TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC
EXAM, TNCC 8th Edition with
correct answers 2025/2026
Expedite transfer to the closest trauma center - correct answersA 56 y/o M pt involved in a
motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck
pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - correct answersWhich of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - correct answersFollowing a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe?
Multiple requests for water - correct answersEMS brings a pt who fell while riding his bicycle.
Using the American College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - correct answersWhat is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
,acidosis - correct answersWhich of the following is a component of the trauma triad of death?
Complete - correct answersEMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F
(36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - correct answersWhich of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - correct answersDuring the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations.
What priority nursing interventions should be preformed next?
globe rupture - correct answersA 35 y/o M presents with facial trauma after being struck in the
face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected?
compensated - correct answersA trauma pt is restless and repeatedly asking "where am i?" VS
upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR
108, RR 28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - correct answersAn unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin. The trauma
team has administered medications for drug-assisted intubation and attempted intubation but
was unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - correct answersWhen is the tertiary survey completed fora trauma pt?
pressure - correct answersAn intubated and sedated pt in the ED has multiple extremity injuries
with the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
,worsening pneumothorax - correct answersWhich of the following is possible complication of
positive-pressure ventilation?
pelvic stability - correct answersthe most reassuring finding for a male pt with hip pain after a
fall is which of the following?
narrowed - correct answersWhich of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - correct answersPatients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - correct answersTearing of the bridging veins is most frequently associated
with which brain injury?
straight cath for urine sample - correct answersA 20 y/o M presents to the ED complaining of
severe lower abd pain after landing hard on the bicycle cross bars while preforming an aerial
BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis.
Which of the following orders would the RN question?
placental abruption - correct answersYou are caring for a pt who was involved in a MVC and is
32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht
at the costal margin, and some dark bloody show. Varying accelerations and decelerations are
noted on cariocgraphy. These findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - correct answersWhich of the
following is true about the log-roll?
, defusings - correct answersAll of these are considered a critical communication point in trauma
care EXCEPT which of the following?
pulse oximetry and capnography - correct answersWhat bedside monitoring parameters are
used to assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - correct answersCaregivers carry in a
2 y/o into the ED who fell out of a second-story window. The pt is awake and crying with
increased work of breathing and pale skin. Which of the following interventions has the highest
priority?
bowel - correct answersWhich of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - correct answersA pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - correct answersA pt with a
complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other
clinical signs?
apply splint and elevate above the level of the heart - correct answersa 37 y/o F has a deformity
of the L wrist after a fall. She is reluctant to move her hand due to pain. Which of the following
is the most appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - correct answerswhich of
the following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - correct answersa 5
y/o child presents to the ED with bruises to the upper arm and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found
Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC
EXAM, TNCC 8th Edition with
correct answers 2025/2026
Expedite transfer to the closest trauma center - correct answersA 56 y/o M pt involved in a
motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck
pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - correct answersWhich of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - correct answersFollowing a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe?
Multiple requests for water - correct answersEMS brings a pt who fell while riding his bicycle.
Using the American College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - correct answersWhat is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
,acidosis - correct answersWhich of the following is a component of the trauma triad of death?
Complete - correct answersEMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F
(36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - correct answersWhich of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - correct answersDuring the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations.
What priority nursing interventions should be preformed next?
globe rupture - correct answersA 35 y/o M presents with facial trauma after being struck in the
face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected?
compensated - correct answersA trauma pt is restless and repeatedly asking "where am i?" VS
upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR
108, RR 28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - correct answersAn unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin. The trauma
team has administered medications for drug-assisted intubation and attempted intubation but
was unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - correct answersWhen is the tertiary survey completed fora trauma pt?
pressure - correct answersAn intubated and sedated pt in the ED has multiple extremity injuries
with the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
,worsening pneumothorax - correct answersWhich of the following is possible complication of
positive-pressure ventilation?
pelvic stability - correct answersthe most reassuring finding for a male pt with hip pain after a
fall is which of the following?
narrowed - correct answersWhich of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - correct answersPatients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - correct answersTearing of the bridging veins is most frequently associated
with which brain injury?
straight cath for urine sample - correct answersA 20 y/o M presents to the ED complaining of
severe lower abd pain after landing hard on the bicycle cross bars while preforming an aerial
BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis.
Which of the following orders would the RN question?
placental abruption - correct answersYou are caring for a pt who was involved in a MVC and is
32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht
at the costal margin, and some dark bloody show. Varying accelerations and decelerations are
noted on cariocgraphy. These findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - correct answersWhich of the
following is true about the log-roll?
, defusings - correct answersAll of these are considered a critical communication point in trauma
care EXCEPT which of the following?
pulse oximetry and capnography - correct answersWhat bedside monitoring parameters are
used to assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - correct answersCaregivers carry in a
2 y/o into the ED who fell out of a second-story window. The pt is awake and crying with
increased work of breathing and pale skin. Which of the following interventions has the highest
priority?
bowel - correct answersWhich of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - correct answersA pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - correct answersA pt with a
complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other
clinical signs?
apply splint and elevate above the level of the heart - correct answersa 37 y/o F has a deformity
of the L wrist after a fall. She is reluctant to move her hand due to pain. Which of the following
is the most appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - correct answerswhich of
the following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - correct answersa 5
y/o child presents to the ED with bruises to the upper arm and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found
