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TECC EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS
1. How does a nasopharyngeal airway (NPA) maintain a patent airway?
A. Displaces the jaw forward
B. Keeps the tongue in an anterior position
C. Ensures complete dilation of the nares
D. Blocks salivary and secretion glands
– CORRECT ANSWER ✓ B. Keeps the tongue in an anterior position
2. A 28-year-old officer was struck in the head. You note an irregular respiratory pattern,
elevated BP, and a decreased pulse. At what level should you maintain his capnography?
A) 45-50 mmHg
B) 36-40 mmHg
C) Less than 30 mmHg
D) 30-35 mmHg
– CORRECT ANSWER ✓ B. 36-40 mmHg
3. An unconscious casualty has multiple injuries from an IED blast. Vital signs: P 132, R 22.
During Indirect Threat Care, what should you do to ensure a patent airway?
A) Insert an oropharyngeal airway
B) Place the patient in the recovery position
C) Perform a surgical cricothyroidotomy
D) Perform endotracheal intubation
– CORRECT ANSWER ✓ B. Place the patient in the recovery position
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4. An adult patient only responds to painful stimuli and is bleeding from multiple wounds.
Several peripheral IV attempts were unsuccessful. What should you do?
A) Administer morphine orally
B) Attempt IV access for a 3rd time
C) Establish external jugular access
D) Establish intraosseous (IO) access
– CORRECT ANSWER ✓ D. Establish intraosseous (IO) access
5. A 41-year-old male has a gunshot wound to the right shoulder. Bleeding is controlled,
but he develops difficulty breathing and decreased chest rise on the right side. What
should you suspect?
A) Airway obstruction
B) Hemothorax
C) Tension pneumothorax
D) Hypoperfusion
– CORRECT ANSWER ✓ B. Hemothorax
6. Applying direct pressure to a wound is an appropriate intervention for which of the
following casualties?
A) Conscious victim with heavy bleeding during Indirect Threat Care
B) Unconscious victim with no visible bleeding during Indirect Threat Care
C) Conscious victim with trickling bleeding during Direct Threat Care
D) Conscious victim with heavy bleeding during Direct Threat Care
– CORRECT ANSWER ✓ A. Conscious victim with heavy bleeding during Indirect Threat
Care
7. A 30-year-old female has partial-thickness burns on 60% of her total body surface area.
Vital signs are BP 76/50, P 140, R 26. When should fluid resuscitation be initiated?
A) As soon as venous access is obtained
B) Only en route to the hospital
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C) After analgesia administration
D) When the patient becomes unconscious
– CORRECT ANSWER ✓ A. As soon as venous access is obtained
8. What is the most immediate threat to a patient with burns covering greater than 20%
total body surface area?
A) Infection
B) Massive fluid shifts
C) Hypothermia
D) Compartment syndrome
– CORRECT ANSWER ✓ C. Hypothermia
9. A patient with a gunshot wound to the chest was treated with a non-vented occlusive
dressing. He is now anxious and complains of difficulty breathing. What should you do?
A) Place in position of comfort
B) Apply a second occlusive dressing
C) Manually burp the occlusive dressing
D) Perform needle decompression
– CORRECT ANSWER ✓ C. Manually burp the occlusive dressing
10. A 29-year-old with a gunshot wound to the leg has a tourniquet applied. He complains
of severe leg pain. Vital signs are BP 110/50, P 100, R 24. What should you do?
A) Administer oral acetaminophen and Meloxicam
B) Reassess tourniquet effectiveness and administer 50 mg of ketamine IM
C) Continue to monitor casualty and move on to the next patient
D) Initiate an IV of normal saline and administer a 500 mL fluid bolus
– CORRECT ANSWER ✓ B. Reassess tourniquet effectiveness and administer 50 mg of
ketamine IM
11. A 35-year-old male with partial thickness burns to his chest, arms, and face complains of
severe pain. He speaks in 2-3 word sentences with a raspy voice. His facial hair is singed.
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Vital signs are BP 150/80, P 130, R 32 and shallow. What should you do?
A) Establish IV access and begin fluid resuscitation
B) Manually stabilize the spine
C) Administer oxygen by non-rebreather mask
D) Obtain the patient's room air SpO2
– CORRECT ANSWER ✓ A. Establish IV access and begin fluid resuscitation
12. Which of the following is true of IV fluid administration?
A) Initial fluid bolus begins with 1 liter
B) Administered to all casualties with traumatic injuries
C) Preferred method over PO fluids
D) Titrated to maintain a systolic BP of 80-90 mmHg
– CORRECT ANSWER ✓ D. Titrated to maintain a systolic BP of 80-90 mmHg
13. A 24-year-old officer has a gunshot wound to the right upper thigh with profuse
bleeding, controlled by a tourniquet. His skin is clammy and he has weak radial pulses
with a respiratory rate of 28. He complains of severe pain from the tourniquet. What
should you administer to manage the pain?
A) Ketamine 20 mg IV
B) Oral transmucosal fentanyl lozenge at 800 mcg
C) Morphine 10 mg IM
D) Fentanyl 50 mcg IV
– CORRECT ANSWER ✓ A. Ketamine 20 mg IV
14. A 26-year-old female has multiple puncture wounds to the thoracic cavity. Vital signs
are BP 160/100, P 100 and regular, R 30 short and shallow, Sp02 94% on room air. What
should you do?
A) Establish IV/IO access and deliver 1000 mL of Fresh Whole Blood
B) Give her a paper bag to help regulate her breathing
C) Apply vented chest seal to appropriate areas
TECC EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS
1. How does a nasopharyngeal airway (NPA) maintain a patent airway?
A. Displaces the jaw forward
B. Keeps the tongue in an anterior position
C. Ensures complete dilation of the nares
D. Blocks salivary and secretion glands
– CORRECT ANSWER ✓ B. Keeps the tongue in an anterior position
2. A 28-year-old officer was struck in the head. You note an irregular respiratory pattern,
elevated BP, and a decreased pulse. At what level should you maintain his capnography?
A) 45-50 mmHg
B) 36-40 mmHg
C) Less than 30 mmHg
D) 30-35 mmHg
– CORRECT ANSWER ✓ B. 36-40 mmHg
3. An unconscious casualty has multiple injuries from an IED blast. Vital signs: P 132, R 22.
During Indirect Threat Care, what should you do to ensure a patent airway?
A) Insert an oropharyngeal airway
B) Place the patient in the recovery position
C) Perform a surgical cricothyroidotomy
D) Perform endotracheal intubation
– CORRECT ANSWER ✓ B. Place the patient in the recovery position
, 2|Page
4. An adult patient only responds to painful stimuli and is bleeding from multiple wounds.
Several peripheral IV attempts were unsuccessful. What should you do?
A) Administer morphine orally
B) Attempt IV access for a 3rd time
C) Establish external jugular access
D) Establish intraosseous (IO) access
– CORRECT ANSWER ✓ D. Establish intraosseous (IO) access
5. A 41-year-old male has a gunshot wound to the right shoulder. Bleeding is controlled,
but he develops difficulty breathing and decreased chest rise on the right side. What
should you suspect?
A) Airway obstruction
B) Hemothorax
C) Tension pneumothorax
D) Hypoperfusion
– CORRECT ANSWER ✓ B. Hemothorax
6. Applying direct pressure to a wound is an appropriate intervention for which of the
following casualties?
A) Conscious victim with heavy bleeding during Indirect Threat Care
B) Unconscious victim with no visible bleeding during Indirect Threat Care
C) Conscious victim with trickling bleeding during Direct Threat Care
D) Conscious victim with heavy bleeding during Direct Threat Care
– CORRECT ANSWER ✓ A. Conscious victim with heavy bleeding during Indirect Threat
Care
7. A 30-year-old female has partial-thickness burns on 60% of her total body surface area.
Vital signs are BP 76/50, P 140, R 26. When should fluid resuscitation be initiated?
A) As soon as venous access is obtained
B) Only en route to the hospital
, 3|Page
C) After analgesia administration
D) When the patient becomes unconscious
– CORRECT ANSWER ✓ A. As soon as venous access is obtained
8. What is the most immediate threat to a patient with burns covering greater than 20%
total body surface area?
A) Infection
B) Massive fluid shifts
C) Hypothermia
D) Compartment syndrome
– CORRECT ANSWER ✓ C. Hypothermia
9. A patient with a gunshot wound to the chest was treated with a non-vented occlusive
dressing. He is now anxious and complains of difficulty breathing. What should you do?
A) Place in position of comfort
B) Apply a second occlusive dressing
C) Manually burp the occlusive dressing
D) Perform needle decompression
– CORRECT ANSWER ✓ C. Manually burp the occlusive dressing
10. A 29-year-old with a gunshot wound to the leg has a tourniquet applied. He complains
of severe leg pain. Vital signs are BP 110/50, P 100, R 24. What should you do?
A) Administer oral acetaminophen and Meloxicam
B) Reassess tourniquet effectiveness and administer 50 mg of ketamine IM
C) Continue to monitor casualty and move on to the next patient
D) Initiate an IV of normal saline and administer a 500 mL fluid bolus
– CORRECT ANSWER ✓ B. Reassess tourniquet effectiveness and administer 50 mg of
ketamine IM
11. A 35-year-old male with partial thickness burns to his chest, arms, and face complains of
severe pain. He speaks in 2-3 word sentences with a raspy voice. His facial hair is singed.
, 4|Page
Vital signs are BP 150/80, P 130, R 32 and shallow. What should you do?
A) Establish IV access and begin fluid resuscitation
B) Manually stabilize the spine
C) Administer oxygen by non-rebreather mask
D) Obtain the patient's room air SpO2
– CORRECT ANSWER ✓ A. Establish IV access and begin fluid resuscitation
12. Which of the following is true of IV fluid administration?
A) Initial fluid bolus begins with 1 liter
B) Administered to all casualties with traumatic injuries
C) Preferred method over PO fluids
D) Titrated to maintain a systolic BP of 80-90 mmHg
– CORRECT ANSWER ✓ D. Titrated to maintain a systolic BP of 80-90 mmHg
13. A 24-year-old officer has a gunshot wound to the right upper thigh with profuse
bleeding, controlled by a tourniquet. His skin is clammy and he has weak radial pulses
with a respiratory rate of 28. He complains of severe pain from the tourniquet. What
should you administer to manage the pain?
A) Ketamine 20 mg IV
B) Oral transmucosal fentanyl lozenge at 800 mcg
C) Morphine 10 mg IM
D) Fentanyl 50 mcg IV
– CORRECT ANSWER ✓ A. Ketamine 20 mg IV
14. A 26-year-old female has multiple puncture wounds to the thoracic cavity. Vital signs
are BP 160/100, P 100 and regular, R 30 short and shallow, Sp02 94% on room air. What
should you do?
A) Establish IV/IO access and deliver 1000 mL of Fresh Whole Blood
B) Give her a paper bag to help regulate her breathing
C) Apply vented chest seal to appropriate areas
