TNCC FINAL PRACTICE TEST |ALL COMBINED QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY RATED A+.
THIS PDF CONTAINS
➢ Tncc Exam 1
➢ Tncc Exam 3
➢ Tncc Study Guide A
➢ Tncc Practice Test
TNCC EXAM 1 MODULE
What is the key to a high-performance trauma team?
a. Individual goals
b. Use of TeamSTEPPS
c. Identification of a single decision maker
d. Effective communication
d. Effective communication Rationale: Skilled communication, cooperation, and coordination
are the cornerstones of high-performance teams and high-quality trauma care (p. 5).
When obtaining a history for an injured patient, understanding the kinematic concepts
associated with the mechanism of injury and energy transfer can initially assist the
trauma provider in:
a. Evaluating and anticipating the types of injury that may be present
b. Deciding whether law enforcement should be notified
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure
a. Evaluating and anticipating the types of injury that may be present Rationale: Mechanism
of injury and energy transfer can assist the provider in evaluating and anticipating damage (p.
23).
The major preventable cause of death in the trauma patient is:
a. Airway compromise
1|Page
,b. Ineffective ventilation
c. Secondary head injury
d. Uncontrolled hemorrhage
d. Uncontrolled hemorrhage Rationale: Uncontrolled hemorrhage is the major cause of
preventable death after injury, so assessment to identify uncontrolled hemorrhage is key to
the initial assessment process (p. 29).
The across-the-room observation step in the initial assessment provides the opportunity
to:
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing
d. Activate the trauma team
c. Reprioritize circulation before airway or breathing. Rationale: The across-the-room
observation is done at the beginning of the primary survey to rapidly assess the need to
reprioritize circulation before airway or breathing. This is done if uncontrolled external
hemorrhage is identified (p. 28).
Which of the following accurately describes ventilation principles associated with a bag-
mask device?
a. Ventilate at a rate of 10 to 12 breaths/minute
b. Deliver 100% oxygen
c. Compress the bag-mask device completely
d. Maintain the oxygen saturation level between 92% and 94%
a. Ventilate at a rate of 10 to 12 breaths/minute Rationale: If ventilation is ineffective, assist
ventilations at 10 to 12 breaths/minute or one every 5 to 6 seconds (p. 32).
Which of the following is the best measure of the adequacy of cellular perfusion and
helps to predict the outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hypoxia
c. Base deficit
d. Oxygen saturation
2|Page
,c. Base deficit Rationale: Base deficit serves as an endpoint measurement of the adequacy of
cellular perfusion and when used in conjunction with serum lactate helps predict the success
of the resuscitation (p. 57).
What is a safe pharmacological alternative to opioids for rib fracture pain management
in the anticoagulated patient?
a. Corticosteroids
b. Intercostal nerve blocks
c. Nonsteroidal anti-inflammatory drugs
d. Epidural anesthetics
b. Intercostal nerve blocks Rationale: Continuous intercostal nerve blocks use long-acting
anesthetics and can provide safe and effective pain management for the anticoagulated patient
(pp. 271, 273).
In a patient with severe traumatic brain injury, hypocapnia causes:
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction
d. Cerebral vasoconstriction Rationale: Hypocapnia, or low levels of carbon dioxide, will
cause vasoconstriction, especially in the cerebral vasculature (p. 98).
A patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. He complains of difficulty swallowing and speaking. Further assessment is
indicated next for which of the following conditions?
a. Damage to the spinal cord
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland
a. Damage to the spinal cord Rationale: Penetrating neck trauma may include concurrent
injuries to the spinal cord, airway, or vascular neck structures. With an intact airway and
hemodynamic stability, the other common concurrent injury is to the spinal cord (pp. 124,
126).
3|Page
, 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
d. Apply firm pressure over the iliac crests downward and medially
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 (p.
149).
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management?
a. Maintain adequate respiratory status
b. Administer balanced resuscitation fluid
c. Perform serial assessments of neurologic function
d. Maintain core temperature
a. Maintain adequate respiratory status Rationale: Spinal cord injuries at C3 to C5 can cause
the loss of phrenic nerve function, resulting in a paralyzed diaphragm and inability to breathe
(p. 173, 179).
Based on proper bleeding control techniques, what is the first step to stop the bleeding
of a penetrating injury to the lower extremity?
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
b. Initiate direct pressure Rationale: The first step in controlling any bleeding is direct
pressure. If that is not adequate, the application of a tourniquet may be needed (p. 201-204).
Treatment for frostbite includes:
a. Warm the affected part slowly over 30 to 60 minutes
b. Use gentle friction to improve circulation
c. Administer tissue plasminogen activator
d. Leave blisters intact
4|Page
AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY RATED A+.
THIS PDF CONTAINS
➢ Tncc Exam 1
➢ Tncc Exam 3
➢ Tncc Study Guide A
➢ Tncc Practice Test
TNCC EXAM 1 MODULE
What is the key to a high-performance trauma team?
a. Individual goals
b. Use of TeamSTEPPS
c. Identification of a single decision maker
d. Effective communication
d. Effective communication Rationale: Skilled communication, cooperation, and coordination
are the cornerstones of high-performance teams and high-quality trauma care (p. 5).
When obtaining a history for an injured patient, understanding the kinematic concepts
associated with the mechanism of injury and energy transfer can initially assist the
trauma provider in:
a. Evaluating and anticipating the types of injury that may be present
b. Deciding whether law enforcement should be notified
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure
a. Evaluating and anticipating the types of injury that may be present Rationale: Mechanism
of injury and energy transfer can assist the provider in evaluating and anticipating damage (p.
23).
The major preventable cause of death in the trauma patient is:
a. Airway compromise
1|Page
,b. Ineffective ventilation
c. Secondary head injury
d. Uncontrolled hemorrhage
d. Uncontrolled hemorrhage Rationale: Uncontrolled hemorrhage is the major cause of
preventable death after injury, so assessment to identify uncontrolled hemorrhage is key to
the initial assessment process (p. 29).
The across-the-room observation step in the initial assessment provides the opportunity
to:
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing
d. Activate the trauma team
c. Reprioritize circulation before airway or breathing. Rationale: The across-the-room
observation is done at the beginning of the primary survey to rapidly assess the need to
reprioritize circulation before airway or breathing. This is done if uncontrolled external
hemorrhage is identified (p. 28).
Which of the following accurately describes ventilation principles associated with a bag-
mask device?
a. Ventilate at a rate of 10 to 12 breaths/minute
b. Deliver 100% oxygen
c. Compress the bag-mask device completely
d. Maintain the oxygen saturation level between 92% and 94%
a. Ventilate at a rate of 10 to 12 breaths/minute Rationale: If ventilation is ineffective, assist
ventilations at 10 to 12 breaths/minute or one every 5 to 6 seconds (p. 32).
Which of the following is the best measure of the adequacy of cellular perfusion and
helps to predict the outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hypoxia
c. Base deficit
d. Oxygen saturation
2|Page
,c. Base deficit Rationale: Base deficit serves as an endpoint measurement of the adequacy of
cellular perfusion and when used in conjunction with serum lactate helps predict the success
of the resuscitation (p. 57).
What is a safe pharmacological alternative to opioids for rib fracture pain management
in the anticoagulated patient?
a. Corticosteroids
b. Intercostal nerve blocks
c. Nonsteroidal anti-inflammatory drugs
d. Epidural anesthetics
b. Intercostal nerve blocks Rationale: Continuous intercostal nerve blocks use long-acting
anesthetics and can provide safe and effective pain management for the anticoagulated patient
(pp. 271, 273).
In a patient with severe traumatic brain injury, hypocapnia causes:
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction
d. Cerebral vasoconstriction Rationale: Hypocapnia, or low levels of carbon dioxide, will
cause vasoconstriction, especially in the cerebral vasculature (p. 98).
A patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. He complains of difficulty swallowing and speaking. Further assessment is
indicated next for which of the following conditions?
a. Damage to the spinal cord
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland
a. Damage to the spinal cord Rationale: Penetrating neck trauma may include concurrent
injuries to the spinal cord, airway, or vascular neck structures. With an intact airway and
hemodynamic stability, the other common concurrent injury is to the spinal cord (pp. 124,
126).
3|Page
, 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
d. Apply firm pressure over the iliac crests downward and medially
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 (p.
149).
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management?
a. Maintain adequate respiratory status
b. Administer balanced resuscitation fluid
c. Perform serial assessments of neurologic function
d. Maintain core temperature
a. Maintain adequate respiratory status Rationale: Spinal cord injuries at C3 to C5 can cause
the loss of phrenic nerve function, resulting in a paralyzed diaphragm and inability to breathe
(p. 173, 179).
Based on proper bleeding control techniques, what is the first step to stop the bleeding
of a penetrating injury to the lower extremity?
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
b. Initiate direct pressure Rationale: The first step in controlling any bleeding is direct
pressure. If that is not adequate, the application of a tourniquet may be needed (p. 201-204).
Treatment for frostbite includes:
a. Warm the affected part slowly over 30 to 60 minutes
b. Use gentle friction to improve circulation
c. Administer tissue plasminogen activator
d. Leave blisters intact
4|Page
