TNCC ENA 9th Edition Pre Test Exam
2026 Questions and Answers
A patient arrives at the emergency department by private vehicle after sustaining an
injury to the right lower extremity while using a saw. There is a large gaping
wound to the right thigh area with significant bleeding. What is the priority
intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - Correct answer-B. Initiate
direct pressure
Rationale: The first step inn controlling any bleeding is application of direct
pressure.
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,What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening - Correct answer-D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
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, D. Apply firm pressure over the iliac crests, downward and medially - Correct
answer-B. Apply gentle pressure over the iliac crests, downward and medially
Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac
crests, downward and medially.
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of
the following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department - Correct
answer-A. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their
own practice, a sign of resilience. B indicates the nurse is still not ready to return to
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
2026 Questions and Answers
A patient arrives at the emergency department by private vehicle after sustaining an
injury to the right lower extremity while using a saw. There is a large gaping
wound to the right thigh area with significant bleeding. What is the priority
intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - Correct answer-B. Initiate
direct pressure
Rationale: The first step inn controlling any bleeding is application of direct
pressure.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening - Correct answer-D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, D. Apply firm pressure over the iliac crests, downward and medially - Correct
answer-B. Apply gentle pressure over the iliac crests, downward and medially
Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac
crests, downward and medially.
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of
the following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department - Correct
answer-A. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their
own practice, a sign of resilience. B indicates the nurse is still not ready to return to
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
