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TNCC Practice Exam 2025| Latest
Exam With 100% Verified Questions
And Correct Solutions | Excellent
Scores
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management?
a. Maintain adequate respiratory status
b. Administer balanced resuscitation fluid
c. Perform serial assessments of neurologic function
d. Maintain core temperature - Correct-answer-a. Maintain adequate respiratory
status Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic
nerve function, resulting in a paralyzed diaphragm and inability to breathe (p.
173, 179).
Based on proper bleeding control techniques, what is the first step to stop the
bleeding of a penetrating injury to the lower extremity?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
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c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - Correct-answer-b. Initiate
direct pressure Rationale: The first step in controlling any bleeding is direct
pressure. If that is not adequate, the application of a tourniquet may be needed
(p. 201-204).
Treatment for frostbite includes:
a. Warm the affected part slowly over 30 to 60 minutes
b. Use gentle friction to improve circulation
c. Administer tissue plasminogen activator
d. Leave blisters intact - Correct-answer-c. Administer tissue plasminogen
activator Rationale: With frostbite, thrombus formation is a risk. Tissue
plasminogen activator or nonsteroidal antinflammatory medication can be
administered (p. 215). Tissue plasminogen activator has been effective in
maintaining perfusion and decreasing the need for amputation when
administered within 24 hours of rewarming (p. 215).
A 30-week pregnant trauma patient's vital signs include a blood pressure of 94/62
mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic
findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
TNCC Practice Exam 2025| Latest
Exam With 100% Verified Questions
And Correct Solutions | Excellent
Scores
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management?
a. Maintain adequate respiratory status
b. Administer balanced resuscitation fluid
c. Perform serial assessments of neurologic function
d. Maintain core temperature - Correct-answer-a. Maintain adequate respiratory
status Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic
nerve function, resulting in a paralyzed diaphragm and inability to breathe (p.
173, 179).
Based on proper bleeding control techniques, what is the first step to stop the
bleeding of a penetrating injury to the lower extremity?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
, 2|Page
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - Correct-answer-b. Initiate
direct pressure Rationale: The first step in controlling any bleeding is direct
pressure. If that is not adequate, the application of a tourniquet may be needed
(p. 201-204).
Treatment for frostbite includes:
a. Warm the affected part slowly over 30 to 60 minutes
b. Use gentle friction to improve circulation
c. Administer tissue plasminogen activator
d. Leave blisters intact - Correct-answer-c. Administer tissue plasminogen
activator Rationale: With frostbite, thrombus formation is a risk. Tissue
plasminogen activator or nonsteroidal antinflammatory medication can be
administered (p. 215). Tissue plasminogen activator has been effective in
maintaining perfusion and decreasing the need for amputation when
administered within 24 hours of rewarming (p. 215).
A 30-week pregnant trauma patient's vital signs include a blood pressure of 94/62
mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic
findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
