TNCC 9TH EDITION EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST 2025/2026
Which intervention is recommended regarding the use of drug-assisted
intubation and rapid sequence intubation? - (ANSWER)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? - (ANSWER)Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing? - (ANSWER)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? - (ANSWER)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? - (ANSWER)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? -
(ANSWER)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? -
(ANSWER)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? - (ANSWER)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? - (ANSWER)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? - (ANSWER)Decreased body temperature
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST 2025/2026
Which intervention is recommended regarding the use of drug-assisted
intubation and rapid sequence intubation? - (ANSWER)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? - (ANSWER)Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing? - (ANSWER)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? - (ANSWER)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? - (ANSWER)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? -
(ANSWER)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? -
(ANSWER)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? - (ANSWER)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? - (ANSWER)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? - (ANSWER)Decreased body temperature
