TNCC Pre-Course Practice Exam – Updated 2026 Trauma Nursing Review with Detailed Answers

1|Page


TNCC EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED 2026




QUESTION : 1. A- airway and Alertness with simultaneous cervical spinal
stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron
dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment

I- Inspect posterior surfaces - KEY TERM ABCDEFGHI


QUESTION : Before the arrival of the pt - KEY TERM When should PPE be
placed:


QUESTION : Pt is at hospital in the right amount of time, right care, right trauma
facility, right resources - KEY TERM Safe Care:

2026 2027 GRADED A+

,2|Page




QUESTION : Uncontrolled Hemorrhage - KEY TERM Major cause of
preventable death:


QUESTION : reorganize care to C-ABC - KEY TERM If uncontrolled
hemorrhage ..


QUESTION : Used at the beginning of the initial assessment


1. A Alert. If the pt is alert he or she will be able to maintain his or her airway
once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the tongue
from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able
to maintain his or her airway adjunct may need to be placed while further
assessment is made to determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and
direct someone to chk in the pt is pulseless while assessing if the cause of the
problem is the airway. - KEY TERM Airway and AVPU:


QUESTION : ask pt to pen his or her mouth - KEY TERM While assessing
airway the patient is alert and responds to verbal stimuli you should..


QUESTION : jaw thrust maneuver to open airway and assess for obstruction. If
pt has a suspected csi, the jaw thrust procedure should be done by two
providers. One provider can maintain c-spine and the other can perform the jaw



2026 2027 GRADED A+

, 3|Page


thrust maneuver. - KEY TERM While assessing airway pt is unable to open
mouth, responds only to pain, or is unresponsive you should..


QUESTION : 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury


Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity

3. Subcutaneous emphysema - KEY TERM Inspect the mouth for:


QUESTION : 1. Check the presence of adequate rise and fall of the chest with
assisted ventilation
2. Absence of gurgling on auscultation over the epigastrium
3. Bilateral breath sounds present on auscultation

4. Presence of carbon dioxide (CO2) verified by a CO2 device or monitor - KEY
TERM If the pt has a definitive airway in what should you do?


QUESTION : 1. Suction the airway
2, Use care to avoid stimulating the gag reflex




2026 2027 GRADED A+