TNCC 9th Edition Exam Test 2026
Questions and 100% Correct Answers
Which intervention is recommended regarding the use of drug-assisted intubation and
rapid sequence intubation? - CORRECT ANSWERS-Pre-oxygenate to prolong the time to
hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk
for aspiration? - CORRECT ANSWERS-Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing? - CORRECT ANSWERS-Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their
body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400
mL/hour. The urine output over the last hour was 15mL. What intervention should the
nurse anticipate? - CORRECT ANSWERS-Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock? - CORRECT ANSWERS-Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is
complaining of left upper abdominal pain and left shoulder pain. This presentation is most
consistent with an injury to which organ? - CORRECT ANSWERS-Spleen
An adult patient is brought to the emergency department following a motor vehicle collision
with complaints of neck pain. They have identified as a person in the process of
transitioning from male to female. What effect of hormone therapy should be considered
when planning care for this patient? - CORRECT ANSWERS-Testosterone therapy may
decrease blood pressure
Correct rationale: A person who is in the process of transitioning from male to female will
usually be taking female hormones such as estrogen/estradiol to assist with the transition.
This can cause a decrease in muscle mass, increased risk of thromboembolism, and
possibly increased bone density. These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial
injuries during an altercation. The patient is awake, confused, and smells heavily of
, alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated
based on which clinical indicator? - CORRECT ANSWERS-Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the diaphragm? - CORRECT ANSWERS-
Bowel sounds heard in the left lower chest
A severely injured patient has been intubated and is being mechanically ventilated. The
patient has received a balanced resuscitation including multiple blood products. Under
which circumstance will it be harder for the hemoglobin to release oxygen to the tissues? -
CORRECT ANSWERS-Decreased body temperature
A patient with a chest tube is being transported to the intensive care unit and fluctuation is
noted in the water seal chamber during inspiration and expiration. What is the best action
for the nurse to take? - CORRECT ANSWERS-Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and sustained a
femur fracture, liver laceration, and a small subdural hematoma. These injuries most likely
occurred during what level of blast trauma? - CORRECT ANSWERS-Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications,
which position will provide the best visualization for insertion of the endotracheal tube? -
CORRECT ANSWERS-Ramped
A patient who jumped out of a second-floor window landing on their feet is diagnosed with a
lumbar spine fracture. What is the most likely concurrent injury to have occurred? -
CORRECT ANSWERS-Calcaneus fracture
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding.
Which intervention is most appropriate for this patient? - CORRECT ANSWERS-Prepare
the patient for surgery to remove the rod
Which findings are most consistent with a complete transection of the spinal cord? -
CORRECT ANSWERS-Absence of sensory and motor function below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at
the scene but became responsive with initial and subsequent Glasgow Coma Scale (GCS)
scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting
transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the
priority nursing intervention? - CORRECT ANSWERS-Notify the provider of the change
While caring for a child who has been injured, what nursing intervention is consistent with a
family-center approach? - CORRECT ANSWERS-Allowing family to participate in the care
of the patient
Questions and 100% Correct Answers
Which intervention is recommended regarding the use of drug-assisted intubation and
rapid sequence intubation? - CORRECT ANSWERS-Pre-oxygenate to prolong the time to
hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk
for aspiration? - CORRECT ANSWERS-Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing? - CORRECT ANSWERS-Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their
body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400
mL/hour. The urine output over the last hour was 15mL. What intervention should the
nurse anticipate? - CORRECT ANSWERS-Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock? - CORRECT ANSWERS-Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is
complaining of left upper abdominal pain and left shoulder pain. This presentation is most
consistent with an injury to which organ? - CORRECT ANSWERS-Spleen
An adult patient is brought to the emergency department following a motor vehicle collision
with complaints of neck pain. They have identified as a person in the process of
transitioning from male to female. What effect of hormone therapy should be considered
when planning care for this patient? - CORRECT ANSWERS-Testosterone therapy may
decrease blood pressure
Correct rationale: A person who is in the process of transitioning from male to female will
usually be taking female hormones such as estrogen/estradiol to assist with the transition.
This can cause a decrease in muscle mass, increased risk of thromboembolism, and
possibly increased bone density. These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial
injuries during an altercation. The patient is awake, confused, and smells heavily of
, alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated
based on which clinical indicator? - CORRECT ANSWERS-Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the diaphragm? - CORRECT ANSWERS-
Bowel sounds heard in the left lower chest
A severely injured patient has been intubated and is being mechanically ventilated. The
patient has received a balanced resuscitation including multiple blood products. Under
which circumstance will it be harder for the hemoglobin to release oxygen to the tissues? -
CORRECT ANSWERS-Decreased body temperature
A patient with a chest tube is being transported to the intensive care unit and fluctuation is
noted in the water seal chamber during inspiration and expiration. What is the best action
for the nurse to take? - CORRECT ANSWERS-Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and sustained a
femur fracture, liver laceration, and a small subdural hematoma. These injuries most likely
occurred during what level of blast trauma? - CORRECT ANSWERS-Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications,
which position will provide the best visualization for insertion of the endotracheal tube? -
CORRECT ANSWERS-Ramped
A patient who jumped out of a second-floor window landing on their feet is diagnosed with a
lumbar spine fracture. What is the most likely concurrent injury to have occurred? -
CORRECT ANSWERS-Calcaneus fracture
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding.
Which intervention is most appropriate for this patient? - CORRECT ANSWERS-Prepare
the patient for surgery to remove the rod
Which findings are most consistent with a complete transection of the spinal cord? -
CORRECT ANSWERS-Absence of sensory and motor function below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at
the scene but became responsive with initial and subsequent Glasgow Coma Scale (GCS)
scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting
transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the
priority nursing intervention? - CORRECT ANSWERS-Notify the provider of the change
While caring for a child who has been injured, what nursing intervention is consistent with a
family-center approach? - CORRECT ANSWERS-Allowing family to participate in the care
of the patient
