TNCC ACTUAL EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
● A trauma patient is restless and repeatedly asking "where am I?" vital
signs upon arrival were BP 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 Answer: A) compensated **
B) Progressive
C) irreversible
D) decompensated
● An elderly patient with a history of anticoagulant use presents after a
fall at home that day. she denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer: D Answer: A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
,D) subdural hematoma ***
● EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D Answer: A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
● Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C Answer: A) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
● A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic
, injuries are noted in the primary survey, which of the following is the
priority interventions?
Answer: A Answer: A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
● Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C Answer: A) spleen
B) lung
C) bowel ***
D) brain
● Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C Answer: A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
COMPLETE QUESTIONS AND SOLUTIONS
● A trauma patient is restless and repeatedly asking "where am I?" vital
signs upon arrival were BP 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 Answer: A) compensated **
B) Progressive
C) irreversible
D) decompensated
● An elderly patient with a history of anticoagulant use presents after a
fall at home that day. she denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer: D Answer: A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
,D) subdural hematoma ***
● EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D Answer: A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
● Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C Answer: A) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
● A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic
, injuries are noted in the primary survey, which of the following is the
priority interventions?
Answer: A Answer: A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
● Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C Answer: A) spleen
B) lung
C) bowel ***
D) brain
● Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C Answer: A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
