fh fh fh fh fh fh




C.Bolus with 500 mL isotonic crystalloids fh fh fh fh fh




D.Vigorously massage the extremities fh fh fh




A.Report your suspicion of maltreatment in accordance with local regulations - ansA 5-
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year-old child presents to the emergency department with bruises to the upper arms and
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buttocks in various stages of healing and multiple small, clean, round burns to the back.
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There are no abnormalities found based on the pediatric assessment triangle or primary
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survey. Which of the following is the priority nursing intervention?
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A.Report your suspicion of maltreatment in accordance with local regulations
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B.Apply ice to the bruises and provide wound care
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C.Engage in therapeutic communication to determine the mechanism of injury
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D.Provide the family with injury prevention resources fh fh fh fh fh fh




A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese patient
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with a lumbar fracture?
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A.Reverse Trendelenburg fh




B.Supine
C.Prone
D.Fowler's

AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging, law
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enforcement, mandatory reporting, psychosocial support, social services, splinting,
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tetanus, and wound care are all interventions that you do AFTER and before WHAT?
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all patients - ansFor whom is capnography highly recommended?
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Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a sport utility
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vehicle traveling at 40 mph. The patient is awake and alert and the right leg is shortened.
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Following initial resuscitation with fluids, the patient remains hypotensive. What would be
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the priority intervention?
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A.Send blood for type and crossmatch fh fh fh fh fh




B.Apply a pelvic binder fh fh fh




C.Prepare the patient for surgery fh fh fh fh




D.Insert a urinary catheter fh fh fh

,TNCC 20TH EDITION EXAM LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
fh fh fh fh fh fh fh fh fh fh fh fh fh




AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
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|ALREADY GRADED A+|100 % COMPLETE
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assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the
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patient is intubated and you've already assessed ETT placement, what else needs to be
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done with the ETT? (step 10)
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Assessing patency and protection of the airway, Step 7 of fh fh fh fh fh fh fh fh fh fh




"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring which
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part of the primary survey would there be anticipation for intubation, insertion of OPA/NPA,
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removal of any loose teeth or foreign objects, or suctioning?
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B. Rising diastolic - ansWhich blood pressure finding is associated with early or
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compensated hypovolemic shock?
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A.Rising systolic fh




B.Rising diastolic fh




C.Decreasing diastolic fh




D.Decreasing systolic fh




B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall mechanism,
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which patient warrants prehospital transfer to a trauma center?
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A.A 35-year-old lands on a wooden porch from an 8-foot ladder
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B.A 2-year-old lands on grass from a second-story balcony
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C.A 14-year-old forcefully pushed onto cement from standing
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D.A 50-year-old lands on a carpeted floor after tripping
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B.Amputation of a limb - ansWhich of the following situations could cause functional grief? fh fh fh fh fh fh fh fh fh fh fh fh fh




A.Inability to live at home fh fh fh fh




B.Amputation of a limb fh fh fh




C.Loss of one's self-image fh fh fh




D.Destruction of the patient's car fh fh fh fh




B.Control the bleeding - ansAn unconscious patient arrives following a motor vehicle
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collision. The patient is on a backboard with a cervical collar in place and one intravenous
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line running. Respirations are shallow and there is active brisk bleeding from a large leg
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wound. What is the priority intervention for this patient?
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A.Check for a patent airway fh fh fh fh




B.Control the bleeding fh fh




C.Start a second intravenous line fh fh fh fh




D.Ventilate with a bag-mask device fh fh fh fh




B.During the secondary surveyt - ansWhen should the definitive calculation for
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intravenous fluid resuscitation rate be performed for a patient with burns?
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A.As soon as the patient arrives
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B.During the secondary survey fh fh fh

, TNCC 20TH EDITION EXAM LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
fh fh fh fh fh fh fh fh fh fh fh fh fh




AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
fh fh fh fh fh fh fh fh fh




|ALREADY GRADED A+|100 % COMPLETE
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C.Should only be done at a burn center fh fh fh fh fh fh fh




D.During the primary survey fh fh fh




B.Increased oxygen consumption - ansA trauma patient who is 30-weeks pregnant arrives fh fh fh fh fh fh fh fh fh fh fh




at the emergency department following a motor vehicle collision. Which normal
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physiologic change should be considered when assessing ventilatory status?
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A.Increased functional reserve capacity fh fh fh




B.Increased oxygen consumption fh fh




C.Decreased minute ventilation fh fh




D.Slower desaturation rates with apnea fh fh fh fh




B.It can be used in hypotensive patients too unstable for computed tomography scan -
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ansWhich of the following is true about use of the focused assessment sonography for
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trauma exam for a patient with abdominal trauma?
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A.It has a higher sensitivity than diagnostic peritoneal lavage for fluid detection
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B.It can be used in hypotensive patients too unstable for computed tomography scan
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C.It can detect as little as 30 mL of fluid in the abdominal cavity
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D.It has high sensitivity in pediatric patients for identifying fluid in the peritoneum
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B.Loss of reflexes - ansA patient is diagnosed with a T12 spinal cord injury following a 20-
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foot fall. Which finding is consistent with spinal shock?
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A.Bradycardia
B.Loss of reflexes fh fh




C.Widened pulse pressure fh fh




D.Warm skin fh




B.Maintaining spinal motion restriction - ansWhat is the priority intervention for a child who fh fh fh fh fh fh fh fh fh fh fh fh fh




has been diagnosed with an atlanto-occipital dislocation following a high-speed motor
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vehicle collision?
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A.Initiating a second large caliber intravenous line fh fh fh fh fh fh




B.Maintaining spinal motion restriction fh fh fh




C.Placing the patient on pulse oximetry fh fh fh fh fh




D.Turning the patient to remove the backboard fh fh fh fh fh fh




B.Medical history including current medications - ansWhat is the most important
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consideration during the initial assessment when caring for an older adult who has
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sustained serious injuries?
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A.They are likely to be fearful in the emergency department
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B.Medical history including current medications fh fh fh fh




C.Availability of support systems after discharge fh fh fh fh fh




D.Accessibility to a primary care physician fh fh fh fh fh