TNCC 9th Edition – FINAL EXAM #2
(2025–2026 Questions with 100% Correct
Answers and Rationales
## *SECTION 1: Trauma Nursing Process & Primary Survey (Q1–10)*
1. *The correct sequence of the Trauma Nursing Process (TNP) is:*
A. Triage → Primary → Secondary → Reassessment
B. Preparation → Triage → Primary → Secondary
C. Assessment → Intervention → Reassessment → Transfer
D. Preparation → Primary → Secondary → Triage
2. *During the primary survey, "B" includes assessment of:*
A. Breath sounds, chest rise, oxygen saturation
B. Blood pressure, bleeding, IV access
C. Breathing rate, breath sounds, tracheal position
D. Both A and C
3. *A patient with a GCS of 7 requires:*
A. Observation only
B. Immediate intubation
C. Nasal cannula at 2 LPM
D. Non-rebreather mask
,4. *Which is the MOST immediate life-threatening condition in the primary
survey?*
A. Flail chest
B. Airway obstruction
C. Open femur fracture
D. Altered mental status
5. *"E" in the primary survey includes:*
A. Exposure with environmental control
B. ECG monitoring
C. End-tidal CO₂
D. Extremity splinting
6. *A patient arrives with no palpable radial pulse but strong carotid. Estimated
blood loss:*
A. <750 mL
B. 750–1,500 mL
C. 1,500–2,000 mL
D. >2,000 mL
7. *First fluid bolus in adult trauma (per TNCC):*
A. 500 mL NS
B. 1 L Lactated Ringer’s
, C. 2 L warmed crystalloid
D. 1 unit O-negative blood
8. *Tension pneumothorax is confirmed by:*
A. Hyperresonance on affected side
B. Tracheal deviation away from affected side
C. Decreased breath sounds on affected side
D. All of the above
9. *Needle decompression site (9th Ed.):*
A. 2nd ICS, midclavicular line
B. 4th/5th ICS, anterior axillary line
C. 3rd ICS, midaxillary line
D. 5th ICS, posterior axillary line
10. *Flail chest is managed initially with:*
A. Sandbags
B. Positive pressure ventilation
C. Chest tube
D. Observation
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(2025–2026 Questions with 100% Correct
Answers and Rationales
## *SECTION 1: Trauma Nursing Process & Primary Survey (Q1–10)*
1. *The correct sequence of the Trauma Nursing Process (TNP) is:*
A. Triage → Primary → Secondary → Reassessment
B. Preparation → Triage → Primary → Secondary
C. Assessment → Intervention → Reassessment → Transfer
D. Preparation → Primary → Secondary → Triage
2. *During the primary survey, "B" includes assessment of:*
A. Breath sounds, chest rise, oxygen saturation
B. Blood pressure, bleeding, IV access
C. Breathing rate, breath sounds, tracheal position
D. Both A and C
3. *A patient with a GCS of 7 requires:*
A. Observation only
B. Immediate intubation
C. Nasal cannula at 2 LPM
D. Non-rebreather mask
,4. *Which is the MOST immediate life-threatening condition in the primary
survey?*
A. Flail chest
B. Airway obstruction
C. Open femur fracture
D. Altered mental status
5. *"E" in the primary survey includes:*
A. Exposure with environmental control
B. ECG monitoring
C. End-tidal CO₂
D. Extremity splinting
6. *A patient arrives with no palpable radial pulse but strong carotid. Estimated
blood loss:*
A. <750 mL
B. 750–1,500 mL
C. 1,500–2,000 mL
D. >2,000 mL
7. *First fluid bolus in adult trauma (per TNCC):*
A. 500 mL NS
B. 1 L Lactated Ringer’s
, C. 2 L warmed crystalloid
D. 1 unit O-negative blood
8. *Tension pneumothorax is confirmed by:*
A. Hyperresonance on affected side
B. Tracheal deviation away from affected side
C. Decreased breath sounds on affected side
D. All of the above
9. *Needle decompression site (9th Ed.):*
A. 2nd ICS, midclavicular line
B. 4th/5th ICS, anterior axillary line
C. 3rd ICS, midaxillary line
D. 5th ICS, posterior axillary line
10. *Flail chest is managed initially with:*
A. Sandbags
B. Positive pressure ventilation
C. Chest tube
D. Observation
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