Trauma Nursing Core Course (TNCC) 9th Edition
Exam – Version 1 | Complete Practice Questions
with Answers | 2025/2026
1. A 35-year-old male presents with facial trauma after being struck in
the face with a baseball. A teardrop–shaped left pupil is noted. What
type of injury is suspected?
A. Oculomotor nerve palsy
B. Globe rupture
C. Uncal herniation
D. Retinal detachment
2. A 36-year-old female has a deformity of the left wrist after a fall and
is reluctant to move her hand due to pain. What is the most
appropriate intervention?
A. Apply a sling and elevate to heart level
B. Apply a splint and elevate above heart level
C. Apply a sling and elevate above heart level
D. Apply a splint and elevate to heart level
3. Why is a serum lactate level obtained during the initial trauma
assessment?
A. To measure oxygenation and ventilation
, B. To quantify base deficit
C. To gauge end-organ perfusion and tissue hypoxia
D. To determine the cause of shock
4. A trauma patient is restless and repeatedly asking, “Where am I?”
Vital signs show increasing HR and RR with cool, dry skin. Which stage
of shock is indicated?
A. Compensated
B. Progressive
C. Irreversible
D. Decompensated
5. An elderly patient on anticoagulants presents after a fall with
headache, dizziness, and nausea. What is the most likely cause?
A. Epidural hematoma
B. Diffuse axonal injury
C. Post-concussive syndrome
D. Subdural hematoma
6. Using ACS spine clearance guidelines, which finding prompts
radiologic spine clearance?
A. Alert with no neurologic deficits
B. Multiple abrasions
C. Requests water
D. Smell of alcohol on breath
Exam – Version 1 | Complete Practice Questions
with Answers | 2025/2026
1. A 35-year-old male presents with facial trauma after being struck in
the face with a baseball. A teardrop–shaped left pupil is noted. What
type of injury is suspected?
A. Oculomotor nerve palsy
B. Globe rupture
C. Uncal herniation
D. Retinal detachment
2. A 36-year-old female has a deformity of the left wrist after a fall and
is reluctant to move her hand due to pain. What is the most
appropriate intervention?
A. Apply a sling and elevate to heart level
B. Apply a splint and elevate above heart level
C. Apply a sling and elevate above heart level
D. Apply a splint and elevate to heart level
3. Why is a serum lactate level obtained during the initial trauma
assessment?
A. To measure oxygenation and ventilation
, B. To quantify base deficit
C. To gauge end-organ perfusion and tissue hypoxia
D. To determine the cause of shock
4. A trauma patient is restless and repeatedly asking, “Where am I?”
Vital signs show increasing HR and RR with cool, dry skin. Which stage
of shock is indicated?
A. Compensated
B. Progressive
C. Irreversible
D. Decompensated
5. An elderly patient on anticoagulants presents after a fall with
headache, dizziness, and nausea. What is the most likely cause?
A. Epidural hematoma
B. Diffuse axonal injury
C. Post-concussive syndrome
D. Subdural hematoma
6. Using ACS spine clearance guidelines, which finding prompts
radiologic spine clearance?
A. Alert with no neurologic deficits
B. Multiple abrasions
C. Requests water
D. Smell of alcohol on breath
