TNCC 9TH EDITION EXAM STUDY GUIDE 2025/2026
VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <UPDATED VERSION>
TNCC 9th Edition Exam Practice – 100 Questions
Airway & Breathing
1. Which airway adjunct is most appropriate for an unconscious patient without a gag
reflex?
A. Nasopharyngeal airway
B. Oropharyngeal airway
C. Endotracheal tube
D. Cricothyrotomy
2. Which assessment finding indicates effective bag-valve-mask ventilation?
A. Absence of chest rise
B. Visible chest rise and fall
C. No condensation in mask
D. Gastric distension
3. The preferred method for confirming endotracheal tube placement is:
A. Auscultation only
B. Chest X-ray
C. Continuous waveform capnography
D. Condensation in tube
4. In a patient with suspected cervical spine injury, airway should be opened using:
A. Head tilt-chin lift
B. Jaw thrust maneuver
C. Chin lift only
D. Neck hyperextension
5. Which oxygen delivery device provides the highest concentration of oxygen?
A. Nasal cannula
, B. Simple face mask
C. Non-rebreather mask
D. Venturi mask
Circulation & Shock
6. Which is the earliest sign of shock?
A. Hypotension
B. Cyanosis
C. Tachycardia
D. Decreased urine output
7. In trauma resuscitation, the recommended IV fluid is:
A. Dextrose 5%
B. Hypertonic saline
C. Lactated Ringer’s
D. Colloids
8. The most reliable indicator of adequate tissue perfusion is:
A. Capillary refill
B. Level of consciousness
C. Skin color
D. Pulse rate
9. What is the primary management of uncontrolled external hemorrhage?
A. Fluid bolus
B. Direct pressure
C. Elevation of limb
D. Pressure points
10. Which blood product is best for massive transfusion protocol initiation?
A. Fresh frozen plasma
B. Platelets
C. O-negative packed red blood cells
D. Cryoprecipitate
Disability & Neurological
, 11. The Glasgow Coma Scale (GCS) motor response “withdraws to pain” scores:
A. 2
B. 3
C. 4
D. 5
12. Pupils that are unequal and nonreactive suggest:
A. Stroke
B. Shock
C. Increased intracranial pressure
D. Hypoglycemia
13. The “AVPU” mnemonic for rapid neuro assessment stands for:
A. Alert, Vital, Pulse, Unresponsive
B. Alert, Verbal, Pain, Unresponsive
C. Awake, Voice, Pupils, Unconscious
D. Active, Vital, Pressure, Unstable
14. The most important intervention for suspected spinal cord injury is:
A. IV steroids
B. Cervical spine immobilization
C. Trendelenburg positioning
D. Immediate intubation
15. Decerebrate posturing indicates injury to the:
A. Cerebral cortex
B. Brainstem
C. Cerebellum
D. Spinal cord
Secondary Survey & Special Considerations
16. The purpose of the secondary survey is to:
A. Stabilize the airway
B. Assess vital signs only
C. Identify all injuries after life threats are managed
D. Begin definitive treatment
VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <UPDATED VERSION>
TNCC 9th Edition Exam Practice – 100 Questions
Airway & Breathing
1. Which airway adjunct is most appropriate for an unconscious patient without a gag
reflex?
A. Nasopharyngeal airway
B. Oropharyngeal airway
C. Endotracheal tube
D. Cricothyrotomy
2. Which assessment finding indicates effective bag-valve-mask ventilation?
A. Absence of chest rise
B. Visible chest rise and fall
C. No condensation in mask
D. Gastric distension
3. The preferred method for confirming endotracheal tube placement is:
A. Auscultation only
B. Chest X-ray
C. Continuous waveform capnography
D. Condensation in tube
4. In a patient with suspected cervical spine injury, airway should be opened using:
A. Head tilt-chin lift
B. Jaw thrust maneuver
C. Chin lift only
D. Neck hyperextension
5. Which oxygen delivery device provides the highest concentration of oxygen?
A. Nasal cannula
, B. Simple face mask
C. Non-rebreather mask
D. Venturi mask
Circulation & Shock
6. Which is the earliest sign of shock?
A. Hypotension
B. Cyanosis
C. Tachycardia
D. Decreased urine output
7. In trauma resuscitation, the recommended IV fluid is:
A. Dextrose 5%
B. Hypertonic saline
C. Lactated Ringer’s
D. Colloids
8. The most reliable indicator of adequate tissue perfusion is:
A. Capillary refill
B. Level of consciousness
C. Skin color
D. Pulse rate
9. What is the primary management of uncontrolled external hemorrhage?
A. Fluid bolus
B. Direct pressure
C. Elevation of limb
D. Pressure points
10. Which blood product is best for massive transfusion protocol initiation?
A. Fresh frozen plasma
B. Platelets
C. O-negative packed red blood cells
D. Cryoprecipitate
Disability & Neurological
, 11. The Glasgow Coma Scale (GCS) motor response “withdraws to pain” scores:
A. 2
B. 3
C. 4
D. 5
12. Pupils that are unequal and nonreactive suggest:
A. Stroke
B. Shock
C. Increased intracranial pressure
D. Hypoglycemia
13. The “AVPU” mnemonic for rapid neuro assessment stands for:
A. Alert, Vital, Pulse, Unresponsive
B. Alert, Verbal, Pain, Unresponsive
C. Awake, Voice, Pupils, Unconscious
D. Active, Vital, Pressure, Unstable
14. The most important intervention for suspected spinal cord injury is:
A. IV steroids
B. Cervical spine immobilization
C. Trendelenburg positioning
D. Immediate intubation
15. Decerebrate posturing indicates injury to the:
A. Cerebral cortex
B. Brainstem
C. Cerebellum
D. Spinal cord
Secondary Survey & Special Considerations
16. The purpose of the secondary survey is to:
A. Stabilize the airway
B. Assess vital signs only
C. Identify all injuries after life threats are managed
D. Begin definitive treatment
