TNCC 9th Edition Exam Questions and
Answers Graded A+
You are caring for a patient who was thrown from a bike and was not wearing a
helmet. While performing the head-to-toe assessment, you note clear drainage from
the right ear. Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - Correct answer-C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a
high-speed motor vehicle collision. When significant abdominal and pelvic injuries
are noted in the primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
,B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - Correct answer-A. Initiate transfer to a
trauma center
An adult who fell from a second story roof is brought to the emergency department
by private vehicle. The patient is confused with unlabored respirations and has
strong, palpable radial pulses. There is an open wound in proximity to an obvious
deformity of the left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - Correct answer-A. Initiate cervical
spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
, 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the
cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - Correct answer-A. Decrease the rate
of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-
over" with prolonged extrication. Assessment reveals swelling and bruising to the
right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is
the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
Answers Graded A+
You are caring for a patient who was thrown from a bike and was not wearing a
helmet. While performing the head-to-toe assessment, you note clear drainage from
the right ear. Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - Correct answer-C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a
high-speed motor vehicle collision. When significant abdominal and pelvic injuries
are noted in the primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
,B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - Correct answer-A. Initiate transfer to a
trauma center
An adult who fell from a second story roof is brought to the emergency department
by private vehicle. The patient is confused with unlabored respirations and has
strong, palpable radial pulses. There is an open wound in proximity to an obvious
deformity of the left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - Correct answer-A. Initiate cervical
spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
, 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the
cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - Correct answer-A. Decrease the rate
of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-
over" with prolonged extrication. Assessment reveals swelling and bruising to the
right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is
the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
