TNCC 9th Edition Exam
Questions and Answers
All Updated 2026
WhichBinterventionBisBrecommendedBregardingBtheBuseBofBdrug-
assistedBintubationBandBrapidBsequenceBintubation?B-BAnswerBPre-
oxygenateBtoBprolongBtheBtimeBtoBhypoxia
WhichBnormalBanatomicBorBphysiologicBchangeBinBanBolderBadultBplacesBthemBatBaB
higherBriskBforBaspiration?B-BAnswerBRelaxedBmusclesBofBtheBoropharynx
ABpatientBhasBbeenBdiagnosedBwithBanBincompleteBspinalBcordBinjuryBatBL1.BWhichBf
indingBwouldBindicateBsacralBsparing?B-BAnswerBVoluntaryBanalBsphincterBtone
AnBadultBpatientBweighingB75BkgBsustainedBpartialBandBfullBthicknessBburnsBtoB32%B
ofBtheirBbodyB2BhoursBpriorBtoBarrival.BIntravenousBfluidBresuscitationBwasBcalculated
BtoBbeB400BmL/hour.BTheBurineBoutputBoverBtheBlastBhourBwasB15mL.BWhatBinterve
ntionBshouldBtheBnurseBanticipate?B-
BAnswerBIncreaseBisotonicBcrystalloidBinfusionBrate
ABpatientBisBdiagnosedBwithBaBT12BspinalBcordBinjuryBfollowingBaB20-
footBfall.BWhichBfindingBisBconsistentBwithBspinalBshock?B-BAnswerBLossBofBreflexes
ABpatientBisBbroughtBtoBtheBemergencyBdepartmentBfollowingBaBmotorBvehicleBrollov
erBandBisBcomplainingBofBleftBupperBabdominalBpainBandBleftBshoulderBpain.BThisBpr
esentationBisBmostBconsistentBwithBanBinjuryBtoBwhichBorgan?B-BAnswerBSpleen
AnBadultBpatientBisBbroughtBtoBtheBemergencyBdepartmentBfollowingBaBmotorBvehicle
BcollisionBwithBcomplaintsBofBneckBpain.BTheyBhaveBidentifiedBasBaBpersonBinBtheBpr
, ocessBofBtransitioningBfromBmaleBtoBfemale.BWhatBeffectBofBhormoneBtherapyBshould
BbeBconsideredBwhenBplanningBcareBforBthisBpatient?B-
BAnswerBTestosteroneBtherapyBmayBdecreaseBbloodBpressure
CorrectBrationale:BABpersonBwhoBisBinBtheBprocessBofBtransitioningBfromBmaleBtoBfe
maleBwillBusuallyBbeBtakingBfemaleBhormonesBsuchBasBestrogen/estradiolBtoBassistBwi
thBtheBtransition.BThisBcanBcauseBaBdecreaseBinBmuscleBmass,BincreasedBriskBofBthro
mboembolism,BandBpossiblyBincreasedBboneBdensity.BTheseBpatientsBwouldBnotBbeBta
kingBtestosterone.
AnBadultBpatientBpresentsBtoBtheBemergencyBdepartmentBafterBsustainingBsevereBfaci
alBinjuriesBduringBanBaltercation.BTheBpatientBisBawake,Bconfused,BandBsmellsBheavily
BofBalcohol.BPulseBoximetryBisB94%BonBroomBair.BImmediateBintubationBshouldBbeBan
ticipatedBbasedBonBwhichBclinicalBindicator?B-BAnswerBSevereBfacialBinjuries
ABpatientBinvolvedBinBaBhigh-
speedBrolloverBisBcomplainingBofBincreasedBdifficultyBbreathing.BThereBisBaBsmallBpen
etratingBwoundBtoBtheBsixthBintercostalBspaceBinBtheBleftBlateralBchest.BWhichBfinding
BisBmostBconsistentBwithBanBinjuryBtoBtheBdiaphragm?B-
BAnswerBBowelBsoundsBheardBinBtheBleftBlowerBchest
ABseverelyBinjuredBpatientBhasBbeenBintubatedBandBisBbeingBmechanicallyBventilated.B
TheBpatientBhasBreceivedBaBbalancedBresuscitationBincludingBmultipleBbloodBproducts.
BUnderBwhichBcircumstanceBwillBitBbeBharderBforBtheBhemoglobinBtoBreleaseBoxygen
BtoBtheBtissues?B-BAnswerBDecreasedBbodyBtemperature
ABpatientBwithBaBchestBtubeBisBbeingBtransportedBtoBtheBintensiveBcareBunitBandBflu
ctuationBisBnotedBinBtheBwaterBsealBchamberBduringBinspirationBandBexpiration.BWhat
BisBtheBbestBactionBforBtheBnurseBtoBtake?B-
BAnswerBContinueBtoBtheBintensiveBcareBunit
AnBadultBwasBthrownBagainstBaBconcreteBwallBduringBaBfactoryBexplosionBandBsustain
edBaBfemurBfracture,BliverBlaceration,BandBaBsmallBsubduralBhematoma.BTheseBinjurie
sBmostBlikelyBoccurredBduringBwhatBlevelBofBblastBtrauma?B-BAnswerBTertiary
Questions and Answers
All Updated 2026
WhichBinterventionBisBrecommendedBregardingBtheBuseBofBdrug-
assistedBintubationBandBrapidBsequenceBintubation?B-BAnswerBPre-
oxygenateBtoBprolongBtheBtimeBtoBhypoxia
WhichBnormalBanatomicBorBphysiologicBchangeBinBanBolderBadultBplacesBthemBatBaB
higherBriskBforBaspiration?B-BAnswerBRelaxedBmusclesBofBtheBoropharynx
ABpatientBhasBbeenBdiagnosedBwithBanBincompleteBspinalBcordBinjuryBatBL1.BWhichBf
indingBwouldBindicateBsacralBsparing?B-BAnswerBVoluntaryBanalBsphincterBtone
AnBadultBpatientBweighingB75BkgBsustainedBpartialBandBfullBthicknessBburnsBtoB32%B
ofBtheirBbodyB2BhoursBpriorBtoBarrival.BIntravenousBfluidBresuscitationBwasBcalculated
BtoBbeB400BmL/hour.BTheBurineBoutputBoverBtheBlastBhourBwasB15mL.BWhatBinterve
ntionBshouldBtheBnurseBanticipate?B-
BAnswerBIncreaseBisotonicBcrystalloidBinfusionBrate
ABpatientBisBdiagnosedBwithBaBT12BspinalBcordBinjuryBfollowingBaB20-
footBfall.BWhichBfindingBisBconsistentBwithBspinalBshock?B-BAnswerBLossBofBreflexes
ABpatientBisBbroughtBtoBtheBemergencyBdepartmentBfollowingBaBmotorBvehicleBrollov
erBandBisBcomplainingBofBleftBupperBabdominalBpainBandBleftBshoulderBpain.BThisBpr
esentationBisBmostBconsistentBwithBanBinjuryBtoBwhichBorgan?B-BAnswerBSpleen
AnBadultBpatientBisBbroughtBtoBtheBemergencyBdepartmentBfollowingBaBmotorBvehicle
BcollisionBwithBcomplaintsBofBneckBpain.BTheyBhaveBidentifiedBasBaBpersonBinBtheBpr
, ocessBofBtransitioningBfromBmaleBtoBfemale.BWhatBeffectBofBhormoneBtherapyBshould
BbeBconsideredBwhenBplanningBcareBforBthisBpatient?B-
BAnswerBTestosteroneBtherapyBmayBdecreaseBbloodBpressure
CorrectBrationale:BABpersonBwhoBisBinBtheBprocessBofBtransitioningBfromBmaleBtoBfe
maleBwillBusuallyBbeBtakingBfemaleBhormonesBsuchBasBestrogen/estradiolBtoBassistBwi
thBtheBtransition.BThisBcanBcauseBaBdecreaseBinBmuscleBmass,BincreasedBriskBofBthro
mboembolism,BandBpossiblyBincreasedBboneBdensity.BTheseBpatientsBwouldBnotBbeBta
kingBtestosterone.
AnBadultBpatientBpresentsBtoBtheBemergencyBdepartmentBafterBsustainingBsevereBfaci
alBinjuriesBduringBanBaltercation.BTheBpatientBisBawake,Bconfused,BandBsmellsBheavily
BofBalcohol.BPulseBoximetryBisB94%BonBroomBair.BImmediateBintubationBshouldBbeBan
ticipatedBbasedBonBwhichBclinicalBindicator?B-BAnswerBSevereBfacialBinjuries
ABpatientBinvolvedBinBaBhigh-
speedBrolloverBisBcomplainingBofBincreasedBdifficultyBbreathing.BThereBisBaBsmallBpen
etratingBwoundBtoBtheBsixthBintercostalBspaceBinBtheBleftBlateralBchest.BWhichBfinding
BisBmostBconsistentBwithBanBinjuryBtoBtheBdiaphragm?B-
BAnswerBBowelBsoundsBheardBinBtheBleftBlowerBchest
ABseverelyBinjuredBpatientBhasBbeenBintubatedBandBisBbeingBmechanicallyBventilated.B
TheBpatientBhasBreceivedBaBbalancedBresuscitationBincludingBmultipleBbloodBproducts.
BUnderBwhichBcircumstanceBwillBitBbeBharderBforBtheBhemoglobinBtoBreleaseBoxygen
BtoBtheBtissues?B-BAnswerBDecreasedBbodyBtemperature
ABpatientBwithBaBchestBtubeBisBbeingBtransportedBtoBtheBintensiveBcareBunitBandBflu
ctuationBisBnotedBinBtheBwaterBsealBchamberBduringBinspirationBandBexpiration.BWhat
BisBtheBbestBactionBforBtheBnurseBtoBtake?B-
BAnswerBContinueBtoBtheBintensiveBcareBunit
AnBadultBwasBthrownBagainstBaBconcreteBwallBduringBaBfactoryBexplosionBandBsustain
edBaBfemurBfracture,BliverBlaceration,BandBaBsmallBsubduralBhematoma.BTheseBinjurie
sBmostBlikelyBoccurredBduringBwhatBlevelBofBblastBtrauma?B-BAnswerBTertiary