TNCC Notes for Written Exam Questions
and Answers | Latest Version | 2024/2025
| Correct & Verified
What is the first priority when treating a trauma patient with uncontrolled external bleeding?
✔✔ Apply direct pressure to the wound
What is the best way to assess for airway compromise in an unconscious trauma patient?
✔✔ Look, listen, and feel for breathing while maintaining spinal precautions
What is the priority intervention for a patient with suspected traumatic asphyxia?
✔✔ Provide high-flow oxygen and monitor for respiratory distress
What is the most common cause of death in trauma patients with long bone fractures?
✔✔ Fat embolism syndrome leading to respiratory failure
What is the immediate intervention for a patient with an unstable pelvic fracture and severe
hypotension?
✔✔ Apply a pelvic binder and initiate fluid resuscitation
1
,What is the key clinical sign of a flail chest in a trauma patient?
✔✔ Paradoxical chest wall movement
What is the best initial assessment for a trauma patient with suspected rib fractures?
✔✔ Palpation for tenderness, crepitus, and assessing respiratory effort
What is the most critical early sign of an expanding epidural hematoma?
✔✔ A brief period of consciousness followed by rapid deterioration
What is the priority intervention for a trauma patient with significant soft tissue injuries and
exposed bone?
✔✔ Cover the wound with a sterile dressing and administer antibiotics
What is the best way to manage a trauma patient with suspected inhalation injury but no
immediate signs of distress?
✔✔ Provide humidified oxygen and closely monitor for airway edema
2
,What is the most immediate concern for a patient with a traumatic brain injury and vomiting?
✔✔ Risk of aspiration and increased intracranial pressure
What is the first action when managing a patient with suspected cardiac tamponade?
✔✔ Prepare for emergency pericardiocentesis
What is the most effective way to assess for early signs of shock in a trauma patient?
✔✔ Monitor heart rate, blood pressure, and skin perfusion
What is the priority intervention for a patient with a gunshot wound to the abdomen and signs of
shock?
✔✔ Rapid transport to surgery for definitive hemorrhage control
What is the most important consideration when managing a pregnant trauma patient?
✔✔ Optimize maternal resuscitation to ensure fetal survival
What is the first priority for a trauma patient with a suspected spinal cord injury and
bradycardia?
3
, ✔✔ Maintain spinal immobilization and provide fluid resuscitation
What is the immediate intervention for a patient with suspected traumatic airway obstruction?
✔✔ Perform a jaw thrust maneuver and prepare for advanced airway management
What is the best way to manage a patient with a suspected traumatic diaphragmatic injury?
✔✔ Surgical repair to prevent abdominal contents from herniating into the chest
What is the best indicator of adequate pain control in a trauma patient?
✔✔ Improved vital signs and decreased pain expression
What is the first action when a trauma patient develops sudden hypotension after chest trauma?
✔✔ Assess for signs of tension pneumothorax and perform needle decompression if needed
What is the most effective way to prevent infection in a patient with an open fracture?
✔✔ Early administration of broad-spectrum antibiotics
What is the priority action for a patient with a suspected traumatic carotid artery injury?
4
and Answers | Latest Version | 2024/2025
| Correct & Verified
What is the first priority when treating a trauma patient with uncontrolled external bleeding?
✔✔ Apply direct pressure to the wound
What is the best way to assess for airway compromise in an unconscious trauma patient?
✔✔ Look, listen, and feel for breathing while maintaining spinal precautions
What is the priority intervention for a patient with suspected traumatic asphyxia?
✔✔ Provide high-flow oxygen and monitor for respiratory distress
What is the most common cause of death in trauma patients with long bone fractures?
✔✔ Fat embolism syndrome leading to respiratory failure
What is the immediate intervention for a patient with an unstable pelvic fracture and severe
hypotension?
✔✔ Apply a pelvic binder and initiate fluid resuscitation
1
,What is the key clinical sign of a flail chest in a trauma patient?
✔✔ Paradoxical chest wall movement
What is the best initial assessment for a trauma patient with suspected rib fractures?
✔✔ Palpation for tenderness, crepitus, and assessing respiratory effort
What is the most critical early sign of an expanding epidural hematoma?
✔✔ A brief period of consciousness followed by rapid deterioration
What is the priority intervention for a trauma patient with significant soft tissue injuries and
exposed bone?
✔✔ Cover the wound with a sterile dressing and administer antibiotics
What is the best way to manage a trauma patient with suspected inhalation injury but no
immediate signs of distress?
✔✔ Provide humidified oxygen and closely monitor for airway edema
2
,What is the most immediate concern for a patient with a traumatic brain injury and vomiting?
✔✔ Risk of aspiration and increased intracranial pressure
What is the first action when managing a patient with suspected cardiac tamponade?
✔✔ Prepare for emergency pericardiocentesis
What is the most effective way to assess for early signs of shock in a trauma patient?
✔✔ Monitor heart rate, blood pressure, and skin perfusion
What is the priority intervention for a patient with a gunshot wound to the abdomen and signs of
shock?
✔✔ Rapid transport to surgery for definitive hemorrhage control
What is the most important consideration when managing a pregnant trauma patient?
✔✔ Optimize maternal resuscitation to ensure fetal survival
What is the first priority for a trauma patient with a suspected spinal cord injury and
bradycardia?
3
, ✔✔ Maintain spinal immobilization and provide fluid resuscitation
What is the immediate intervention for a patient with suspected traumatic airway obstruction?
✔✔ Perform a jaw thrust maneuver and prepare for advanced airway management
What is the best way to manage a patient with a suspected traumatic diaphragmatic injury?
✔✔ Surgical repair to prevent abdominal contents from herniating into the chest
What is the best indicator of adequate pain control in a trauma patient?
✔✔ Improved vital signs and decreased pain expression
What is the first action when a trauma patient develops sudden hypotension after chest trauma?
✔✔ Assess for signs of tension pneumothorax and perform needle decompression if needed
What is the most effective way to prevent infection in a patient with an open fracture?
✔✔ Early administration of broad-spectrum antibiotics
What is the priority action for a patient with a suspected traumatic carotid artery injury?
4
