TNCC 9th Edition (2025–2026) Question
Bank Exam-Style Questions with 100%
Correct Answers and Rationales
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### *TNP & Primary Survey (Q1–20)*
1. *The Trauma Nursing Process (TNP) sequence is:*
A. Preparation → Triage → Assessment → Resuscitation
B. Preparation → Triage → Primary → Secondary
C. Triage → Primary → Secondary → Transfer
D. Assessment → Intervention → Reassessment
*Answer: A* | Rationale: P-T-A-R is the official TNP sequence (p. 3)
2. *Which is the HIGHEST priority in the primary survey?*
A. Bleeding control
B. Airway with C-spine protection
C. IV access
D. Disability assessment
, *Answer: B* | Rationale: A comes before C (p. 12)
3. *A patient with agonal respirations requires:*
A. Bag-valve-mask ventilation
B. Immediate intubation
C. Needle decompression
D. Jaw thrust only
*Answer: B* | Rationale: Inadequate airway → definitive airway (p. 45)
4. *"C" in the primary survey includes:*
A. Cervical spine palpation
B. Control of hemorrhage
C. Chest auscultation
D. Capnography
*Answer: B* | Rationale: C = Circulation & Hemorrhage control (p. 18)
5. *A trauma patient with no radial pulse but strong carotid pulse is in:*
A. Class I shock
B. Class II shock
C. Class III shock
, D. Class IV shock
*Answer: C* | Rationale: No radial = SBP <80–90 mmHg → Class III (p. 67)
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### *Airway & Breathing (Q6–23)*
6. *Jaw thrust is preferred over head tilt–chin lift because:*
A. It opens the airway faster
B. It preserves cervical spine alignment
C. It prevents aspiration
D. It allows suctioning
*Answer: B* | Rationale: Trauma protocol (p. 40)
7. *Tension pneumothorax triad includes:*
A. Hypotension, JVD, muffled heart sounds
B. Tracheal deviation, absent breath sounds, JVD
C. Bradycardia, hypertension, unequal pupils
D. Hyperresonance, tachycardia, clear lungs
*Answer: B* | Rationale: Classic signs (p. 88)
, 8. *Needle thoracostomy site (9th Ed.):*
A. 2nd ICS, midclavicular
B. 4th/5th ICS, anterior axillary
C. 2nd ICS, anterior axillary
D. 5th ICS, midclavicular
*Answer: B* | Rationale: Updated guideline (p. 91)
9. *Flail chest management includes:*
A. Sandbag stabilization
B. Positive pressure ventilation
C. Immediate chest tube
D. Observation only
*Answer: B* | Rationale: Intubation + PEEP (p. 94)
10. *Massive hemothorax is defined as:*
A. >500 mL initial drainage
B. >1,500 mL initial drainage
C. >200 mL/hr for 4 hrs
D. Both B and C
Bank Exam-Style Questions with 100%
Correct Answers and Rationales
---
### *TNP & Primary Survey (Q1–20)*
1. *The Trauma Nursing Process (TNP) sequence is:*
A. Preparation → Triage → Assessment → Resuscitation
B. Preparation → Triage → Primary → Secondary
C. Triage → Primary → Secondary → Transfer
D. Assessment → Intervention → Reassessment
*Answer: A* | Rationale: P-T-A-R is the official TNP sequence (p. 3)
2. *Which is the HIGHEST priority in the primary survey?*
A. Bleeding control
B. Airway with C-spine protection
C. IV access
D. Disability assessment
, *Answer: B* | Rationale: A comes before C (p. 12)
3. *A patient with agonal respirations requires:*
A. Bag-valve-mask ventilation
B. Immediate intubation
C. Needle decompression
D. Jaw thrust only
*Answer: B* | Rationale: Inadequate airway → definitive airway (p. 45)
4. *"C" in the primary survey includes:*
A. Cervical spine palpation
B. Control of hemorrhage
C. Chest auscultation
D. Capnography
*Answer: B* | Rationale: C = Circulation & Hemorrhage control (p. 18)
5. *A trauma patient with no radial pulse but strong carotid pulse is in:*
A. Class I shock
B. Class II shock
C. Class III shock
, D. Class IV shock
*Answer: C* | Rationale: No radial = SBP <80–90 mmHg → Class III (p. 67)
---
### *Airway & Breathing (Q6–23)*
6. *Jaw thrust is preferred over head tilt–chin lift because:*
A. It opens the airway faster
B. It preserves cervical spine alignment
C. It prevents aspiration
D. It allows suctioning
*Answer: B* | Rationale: Trauma protocol (p. 40)
7. *Tension pneumothorax triad includes:*
A. Hypotension, JVD, muffled heart sounds
B. Tracheal deviation, absent breath sounds, JVD
C. Bradycardia, hypertension, unequal pupils
D. Hyperresonance, tachycardia, clear lungs
*Answer: B* | Rationale: Classic signs (p. 88)
, 8. *Needle thoracostomy site (9th Ed.):*
A. 2nd ICS, midclavicular
B. 4th/5th ICS, anterior axillary
C. 2nd ICS, anterior axillary
D. 5th ICS, midclavicular
*Answer: B* | Rationale: Updated guideline (p. 91)
9. *Flail chest management includes:*
A. Sandbag stabilization
B. Positive pressure ventilation
C. Immediate chest tube
D. Observation only
*Answer: B* | Rationale: Intubation + PEEP (p. 94)
10. *Massive hemothorax is defined as:*
A. >500 mL initial drainage
B. >1,500 mL initial drainage
C. >200 mL/hr for 4 hrs
D. Both B and C
