TNCC 9th Exam Questions and Answers
| Latest Version | 2024/2025 | Correct &
Verified
What is the first priority when arriving at the scene of a trauma?
✔✔ Ensure scene safety and don appropriate personal protective equipment
How do you assess for a compromised airway in a trauma patient?
✔✔ Check for stridor, gurgling, or inability to speak
What is the proper intervention for a trauma patient with a suspected cervical spine injury?
✔✔ Maintain manual cervical spine stabilization and apply a cervical collar
What are the indications for rapid sequence intubation in a trauma patient?
✔✔ Inability to maintain airway, GCS less than 8, or severe facial trauma
How do you confirm proper endotracheal tube placement?
✔✔ Bilateral breath sounds, chest rise, and end-tidal CO₂ monitoring
1
,What should be done immediately for a trauma patient with a sucking chest wound?
✔✔ Apply a three-sided occlusive dressing and monitor for tension pneumothorax
How do you assess for a hemothorax in a trauma patient?
✔✔ Decreased breath sounds, dullness to percussion, and signs of shock
What is the best method to control severe external bleeding?
✔✔ Direct pressure, pressure dressing, and tourniquet if necessary
What are early signs of shock in a trauma patient?
✔✔ Tachycardia, cool clammy skin, and delayed capillary refill
Why is a trauma patient with a pelvic fracture at high risk for hemorrhage?
✔✔ The pelvis has a rich vascular supply and can conceal significant blood loss
What is the purpose of a focused assessment with sonography for trauma (FAST) exam?
✔✔ To quickly identify internal bleeding in the abdomen or pericardium
2
, How do you recognize a patient with a cardiac tamponade?
✔✔ Beck’s triad: hypotension, muffled heart sounds, and jugular vein distension
What is the best position for a patient with suspected increased intracranial pressure?
✔✔ Head of bed elevated 30 degrees with neck in a neutral position
How do you identify a patient with a spinal cord injury at the cervical level?
✔✔ Loss of motor and sensory function below the injury, possible respiratory distress
What is the immediate treatment for a patient with an open-book pelvic fracture?
✔✔ Apply a pelvic binder and avoid excessive movement
How do you assess for compartment syndrome in an injured extremity?
✔✔ Severe pain, pallor, pulselessness, paresthesia, and paralysis
What should be suspected in a trauma patient with bruising around the umbilicus?
✔✔ Intra-abdominal bleeding (Cullen’s sign)
3
| Latest Version | 2024/2025 | Correct &
Verified
What is the first priority when arriving at the scene of a trauma?
✔✔ Ensure scene safety and don appropriate personal protective equipment
How do you assess for a compromised airway in a trauma patient?
✔✔ Check for stridor, gurgling, or inability to speak
What is the proper intervention for a trauma patient with a suspected cervical spine injury?
✔✔ Maintain manual cervical spine stabilization and apply a cervical collar
What are the indications for rapid sequence intubation in a trauma patient?
✔✔ Inability to maintain airway, GCS less than 8, or severe facial trauma
How do you confirm proper endotracheal tube placement?
✔✔ Bilateral breath sounds, chest rise, and end-tidal CO₂ monitoring
1
,What should be done immediately for a trauma patient with a sucking chest wound?
✔✔ Apply a three-sided occlusive dressing and monitor for tension pneumothorax
How do you assess for a hemothorax in a trauma patient?
✔✔ Decreased breath sounds, dullness to percussion, and signs of shock
What is the best method to control severe external bleeding?
✔✔ Direct pressure, pressure dressing, and tourniquet if necessary
What are early signs of shock in a trauma patient?
✔✔ Tachycardia, cool clammy skin, and delayed capillary refill
Why is a trauma patient with a pelvic fracture at high risk for hemorrhage?
✔✔ The pelvis has a rich vascular supply and can conceal significant blood loss
What is the purpose of a focused assessment with sonography for trauma (FAST) exam?
✔✔ To quickly identify internal bleeding in the abdomen or pericardium
2
, How do you recognize a patient with a cardiac tamponade?
✔✔ Beck’s triad: hypotension, muffled heart sounds, and jugular vein distension
What is the best position for a patient with suspected increased intracranial pressure?
✔✔ Head of bed elevated 30 degrees with neck in a neutral position
How do you identify a patient with a spinal cord injury at the cervical level?
✔✔ Loss of motor and sensory function below the injury, possible respiratory distress
What is the immediate treatment for a patient with an open-book pelvic fracture?
✔✔ Apply a pelvic binder and avoid excessive movement
How do you assess for compartment syndrome in an injured extremity?
✔✔ Severe pain, pallor, pulselessness, paresthesia, and paralysis
What should be suspected in a trauma patient with bruising around the umbilicus?
✔✔ Intra-abdominal bleeding (Cullen’s sign)
3
