TNCC EXAMINATION TEST OPEN BOOK 2026
QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
◉ A 56-year- male patient involved in a MVC is brought to the ED of
a rural critical access facility. He c/o neck pain, SOB, and diffuse abd
pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
A) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center
D) notify the patients family. Answer: C) expedite transfer to the
closest trauma center
◉ 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?
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma. Answer: D) subdural hematoma
◉ 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?
A) compensated
B) Progressive
C) irreversible
D) decompensated. Answer: A) compensated
◉ Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
a) to measure oxygenation and ventilation
, b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia
d) to determine the underlying cause of shock. Answer: c) to gauge
end-organ perfusion and tissue hypoxia
◉ 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?
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath. Answer: D) Smell of alcohol on breath
◉ Which of the following occurs during the third impact of a motor
vehicle crash?
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
QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
◉ A 56-year- male patient involved in a MVC is brought to the ED of
a rural critical access facility. He c/o neck pain, SOB, and diffuse abd
pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
A) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center
D) notify the patients family. Answer: C) expedite transfer to the
closest trauma center
◉ 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?
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma. Answer: D) subdural hematoma
◉ 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?
A) compensated
B) Progressive
C) irreversible
D) decompensated. Answer: A) compensated
◉ Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
a) to measure oxygenation and ventilation
, b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia
d) to determine the underlying cause of shock. Answer: c) to gauge
end-organ perfusion and tissue hypoxia
◉ 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?
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath. Answer: D) Smell of alcohol on breath
◉ Which of the following occurs during the third impact of a motor
vehicle crash?
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
