TNCC 9th Edition Practice Exam 2025/2026 – Version 4
Walden University A+ Graded | NCLEX-Style | Fully Revised & Enhanced
Branded Cover Page
TNCC 9th Edition Practice Examination Academic Year: 2025/2026
Version: 4 – Expanded Edition (100 Questions)
NB: This professionally developed TNCC 9th Edition Practice Exam
(Version 4) is a comprehensive, highdifficulty assessment designed
to mirror real TNCC and NCLEX-style clinical decision-making. It
features 100 brand-new multiple-choice questions, clear rationales,
and a clean, branded academic layout to support mastery of trauma
nursing priorities.
Instructions
• Select theone best answer for each question.
• Questions increase in difficulty and follow TNCC priorities.
• Rationales are provided immediately after each question.
1
, TNCC 9th Edition Practice Exam 2025/2026 – Version
4, Walden University – 100 NCLEX-Style Trauma
Nursing Questions with Answers
QUESTIONS AND ANSWERS (100 QUESTIONS)
1. A trauma patient presents with gurgling respirations and maxillofacial injuries. What
is the priority nursing action?
A. Apply high-flow oxygen
B. Insert a nasopharyngeal airway
C. Suction the airway
D. Prepare for rapid sequence intubation
Correct Answer: C
Rationale: Gurgling indicates airway obstruction from secretions or blood and requires
immediate suctioning.
2. Which finding is an early indicator of compensated hypovolemic shock?
A. Hypotension
B. Bradycardia
C. Narrowed pulse pressure
D. Decreased level of consciousnessCorrect Answer: C
3. A patient with blunt chest trauma develops hypotension, JVD, and tracheal deviation.
What is the priority intervention?
A. Obtain a chest X-ray
B. Insert a chest tube
C. Perform needle decompression
D. Administer IV fluidsCorrect Answer: C
4. Which assessment best evaluates neurologic status during the primary survey?
A. Pupillary reaction
B. Glasgow Coma Scale
C. Deep tendon reflexesD. Sensory response
Correct Answer: B
5. An older adult trauma patient has normal vital signs but appears confused. This
finding is most consistent with:
2
, A. Anxiety
B. Pain response
C. Occult shock
D. Medication effectCorrect Answer: C
6. What is the priority intervention for uncontrolled external hemorrhage?
A. Elevate the extremity
B. Apply direct pressure
C. Initiate IV fluids
D. Administer oxygenCorrect Answer: B
7. Which finding indicates inadequate breathing effectiveness?
A. SpO₂ 98%
B. Equal chest rise
C. Use of accessory muscles
D. Normal respiratory rateCorrect Answer: C
8. What condition is associated with hypotension and bradycardia after spinal injury?
A. Septic shock
B. Hypovolemic shock
C. Cardiogenic shock
D. Neurogenic shockCorrect Answer: D
9. Which assessment finding suggests internal hemorrhage?
A. Pale skin
B. Abdominal distention with hypotension
C. External bleeding
D. Ecchymosis at IV siteCorrect Answer: B
10. When should spinal motion restriction be discontinued?
A. After pain control
B. After negative imaging and exam
C. After CT scan only
D. When patient is stableCorrect Answer: B
11. Which trauma patient should receive oxygen regardless of SpO₂ reading?
A. Patient with isolated extremity fracture
3
Walden University A+ Graded | NCLEX-Style | Fully Revised & Enhanced
Branded Cover Page
TNCC 9th Edition Practice Examination Academic Year: 2025/2026
Version: 4 – Expanded Edition (100 Questions)
NB: This professionally developed TNCC 9th Edition Practice Exam
(Version 4) is a comprehensive, highdifficulty assessment designed
to mirror real TNCC and NCLEX-style clinical decision-making. It
features 100 brand-new multiple-choice questions, clear rationales,
and a clean, branded academic layout to support mastery of trauma
nursing priorities.
Instructions
• Select theone best answer for each question.
• Questions increase in difficulty and follow TNCC priorities.
• Rationales are provided immediately after each question.
1
, TNCC 9th Edition Practice Exam 2025/2026 – Version
4, Walden University – 100 NCLEX-Style Trauma
Nursing Questions with Answers
QUESTIONS AND ANSWERS (100 QUESTIONS)
1. A trauma patient presents with gurgling respirations and maxillofacial injuries. What
is the priority nursing action?
A. Apply high-flow oxygen
B. Insert a nasopharyngeal airway
C. Suction the airway
D. Prepare for rapid sequence intubation
Correct Answer: C
Rationale: Gurgling indicates airway obstruction from secretions or blood and requires
immediate suctioning.
2. Which finding is an early indicator of compensated hypovolemic shock?
A. Hypotension
B. Bradycardia
C. Narrowed pulse pressure
D. Decreased level of consciousnessCorrect Answer: C
3. A patient with blunt chest trauma develops hypotension, JVD, and tracheal deviation.
What is the priority intervention?
A. Obtain a chest X-ray
B. Insert a chest tube
C. Perform needle decompression
D. Administer IV fluidsCorrect Answer: C
4. Which assessment best evaluates neurologic status during the primary survey?
A. Pupillary reaction
B. Glasgow Coma Scale
C. Deep tendon reflexesD. Sensory response
Correct Answer: B
5. An older adult trauma patient has normal vital signs but appears confused. This
finding is most consistent with:
2
, A. Anxiety
B. Pain response
C. Occult shock
D. Medication effectCorrect Answer: C
6. What is the priority intervention for uncontrolled external hemorrhage?
A. Elevate the extremity
B. Apply direct pressure
C. Initiate IV fluids
D. Administer oxygenCorrect Answer: B
7. Which finding indicates inadequate breathing effectiveness?
A. SpO₂ 98%
B. Equal chest rise
C. Use of accessory muscles
D. Normal respiratory rateCorrect Answer: C
8. What condition is associated with hypotension and bradycardia after spinal injury?
A. Septic shock
B. Hypovolemic shock
C. Cardiogenic shock
D. Neurogenic shockCorrect Answer: D
9. Which assessment finding suggests internal hemorrhage?
A. Pale skin
B. Abdominal distention with hypotension
C. External bleeding
D. Ecchymosis at IV siteCorrect Answer: B
10. When should spinal motion restriction be discontinued?
A. After pain control
B. After negative imaging and exam
C. After CT scan only
D. When patient is stableCorrect Answer: B
11. Which trauma patient should receive oxygen regardless of SpO₂ reading?
A. Patient with isolated extremity fracture
3
