TNCC Written exam Questions and
Verified Answers, 100- Score Guarantee
Pass (Latest 2025)
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of
resuscitation? - CORRECT ANSWERS Base deficit used in conjunction with
serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? -
CORRECT ANSWERS Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - CORRECT ANSWERS
Metabolic acidosis
What type of shock results in generalized vasodilation? - CORRECT ANSWERS
Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? - CORRECT
ANSWERS Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? - CORRECT ANSWERS
Compartment Syndrome
What is a high risk of frostbite? - CORRECT ANSWERS Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite injury along with
rewarming? - CORRECT ANSWERS Tissue plasminogen activator or non
steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - CORRECT ANSWERS
Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric patient? - CORRECT
ANSWERS Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or
penetrating injuries? - CORRECT ANSWERS Secondary Phase
What phase of a blast results from any explosion-related illness or injury including hyperglycemia,
hypertension, angina, asthma, COPD, or sepsis? - CORRECT ANSWERS
Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or
any hard object? - CORRECT ANSWERS Tertiary Phase
, What phase of a blast results from impact of the over and under pressurization wave with body
surfaces. Injuries include blast lung, tympanic membrane rupture, abdominal hemorrhage, globe
rupture, and mild traumatic brain injury? - CORRECT ANSWERS Primary
Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise,
and elevated creatinine kinase levels? - CORRECT ANSWERS
Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea,
adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension? - CORRECT
ANSWERS Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of
consciousness? - CORRECT ANSWERS Increased intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening pulse pressure,
abnormal motor posturing, bradycardia, and decreased respiratory effort? - CORRECT ANSWERS
Late signs of increased ICP with Herniation Syndrome
What is caused by the tear of the bridging veins or middle meningeal artery? - CORRECT ANSWERS
Subdural and Epidural Hematoma
Affect concentration, memory, sleep, mode, and libido. Causes headaches, dizziness and nausea. -
CORRECT ANSWERS Postconcussive Syndrome/ Mild Traumatic Brain
Injury
Signs and symptoms similar to early signs of increased ICP but do not worsen. - CORRECT ANSWERS
Postconcussive Syndrome/ Mild Traumatic Brain Injury
Cerebral Perfusion Pressure = ______-______ - CORRECT ANSWERS MAP -
ICP
What is the range for CO2 to maximize perfusion? - CORRECT ANSWERS
35-45
Does hypoventilation cause dilation or constriction? Increase or decrease ICP? - CORRECT ANSWERS
Dilation and increase in ICP due to high CO2
Hyperventilation cause dilation or constriction? - CORRECT ANSWERS
Constriction d/t low CO2
Pupils with pressure on cranial nerve - CORRECT ANSWERS Fixed and
dilated
Pupils with opiates vs stimulants - CORRECT ANSWERS small; large
Verified Answers, 100- Score Guarantee
Pass (Latest 2025)
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of
resuscitation? - CORRECT ANSWERS Base deficit used in conjunction with
serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? -
CORRECT ANSWERS Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - CORRECT ANSWERS
Metabolic acidosis
What type of shock results in generalized vasodilation? - CORRECT ANSWERS
Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? - CORRECT
ANSWERS Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? - CORRECT ANSWERS
Compartment Syndrome
What is a high risk of frostbite? - CORRECT ANSWERS Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite injury along with
rewarming? - CORRECT ANSWERS Tissue plasminogen activator or non
steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - CORRECT ANSWERS
Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric patient? - CORRECT
ANSWERS Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or
penetrating injuries? - CORRECT ANSWERS Secondary Phase
What phase of a blast results from any explosion-related illness or injury including hyperglycemia,
hypertension, angina, asthma, COPD, or sepsis? - CORRECT ANSWERS
Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or
any hard object? - CORRECT ANSWERS Tertiary Phase
, What phase of a blast results from impact of the over and under pressurization wave with body
surfaces. Injuries include blast lung, tympanic membrane rupture, abdominal hemorrhage, globe
rupture, and mild traumatic brain injury? - CORRECT ANSWERS Primary
Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise,
and elevated creatinine kinase levels? - CORRECT ANSWERS
Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea,
adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension? - CORRECT
ANSWERS Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of
consciousness? - CORRECT ANSWERS Increased intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening pulse pressure,
abnormal motor posturing, bradycardia, and decreased respiratory effort? - CORRECT ANSWERS
Late signs of increased ICP with Herniation Syndrome
What is caused by the tear of the bridging veins or middle meningeal artery? - CORRECT ANSWERS
Subdural and Epidural Hematoma
Affect concentration, memory, sleep, mode, and libido. Causes headaches, dizziness and nausea. -
CORRECT ANSWERS Postconcussive Syndrome/ Mild Traumatic Brain
Injury
Signs and symptoms similar to early signs of increased ICP but do not worsen. - CORRECT ANSWERS
Postconcussive Syndrome/ Mild Traumatic Brain Injury
Cerebral Perfusion Pressure = ______-______ - CORRECT ANSWERS MAP -
ICP
What is the range for CO2 to maximize perfusion? - CORRECT ANSWERS
35-45
Does hypoventilation cause dilation or constriction? Increase or decrease ICP? - CORRECT ANSWERS
Dilation and increase in ICP due to high CO2
Hyperventilation cause dilation or constriction? - CORRECT ANSWERS
Constriction d/t low CO2
Pupils with pressure on cranial nerve - CORRECT ANSWERS Fixed and
dilated
Pupils with opiates vs stimulants - CORRECT ANSWERS small; large
