TNCC 9TH EDITION FINAL TEST EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
A patient arrives at the emergency department by private vehicle after sustaining an
injury to the right lower extremity while using a saw. There is a large gaping wound to the
right thigh area with signifigant bleeding, what is the priority intervention?
a. elevate the etremeity to the level of the heart
b. initate direct pressure
c. apply a tourniquet
d. cover the open wound with sterile saline dressings
b. initate direct pressure
what is the appropriate technique for palpating the pelvis for stability?
a. apply gentle pressure over the illiac crests, downward and laterally
b. apply gentle pressure over the iliac crests, downward and medially
c. apply firm pressure over the iliac crests downward and laterally
d. apply firm pressure over the iliac crests downward and medially
b. apply GENTLE pressure, downward and medially
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
a. decompensated shock
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,b. normal vitalsigns in pregnancy
c. compensated shock
d. supine hypotension syndrome
b. Normal vital signs in pregnancy
resting hr increases 10-20 bpm
small decrease in sbp and a larger decrease in dbp d/t decreased peripheral
resistance.
normal fetal heart rate is between 120-160 bpm.
Following a bomb explosion, fragmentation injuries from the bomb or objects in the
environment are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
b. quaternary
a. the primary phase-impact of the pressurization wave on body surfaces. Injuries
include blast lung, tympanic membrane rupture, abdominal hemmorrhage, globe
rupture. and mild traumatic brain injury.
b. the seconday phase results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries.
c. tertiary phase-results from individuals being thrown by the blast and impacting
walls, ground or any hard object.
d. quartenary phase-results from any explosion-related illness or injury including
hyperglycemia, hypertension, andina, asthma, COPD or sepsis.
A patient involved in an MVC has sustained a fracture to the second rib of the anterior
left chest. Which concurrent injury is most commonly associated with this fracture?
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, a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax
b. first and second rib fractures are commonly associated with great vessel, head and
spinal cord and brachial plexus injuries.
a. blunt cardiac injury-sternal fractures;
c. pneumothorax is most commonly associated with sternal fractures, multiple rib
fractures, flail chest
d. Hemothorax is most commonly associated with flail chest of multiple rib
fractures
Understanding the kinematic concepts associated with the mechanism of injury and
energy transfer can initially assist the trauma care provider in which of the following?
a. anticipating the types of injuries that may be present
b. deciding whether law enforcement should be notified
c. determining the need for lab tests
d. predicting the need for a surgical procedure
a. anticipating the types of injuries that may be present
mechanism of injury and energy transfer can assist the provider in anticipating the
types of injuries that may be present and their severity
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. respiratory acidosis
b. metabolic acidosis
c. neurogenic shock
d. cerebral vasoconstriction
***d. hypocapnia, cause vasoconstriction especially in the cerebral vasculature
a. hypercapnia from inadequate ventilation causes respiratory acidosis, not
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ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
A patient arrives at the emergency department by private vehicle after sustaining an
injury to the right lower extremity while using a saw. There is a large gaping wound to the
right thigh area with signifigant bleeding, what is the priority intervention?
a. elevate the etremeity to the level of the heart
b. initate direct pressure
c. apply a tourniquet
d. cover the open wound with sterile saline dressings
b. initate direct pressure
what is the appropriate technique for palpating the pelvis for stability?
a. apply gentle pressure over the illiac crests, downward and laterally
b. apply gentle pressure over the iliac crests, downward and medially
c. apply firm pressure over the iliac crests downward and laterally
d. apply firm pressure over the iliac crests downward and medially
b. apply GENTLE pressure, downward and medially
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
a. decompensated shock
1|Page
,b. normal vitalsigns in pregnancy
c. compensated shock
d. supine hypotension syndrome
b. Normal vital signs in pregnancy
resting hr increases 10-20 bpm
small decrease in sbp and a larger decrease in dbp d/t decreased peripheral
resistance.
normal fetal heart rate is between 120-160 bpm.
Following a bomb explosion, fragmentation injuries from the bomb or objects in the
environment are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
b. quaternary
a. the primary phase-impact of the pressurization wave on body surfaces. Injuries
include blast lung, tympanic membrane rupture, abdominal hemmorrhage, globe
rupture. and mild traumatic brain injury.
b. the seconday phase results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries.
c. tertiary phase-results from individuals being thrown by the blast and impacting
walls, ground or any hard object.
d. quartenary phase-results from any explosion-related illness or injury including
hyperglycemia, hypertension, andina, asthma, COPD or sepsis.
A patient involved in an MVC has sustained a fracture to the second rib of the anterior
left chest. Which concurrent injury is most commonly associated with this fracture?
2|Page
, a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax
b. first and second rib fractures are commonly associated with great vessel, head and
spinal cord and brachial plexus injuries.
a. blunt cardiac injury-sternal fractures;
c. pneumothorax is most commonly associated with sternal fractures, multiple rib
fractures, flail chest
d. Hemothorax is most commonly associated with flail chest of multiple rib
fractures
Understanding the kinematic concepts associated with the mechanism of injury and
energy transfer can initially assist the trauma care provider in which of the following?
a. anticipating the types of injuries that may be present
b. deciding whether law enforcement should be notified
c. determining the need for lab tests
d. predicting the need for a surgical procedure
a. anticipating the types of injuries that may be present
mechanism of injury and energy transfer can assist the provider in anticipating the
types of injuries that may be present and their severity
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. respiratory acidosis
b. metabolic acidosis
c. neurogenic shock
d. cerebral vasoconstriction
***d. hypocapnia, cause vasoconstriction especially in the cerebral vasculature
a. hypercapnia from inadequate ventilation causes respiratory acidosis, not
3|Page
