TNCC 9TH EDITION QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) Q&A 2026/2027
INSTANT DOWNLOAD PDF
1. The primary goal of the initial trauma assessment is to:
A. Obtain a complete medical history
B. Identify and treat life-threatening injuries
C. Perform diagnostic imaging
D. Determine long-term rehabilitation needs
Correct Answer: B. Identify and treat life-threatening injuries
Rationale: The primary survey focuses on rapidly identifying
and managing immediate threats to life using the ABCDE
approach.
2. In the TNCC primary survey, the first priority is:
A. Breathing
B. Circulation
C. Airway with cervical spine protection
D. Disability assessment
Correct Answer: C. Airway with cervical spine protection
Rationale: Maintaining a patent airway while protecting the
cervical spine is the first priority in trauma care.
,3. A trauma patient with a suspected cervical spine injury
should have:
A. The neck flexed for comfort
B. Manual cervical stabilization maintained
C. A pillow placed under the head
D. Immediate ambulation encouraged
Correct Answer: B. Manual cervical stabilization maintained
Rationale: Cervical spine protection prevents worsening spinal
cord injury.
4. Which assessment finding indicates airway compromise?
A. Clear speech
B. Normal respiratory rate
C. Gurgling sounds and inability to speak
D. Warm skin
Correct Answer: C. Gurgling sounds and inability to speak
Rationale: Gurgling suggests airway obstruction from
secretions, blood, or foreign material.
5. The best indicator of adequate oxygenation during trauma
assessment is:
A. Skin color alone
B. Pulse oximetry and clinical assessment
,C. Blood pressure
D. Temperature
Correct Answer: B. Pulse oximetry and clinical assessment
Rationale: Oxygenation is evaluated using both objective
measurements and patient presentation.
6. A patient with chest trauma develops severe respiratory
distress, absent breath sounds on one side, and hypotension.
The nurse suspects:
A. Simple pneumothorax
B. Hemothorax
C. Tension pneumothorax
D. Pulmonary contusion
Correct Answer: C. Tension pneumothorax
Rationale: Tension pneumothorax causes respiratory distress,
decreased breath sounds, and cardiovascular compromise
requiring immediate treatment.
7. The "D" in the ABCDE trauma assessment refers to:
A. Drainage
B. Disability
C. Dehydration
D. Defibrillation
, Correct Answer: B. Disability
Rationale: Disability evaluates neurological status, including
level of consciousness and pupil response.
8. The Glasgow Coma Scale (GCS) evaluates:
A. Pain level only
B. Neurological function
C. Respiratory function
D. Circulatory status
Correct Answer: B. Neurological function
Rationale: GCS assesses eye opening, verbal response, and
motor response.
9. A trauma patient with a GCS score of 7 requires priority
consideration for:
A. Oral fluids
B. Airway protection
C. Discharge planning
D. Ambulation
Correct Answer: B. Airway protection
Rationale: A decreased level of consciousness increases the risk
of airway loss.
ANSWERS (VERIFIED ANSWERS) Q&A 2026/2027
INSTANT DOWNLOAD PDF
1. The primary goal of the initial trauma assessment is to:
A. Obtain a complete medical history
B. Identify and treat life-threatening injuries
C. Perform diagnostic imaging
D. Determine long-term rehabilitation needs
Correct Answer: B. Identify and treat life-threatening injuries
Rationale: The primary survey focuses on rapidly identifying
and managing immediate threats to life using the ABCDE
approach.
2. In the TNCC primary survey, the first priority is:
A. Breathing
B. Circulation
C. Airway with cervical spine protection
D. Disability assessment
Correct Answer: C. Airway with cervical spine protection
Rationale: Maintaining a patent airway while protecting the
cervical spine is the first priority in trauma care.
,3. A trauma patient with a suspected cervical spine injury
should have:
A. The neck flexed for comfort
B. Manual cervical stabilization maintained
C. A pillow placed under the head
D. Immediate ambulation encouraged
Correct Answer: B. Manual cervical stabilization maintained
Rationale: Cervical spine protection prevents worsening spinal
cord injury.
4. Which assessment finding indicates airway compromise?
A. Clear speech
B. Normal respiratory rate
C. Gurgling sounds and inability to speak
D. Warm skin
Correct Answer: C. Gurgling sounds and inability to speak
Rationale: Gurgling suggests airway obstruction from
secretions, blood, or foreign material.
5. The best indicator of adequate oxygenation during trauma
assessment is:
A. Skin color alone
B. Pulse oximetry and clinical assessment
,C. Blood pressure
D. Temperature
Correct Answer: B. Pulse oximetry and clinical assessment
Rationale: Oxygenation is evaluated using both objective
measurements and patient presentation.
6. A patient with chest trauma develops severe respiratory
distress, absent breath sounds on one side, and hypotension.
The nurse suspects:
A. Simple pneumothorax
B. Hemothorax
C. Tension pneumothorax
D. Pulmonary contusion
Correct Answer: C. Tension pneumothorax
Rationale: Tension pneumothorax causes respiratory distress,
decreased breath sounds, and cardiovascular compromise
requiring immediate treatment.
7. The "D" in the ABCDE trauma assessment refers to:
A. Drainage
B. Disability
C. Dehydration
D. Defibrillation
, Correct Answer: B. Disability
Rationale: Disability evaluates neurological status, including
level of consciousness and pupil response.
8. The Glasgow Coma Scale (GCS) evaluates:
A. Pain level only
B. Neurological function
C. Respiratory function
D. Circulatory status
Correct Answer: B. Neurological function
Rationale: GCS assesses eye opening, verbal response, and
motor response.
9. A trauma patient with a GCS score of 7 requires priority
consideration for:
A. Oral fluids
B. Airway protection
C. Discharge planning
D. Ambulation
Correct Answer: B. Airway protection
Rationale: A decreased level of consciousness increases the risk
of airway loss.
