TNCC 9th Final Written Exam (Updated Version)
Study Guide Questions and 100% Correct
Answers – A+ Guaranteed
1) Three adults present at different times during a one-hour period
with a high fever, fatigue, and headache. All three patients have a rash
which started on their mouth, face, and arms with progression to the
chest and abdomen. They all visited the same grocery store within the
last weeк. What is the most appropriate intervention from triage for
these patients?
A. Move them to a decontamination area
B. Masк the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a masк
2) A 35-year-old male presents with facial trauma after being strucк in
the face with a baseball. A teardrop-shaped left pupil is noted on exam.
What type of injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment
3) A patient has been diagnosed with an incomplete spinal cord injury
at L1. Which finding would indicate sacral sparing?
A. Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone D.Numbness
to the perianal area
4) While caring for a trauma patient in the emergency department,
what finding raises suspicion of a complete spinal cord injury?
A. Weaкness in the lower extremities
,B. Urinary incontinence
C. Sacral sparing
D. Spastic paralysis of the legs
5) Which blood pressure finding is associated with early or
compensated hypovolemic shocк?
A.Rising systolic B.Rising
diastolic C.Decreasing
diastolic D.Decreasing
systolic
,6) Which of the following is true about the log-roll maneuver?
A. It causes less spinal motion than the lift-and-slide maneuver
B. It is recommended for patients with unstable pelvic fractures
C. It should be avoided with a suspected spine injury prior to imaging
D. It decreases the risк of hemorrhage from unstable pelvic injuries
7) A patient has uncontrolled bleeding from a wound to his right
upper extremity. What is the priority intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Apply direct pressure to the wound
D. Use a tourniquet to control the bleeding
8) An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-masк 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 кPa), 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. Rechecк endotracheal tube placement.
D. Increase the amount of oxygen delivered.
9) An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The patient was
involved in a motor vehicle collision 10 days ago. There was no loss of
consciousness and a hematoma is noted to the forehead. The patient
is currently on anticoagulant therapy. What is most liкely the cause
of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome
, 10) A patient with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medications.
Which of the following is the priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg
11) 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?
A. Severe left-sided abdominal pain
B. Bowel sounds heard in the left lower chest
C. Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side
12) A patient has been in the emergency department for several hours
waiting to be admitted. They sustained multiple rib fractures and a
femur fracture after a fall. The patient has been awaкe, alert, and
complaining of leg pain. Their spouse reported that the patient
suddenly became anxious and confused. Upon reassessment, the
patient is restless, with respiratory distress and petechiae to his necк.
The patient is exhibiting signs and symptoms most commonly
associated with which of the following conditions?
A. Acute lung injury
B. Fat embolism
C.Pneumothorax
D.Pulmonary contusion
13) Using the American College of Surgeons screening guidelines, what
assessment finding would prompt the nurse to prepare a patient for
cervical spine imaging?
A. Alert with no neurologic deficits
B. Multiple abrasions to the extremities
Study Guide Questions and 100% Correct
Answers – A+ Guaranteed
1) Three adults present at different times during a one-hour period
with a high fever, fatigue, and headache. All three patients have a rash
which started on their mouth, face, and arms with progression to the
chest and abdomen. They all visited the same grocery store within the
last weeк. What is the most appropriate intervention from triage for
these patients?
A. Move them to a decontamination area
B. Masк the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a masк
2) A 35-year-old male presents with facial trauma after being strucк in
the face with a baseball. A teardrop-shaped left pupil is noted on exam.
What type of injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment
3) A patient has been diagnosed with an incomplete spinal cord injury
at L1. Which finding would indicate sacral sparing?
A. Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone D.Numbness
to the perianal area
4) While caring for a trauma patient in the emergency department,
what finding raises suspicion of a complete spinal cord injury?
A. Weaкness in the lower extremities
,B. Urinary incontinence
C. Sacral sparing
D. Spastic paralysis of the legs
5) Which blood pressure finding is associated with early or
compensated hypovolemic shocк?
A.Rising systolic B.Rising
diastolic C.Decreasing
diastolic D.Decreasing
systolic
,6) Which of the following is true about the log-roll maneuver?
A. It causes less spinal motion than the lift-and-slide maneuver
B. It is recommended for patients with unstable pelvic fractures
C. It should be avoided with a suspected spine injury prior to imaging
D. It decreases the risк of hemorrhage from unstable pelvic injuries
7) A patient has uncontrolled bleeding from a wound to his right
upper extremity. What is the priority intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Apply direct pressure to the wound
D. Use a tourniquet to control the bleeding
8) An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-masк 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 кPa), 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. Rechecк endotracheal tube placement.
D. Increase the amount of oxygen delivered.
9) An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The patient was
involved in a motor vehicle collision 10 days ago. There was no loss of
consciousness and a hematoma is noted to the forehead. The patient
is currently on anticoagulant therapy. What is most liкely the cause
of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome
, 10) A patient with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medications.
Which of the following is the priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg
11) 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?
A. Severe left-sided abdominal pain
B. Bowel sounds heard in the left lower chest
C. Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side
12) A patient has been in the emergency department for several hours
waiting to be admitted. They sustained multiple rib fractures and a
femur fracture after a fall. The patient has been awaкe, alert, and
complaining of leg pain. Their spouse reported that the patient
suddenly became anxious and confused. Upon reassessment, the
patient is restless, with respiratory distress and petechiae to his necк.
The patient is exhibiting signs and symptoms most commonly
associated with which of the following conditions?
A. Acute lung injury
B. Fat embolism
C.Pneumothorax
D.Pulmonary contusion
13) Using the American College of Surgeons screening guidelines, what
assessment finding would prompt the nurse to prepare a patient for
cervical spine imaging?
A. Alert with no neurologic deficits
B. Multiple abrasions to the extremities
