TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST
VERSION 2025/2026 QUESTION AND CORRECT
DETAILED VERIFIED ANSWERS FROM VERIFIED
SOURCES RATED A GRADE.
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.
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
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
,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.
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
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
B. Application of a pelvic binder
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb,
paralysis, or loss of sight.
Backboard
Device used to immobilize a patient's spine during transport
Priority Intervention for Active Bleeding
Control the bleeding
Best Position for Intubation Visualization
, Ramped
Priority Nursing Intervention for Decreased GCS
Notify the provider of the change
Cause of Functional Grief
Inability to live at home
Nursing Intervention for Cold Exposure Injury
Gently rewarm over 15 to 30 minutes
Condition Exhibited by Nurse After Trauma Care
Compassion fatigue
Rationale for Obtaining Serum Lactate Level in Trauma Patient
Gauges end-organ perfusion and tissue hypoxia
Consideration for Older Adult Trauma Patient
Medical history including current medications
Priority Intervention for Diminished Breath Sounds Post-gunshot
Prepare for a definitive airway
Organ Concerned with Upper Right Quadrant Tenderness
Liver
Position for Ventilation in Obese Patient with Lumbar Fracture
Fowler's
Priority Nursing Intervention for Child with Bruises and Burns
Report your suspicion of maltreatment in accordance with local regulations
Appropriate Intervention for Patient with Metal Rod in Thigh
Leave the rod in place and stabilize
Focused assessment sonography for trauma
Detects as little as 30 mL of fluid in the abdominal cavity
Atlanto-occipital dislocation
Priority intervention is maintaining spinal motion restriction
Snoring respirations
Priority intervention is opening the airway with head-tilt/chin-lift maneuver
VERSION 2025/2026 QUESTION AND CORRECT
DETAILED VERIFIED ANSWERS FROM VERIFIED
SOURCES RATED A GRADE.
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.
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
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
,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.
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
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
B. Application of a pelvic binder
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb,
paralysis, or loss of sight.
Backboard
Device used to immobilize a patient's spine during transport
Priority Intervention for Active Bleeding
Control the bleeding
Best Position for Intubation Visualization
, Ramped
Priority Nursing Intervention for Decreased GCS
Notify the provider of the change
Cause of Functional Grief
Inability to live at home
Nursing Intervention for Cold Exposure Injury
Gently rewarm over 15 to 30 minutes
Condition Exhibited by Nurse After Trauma Care
Compassion fatigue
Rationale for Obtaining Serum Lactate Level in Trauma Patient
Gauges end-organ perfusion and tissue hypoxia
Consideration for Older Adult Trauma Patient
Medical history including current medications
Priority Intervention for Diminished Breath Sounds Post-gunshot
Prepare for a definitive airway
Organ Concerned with Upper Right Quadrant Tenderness
Liver
Position for Ventilation in Obese Patient with Lumbar Fracture
Fowler's
Priority Nursing Intervention for Child with Bruises and Burns
Report your suspicion of maltreatment in accordance with local regulations
Appropriate Intervention for Patient with Metal Rod in Thigh
Leave the rod in place and stabilize
Focused assessment sonography for trauma
Detects as little as 30 mL of fluid in the abdominal cavity
Atlanto-occipital dislocation
Priority intervention is maintaining spinal motion restriction
Snoring respirations
Priority intervention is opening the airway with head-tilt/chin-lift maneuver
