TNCC Written Exam Questions and
Answers | Latest Version | 2024/2025 |
Correct & Verified
What is the most important intervention for a trauma patient with an altered mental status?
✔✔ Ensure adequate oxygenation and perfusion.
What should be done if a trauma patient’s oxygen saturation suddenly drops after intubation?
✔✔ Check for tube displacement, obstruction, pneumothorax, or equipment failure (DOPES
mnemonic).
Why is capillary refill time assessed in trauma patients?
✔✔ It helps evaluate peripheral perfusion and potential shock.
What should be suspected in a trauma patient with a midline trachea, decreased breath sounds on
one side, and hypotension?
✔✔ Massive hemothorax.
What is the primary treatment for neurogenic shock?
1
,✔✔ IV fluids and vasopressors to maintain perfusion.
Why should rapid sequence intubation (RSI) be used cautiously in trauma patients with
suspected brain injury?
✔✔ To avoid increasing intracranial pressure (ICP).
What is the best position for a conscious trauma patient with a suspected pneumothorax?
✔✔ Sitting upright, if not contraindicated.
What should be done if a trauma patient vomits while being intubated?
✔✔ Immediately suction the airway to prevent aspiration.
What does a widened mediastinum on a chest X-ray in a trauma patient suggest?
✔✔ Aortic injury.
Why is a pelvic binder applied to a patient with a suspected pelvic fracture?
✔✔ To reduce bleeding and stabilize the pelvis.
2
,What should be suspected if a trauma patient has chest bruising and irregular heart rhythms?
✔✔ Myocardial contusion.
What should be done if a trauma patient has severe facial swelling and airway compromise?
✔✔ Prepare for early intubation before the airway becomes completely obstructed.
What is the best way to assess for internal bleeding in an unstable trauma patient?
✔✔ Perform a Focused Assessment with Sonography for Trauma (FAST) exam.
Why should fluid resuscitation be used cautiously in patients with penetrating torso trauma?
✔✔ Too much fluid can worsen bleeding by increasing blood pressure before hemorrhage
control.
What is the best way to transport an amputated limb?
✔✔ Wrap in sterile gauze, place in a plastic bag, and keep cool but not directly on ice.
What condition is suggested by decreased breath sounds, hypotension, and JVD after blunt chest
trauma?
3
, ✔✔ Tension pneumothorax or pericardial tamponade.
What is the best way to prevent secondary brain injury in a trauma patient?
✔✔ Maintain oxygenation, prevent hypotension, and control ICP.
What should be done if a trauma patient with a chest wound suddenly develops difficulty
breathing and a deviated trachea?
✔✔ Perform needle decompression for suspected tension pneumothorax.
Why is spinal motion restriction applied to trauma patients with suspected spinal cord injury?
✔✔ To prevent further neurological damage.
What should be done if a trauma patient with a suspected C-spine injury starts to vomit?
✔✔ Log-roll them while maintaining spinal alignment.
Why is it important to reassess a trauma patient’s vital signs frequently?
✔✔ Deterioration can happen quickly, requiring immediate intervention.
4
Answers | Latest Version | 2024/2025 |
Correct & Verified
What is the most important intervention for a trauma patient with an altered mental status?
✔✔ Ensure adequate oxygenation and perfusion.
What should be done if a trauma patient’s oxygen saturation suddenly drops after intubation?
✔✔ Check for tube displacement, obstruction, pneumothorax, or equipment failure (DOPES
mnemonic).
Why is capillary refill time assessed in trauma patients?
✔✔ It helps evaluate peripheral perfusion and potential shock.
What should be suspected in a trauma patient with a midline trachea, decreased breath sounds on
one side, and hypotension?
✔✔ Massive hemothorax.
What is the primary treatment for neurogenic shock?
1
,✔✔ IV fluids and vasopressors to maintain perfusion.
Why should rapid sequence intubation (RSI) be used cautiously in trauma patients with
suspected brain injury?
✔✔ To avoid increasing intracranial pressure (ICP).
What is the best position for a conscious trauma patient with a suspected pneumothorax?
✔✔ Sitting upright, if not contraindicated.
What should be done if a trauma patient vomits while being intubated?
✔✔ Immediately suction the airway to prevent aspiration.
What does a widened mediastinum on a chest X-ray in a trauma patient suggest?
✔✔ Aortic injury.
Why is a pelvic binder applied to a patient with a suspected pelvic fracture?
✔✔ To reduce bleeding and stabilize the pelvis.
2
,What should be suspected if a trauma patient has chest bruising and irregular heart rhythms?
✔✔ Myocardial contusion.
What should be done if a trauma patient has severe facial swelling and airway compromise?
✔✔ Prepare for early intubation before the airway becomes completely obstructed.
What is the best way to assess for internal bleeding in an unstable trauma patient?
✔✔ Perform a Focused Assessment with Sonography for Trauma (FAST) exam.
Why should fluid resuscitation be used cautiously in patients with penetrating torso trauma?
✔✔ Too much fluid can worsen bleeding by increasing blood pressure before hemorrhage
control.
What is the best way to transport an amputated limb?
✔✔ Wrap in sterile gauze, place in a plastic bag, and keep cool but not directly on ice.
What condition is suggested by decreased breath sounds, hypotension, and JVD after blunt chest
trauma?
3
, ✔✔ Tension pneumothorax or pericardial tamponade.
What is the best way to prevent secondary brain injury in a trauma patient?
✔✔ Maintain oxygenation, prevent hypotension, and control ICP.
What should be done if a trauma patient with a chest wound suddenly develops difficulty
breathing and a deviated trachea?
✔✔ Perform needle decompression for suspected tension pneumothorax.
Why is spinal motion restriction applied to trauma patients with suspected spinal cord injury?
✔✔ To prevent further neurological damage.
What should be done if a trauma patient with a suspected C-spine injury starts to vomit?
✔✔ Log-roll them while maintaining spinal alignment.
Why is it important to reassess a trauma patient’s vital signs frequently?
✔✔ Deterioration can happen quickly, requiring immediate intervention.
4
