TNCC Final Exam 2025 – Open Book Version with
Verified Questions and Correct Answers
Why is a measureof serumlactateobtainedin theinitial assessmentof thetraumapatient?
Answer:c - a) to measureoxygenationand ventilation
b) to quantifythebasedeficitfor theadequacyof cellularperfusion
c) *to gaugeend-organperfusionand tissuehypoxia**
d) to determinetheunderlyingcauseof shock
A traumapatientis restlessand repeatedlyasking "wheream I?" vital signs upon arrival wereBP 100/60
mm Hg, HR 96 beats/min,and RR 24 breaths/min.Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which
stage of shock?
Answer:A - A) compensated**
B) Progressive
C) irreversible
D) decompensated
An elderlypatient with a historyof anticoagulant use presents after
a fall at home that
day. shedenies
any loss of consciousness.She has a hematomato her foreheadand complains of headache, dizziness,
and nausea. Which is a most likely cause of symptoms?
her
Answer:D - A) epiduralhematoma
B) diffuseaxonalinjury
C) post-concussivesyndrome
D) subduralhematoma***
EMS brings a patient who fell riding his bicycle. Using the American College
Surgeons
of screening
guidelines,which assessmentfinding wouldpromptthenurseto prepare the patient for radiologic spine
clearance?
Answer:D - A) Alert with no neurologicdeficits
B) Multipleabrasionsto theextremities
C) Multiplerequestsof water
D) Smellof alcoholon breath***
Which of thefollowingoccursduring thethird impactof a motorvehiclecrash?
Answer:C - A) The driver of thevehiclecollideswith thesteeringwheel
B) thevehiclecollideswith a tree
C) theaortais torn at its attachmentwith theligamentumarteriosum
D) theairbagdeploysand strikesthefrontseatpassenger***
,A passengeris broughtto theemergencydepartmentof a rural hospitalfollowinga high-speed
MVC. When significant abdominal and pelvic injuries are noted inprimary
the survey, which of
the following is the priority interventions?
, Answer:A - A) initiatetransferto a traumacenter**
B) providereportto theoperatingroom nurse
C) Obtainedimaging studies
D) Placea gastrictube
Which of thefollowinginjuriesis LEAST likely to be promptlyidentified?
Answer:C - A) spleen
B) lung
C) bowel***
D) brain
Patientswith a crush injury shouldbemonitoredfor which of thefollowingconditions?
Answer:C - A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias**
D) polyuria
Whatfinding raisessuspicionof completespinal cord injury?
Answer:B - A) Weakness inthelowerextremities
B) Priapism***
C) voluntaryanalsphinctertone
D) intactreflexesdistalto theinjury
A patientwith a completespinal cord injury in neurogenicshockwill demonstratehypotension and which
other clinical signs?
Answer:D - A) Bradycardiaand ipsilateralabsencesof motorfunction
B) Tachycardiaand respiratorydepression
C) Tachycardiaand absentmotorfunctionbelowthelevelof injury
D) Bradycardiaand absentmotorfunctionbelowthelevelof theinjury ***
A 5-year old child presents to the ED with bruises to the upper arms and buttocks
various
in stagesof
healingand multiplesmall,clean,round burns to theback.There areno abnormalities found based on
the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing
intervention?
Answer: A- A) reportyour suspicionof themaltreatmentin accordancewith local regulations
***
B) applyice to thebruisesand consultwoundcare
C) engagein therapeuticcommunicationto determinetheMOI
D) providethefamilywithinjury preventionresourse
A patientwith lowerextremityfracturecomplainsof severepain and tightnessin his calf, minimally relieved
by pain medications. Which of the following is the priority nursing
intervention?
Verified Questions and Correct Answers
Why is a measureof serumlactateobtainedin theinitial assessmentof thetraumapatient?
Answer:c - a) to measureoxygenationand ventilation
b) to quantifythebasedeficitfor theadequacyof cellularperfusion
c) *to gaugeend-organperfusionand tissuehypoxia**
d) to determinetheunderlyingcauseof shock
A traumapatientis restlessand repeatedlyasking "wheream I?" vital signs upon arrival wereBP 100/60
mm Hg, HR 96 beats/min,and RR 24 breaths/min.Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which
stage of shock?
Answer:A - A) compensated**
B) Progressive
C) irreversible
D) decompensated
An elderlypatient with a historyof anticoagulant use presents after
a fall at home that
day. shedenies
any loss of consciousness.She has a hematomato her foreheadand complains of headache, dizziness,
and nausea. Which is a most likely cause of symptoms?
her
Answer:D - A) epiduralhematoma
B) diffuseaxonalinjury
C) post-concussivesyndrome
D) subduralhematoma***
EMS brings a patient who fell riding his bicycle. Using the American College
Surgeons
of screening
guidelines,which assessmentfinding wouldpromptthenurseto prepare the patient for radiologic spine
clearance?
Answer:D - A) Alert with no neurologicdeficits
B) Multipleabrasionsto theextremities
C) Multiplerequestsof water
D) Smellof alcoholon breath***
Which of thefollowingoccursduring thethird impactof a motorvehiclecrash?
Answer:C - A) The driver of thevehiclecollideswith thesteeringwheel
B) thevehiclecollideswith a tree
C) theaortais torn at its attachmentwith theligamentumarteriosum
D) theairbagdeploysand strikesthefrontseatpassenger***
,A passengeris broughtto theemergencydepartmentof a rural hospitalfollowinga high-speed
MVC. When significant abdominal and pelvic injuries are noted inprimary
the survey, which of
the following is the priority interventions?
, Answer:A - A) initiatetransferto a traumacenter**
B) providereportto theoperatingroom nurse
C) Obtainedimaging studies
D) Placea gastrictube
Which of thefollowinginjuriesis LEAST likely to be promptlyidentified?
Answer:C - A) spleen
B) lung
C) bowel***
D) brain
Patientswith a crush injury shouldbemonitoredfor which of thefollowingconditions?
Answer:C - A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias**
D) polyuria
Whatfinding raisessuspicionof completespinal cord injury?
Answer:B - A) Weakness inthelowerextremities
B) Priapism***
C) voluntaryanalsphinctertone
D) intactreflexesdistalto theinjury
A patientwith a completespinal cord injury in neurogenicshockwill demonstratehypotension and which
other clinical signs?
Answer:D - A) Bradycardiaand ipsilateralabsencesof motorfunction
B) Tachycardiaand respiratorydepression
C) Tachycardiaand absentmotorfunctionbelowthelevelof injury
D) Bradycardiaand absentmotorfunctionbelowthelevelof theinjury ***
A 5-year old child presents to the ED with bruises to the upper arms and buttocks
various
in stagesof
healingand multiplesmall,clean,round burns to theback.There areno abnormalities found based on
the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing
intervention?
Answer: A- A) reportyour suspicionof themaltreatmentin accordancewith local regulations
***
B) applyice to thebruisesand consultwoundcare
C) engagein therapeuticcommunicationto determinetheMOI
D) providethefamilywithinjury preventionresourse
A patientwith lowerextremityfracturecomplainsof severepain and tightnessin his calf, minimally relieved
by pain medications. Which of the following is the priority nursing
intervention?
