TNCC 9TH EDITION FINAL EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
◉An older adult presents to the emergency department with complaints
of dizziness, headache, and nausea. The pt was involved in a motor
vehicle collision 10 days ago. There was no loss of consciousness and a
hematoma is noted to the forehead. The pt is currently on anticoagulant
therapy. What is most likely the cause of their symptoms? Answer:
post-concussive syndrome
◉A pt with a lower extremity fracture complains of severe pain and
tightness in his calf, minimally relieved by pain medication. Which of
the following is the priority nursing intervention? Answer: Elevating
the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
◉A pt involved in a high-speed rollover is complaining of increased
difficulty breathing. There is a small penetrating wound to the 6th
intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm? Answer: Bowel sounds
heard in the lower left chest
,◉A pt has been in the emergency department for several hours waiting
to be admitted. They sustained multiple rib fractures and a femur
fracture after a fall. The pt has been awake, alert, and complaining of leg
pain. Their spouse reported that the pt suddenly became anxious and
confused. Upon reassessment, the pt is restless, with respiratory distress
and petechiae to his neck. The pt is exhibiting signs and symptoms most
commonly associated with which of the following conditions? Answer:
Fat embolism
◉3 adult pts present at different times during a 1-hour period with a high
fever, fatigue, and headache. All 3 pts have a rash which started on their
mouth, face, and arms with progression to the chest and abdomen. They
all visited the same grocery store within the last week. What is the most
appropriate intervention from triage for these pts? Answer:
Immediately initiate contact precautions
◉A 35-year-old male presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied? Answer: Globe rupture
◉A trauma patient who is 30 - weeks pregnant arrives at the emergency
department following a motor vehicle collision Which normal
physiologic change should be considered when assessing ventilatory
status ? Answer: Increased oxygen consumption
◉A patient who sustained severe injuries was brought to the emergency
department following a high - speed motor vehicle collision .
, Interventions for hypovolemic shock have been initiated . What
component of the trauma triad of death is most likely to have begun at
the time of injury ? Answer: Coagulopathy
◉An adult patient involved in a motor vehicle collision is brought to the
emergency department of a rural critical access facility . They complain
of neck pain , shortness of breath , and diffuse abdominal pain . The
Glasgow Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125
beats / minute , RR 26 breaths / minute , and SpO2 94 % on high - flow
oxygen via non - rebreather mask . Which of the following is the priority
intervention for this patient ? Answer: Expedite transfer to the closest
trauma center
◉A patient who weighs 120 kg is brought to the emergency department
after sustaining partial thickness burns to both upper extremities and
chest with a total body surface area burned of 27 % . How much
intravenous fluid should be administered in the first 8 hours ? Answer:
3240 mL
◉A trauma patient is being held in the emergency department because
there are no available inpatient beds . The patient sustained a femur
fracture and required multiple blood products . The patient now has
blood oozing from abrasions , IV sites , the nose , and gums . What
condition is most consistent with these findings ? Answer:
Disseminated intravascular coagulopathy
COMPLETE QUESTIONS AND SOLUTIONS
◉An older adult presents to the emergency department with complaints
of dizziness, headache, and nausea. The pt was involved in a motor
vehicle collision 10 days ago. There was no loss of consciousness and a
hematoma is noted to the forehead. The pt is currently on anticoagulant
therapy. What is most likely the cause of their symptoms? Answer:
post-concussive syndrome
◉A pt with a lower extremity fracture complains of severe pain and
tightness in his calf, minimally relieved by pain medication. Which of
the following is the priority nursing intervention? Answer: Elevating
the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
◉A pt involved in a high-speed rollover is complaining of increased
difficulty breathing. There is a small penetrating wound to the 6th
intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm? Answer: Bowel sounds
heard in the lower left chest
,◉A pt has been in the emergency department for several hours waiting
to be admitted. They sustained multiple rib fractures and a femur
fracture after a fall. The pt has been awake, alert, and complaining of leg
pain. Their spouse reported that the pt suddenly became anxious and
confused. Upon reassessment, the pt is restless, with respiratory distress
and petechiae to his neck. The pt is exhibiting signs and symptoms most
commonly associated with which of the following conditions? Answer:
Fat embolism
◉3 adult pts present at different times during a 1-hour period with a high
fever, fatigue, and headache. All 3 pts have a rash which started on their
mouth, face, and arms with progression to the chest and abdomen. They
all visited the same grocery store within the last week. What is the most
appropriate intervention from triage for these pts? Answer:
Immediately initiate contact precautions
◉A 35-year-old male presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied? Answer: Globe rupture
◉A trauma patient who is 30 - weeks pregnant arrives at the emergency
department following a motor vehicle collision Which normal
physiologic change should be considered when assessing ventilatory
status ? Answer: Increased oxygen consumption
◉A patient who sustained severe injuries was brought to the emergency
department following a high - speed motor vehicle collision .
, Interventions for hypovolemic shock have been initiated . What
component of the trauma triad of death is most likely to have begun at
the time of injury ? Answer: Coagulopathy
◉An adult patient involved in a motor vehicle collision is brought to the
emergency department of a rural critical access facility . They complain
of neck pain , shortness of breath , and diffuse abdominal pain . The
Glasgow Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125
beats / minute , RR 26 breaths / minute , and SpO2 94 % on high - flow
oxygen via non - rebreather mask . Which of the following is the priority
intervention for this patient ? Answer: Expedite transfer to the closest
trauma center
◉A patient who weighs 120 kg is brought to the emergency department
after sustaining partial thickness burns to both upper extremities and
chest with a total body surface area burned of 27 % . How much
intravenous fluid should be administered in the first 8 hours ? Answer:
3240 mL
◉A trauma patient is being held in the emergency department because
there are no available inpatient beds . The patient sustained a femur
fracture and required multiple blood products . The patient now has
blood oozing from abrasions , IV sites , the nose , and gums . What
condition is most consistent with these findings ? Answer:
Disseminated intravascular coagulopathy
