TNCC EXAM @x
Exam Solution @x
TNCC FINAL EXAM TEST 2026 A+ GRADE ASSURED CO
@x @x @x @x @x @x @x @x
MPLETE SOLUTIONS AND VERIFIED ANSWERS (F1714) @x @x @x @x @x
QUESTION 1 @x
Why is a measure of serum lactate obtained in the initial assessment of the trauma p
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
atient? Answer: c @x @x
ANSWER
a)@x to measure oxygenation and ventilation
@x @x @x @x
b)@x to quantify the base deficit for the adequacy of cellular perfusion
@x @x @x @x @x @x @x @x @x @x
c)
@x *to gauge end-organ perfusion and tissue hypoxia **
@x @x @x @x @x @x @x
d) to determine the underlying cause of shock
@x @x @x @x @x @x @x
QUESTION 2 @x
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arr
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
ival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is c
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. T
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
he patient is demonstrating signs and symptoms of which stage of shock? Answer: A
@x @x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
A) @x compensated ** @x
B) @x Progressive
C) @x irreversible
D) @x decompensated
QUESTION 3 @x
An elderly patient with a history of anticoagulant use presents after a fall at home th
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
at day. she denies any loss of consciousness. She has a hematoma to her forehead an
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
d complains of headache, dizziness, and nausea. Which is a most likely cause of her s
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ymptoms? Answer: D @x @x
ANSWER
, A)@x epidural hematoma @x
B)@x diffuse axonal injury @x @x
C)@x post-concussive syndrome @x
D) subdural hematoma ***
@x @x @x
QUESTION 4 @x
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeo
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
ns screening guidelines, which assessment finding would prompt the nurse to prepar
@x @x @x @x @x @x @x @x @x @x @x
e the patient for radiologic spine clearance? Answer: D
@x @x @x @x @x @x @x @x
ANSWER
A)@x Alert with no neurologic deficits
@x @x @x @x
B)@x Multiple abrasions to the extremities
@x @x @x @x
C)@x Multiple requests of water @x @x @x
D) Smell of alcohol on breath ***
@x @x @x @x @x @x
QUESTION 5 @x
Which of the following occurs during the third impact of a motor vehicle crash? Ans
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
wer: C @x
ANSWER
A)@x The driver of the vehicle collides with the steering wheel
@x @x @x @x @x @x @x @x @x
B)@x the vehicle collides with a tree
@x @x @x @x @x
C)@x the aorta is torn at its attachment with the ligamentum arteriosum
@x @x @x @x @x @x @x @x @x @x
D) the airbag deploys and strikes the front seat passenger ***
@x @x @x @x @x @x @x @x @x @x
QUESTION 6 @x
A passenger is brought to the emergency department of a rural hospital following a
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
high-
speed MVC. When significant abdominal and pelvic injuries are noted in the primary
@x @x @x @x @x @x @x @x @x @x @x @x @x
survey, which of the following is the priority interventions? Answer: A
@x @x @x @x @x @x @x @x @x @x
ANSWER
A)@x initiate transfer to a trauma center **
@x @x @x @x @x @x
B)@x provide report to the operating room nurse
@x @x @x @x @x @x
C)@x Obtained imaging studies @x @x
D) Place a gastric tube
@x @x @x @x
QUESTION 7 @x
Which of the following injuries is LEAST likely to be promptly identified? Answer: C
@x @x @x @x @x @x @x @x @x @x @x @x @x
Exam Solution @x
TNCC FINAL EXAM TEST 2026 A+ GRADE ASSURED CO
@x @x @x @x @x @x @x @x
MPLETE SOLUTIONS AND VERIFIED ANSWERS (F1714) @x @x @x @x @x
QUESTION 1 @x
Why is a measure of serum lactate obtained in the initial assessment of the trauma p
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
atient? Answer: c @x @x
ANSWER
a)@x to measure oxygenation and ventilation
@x @x @x @x
b)@x to quantify the base deficit for the adequacy of cellular perfusion
@x @x @x @x @x @x @x @x @x @x
c)
@x *to gauge end-organ perfusion and tissue hypoxia **
@x @x @x @x @x @x @x
d) to determine the underlying cause of shock
@x @x @x @x @x @x @x
QUESTION 2 @x
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arr
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
ival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is c
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. T
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
he patient is demonstrating signs and symptoms of which stage of shock? Answer: A
@x @x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
A) @x compensated ** @x
B) @x Progressive
C) @x irreversible
D) @x decompensated
QUESTION 3 @x
An elderly patient with a history of anticoagulant use presents after a fall at home th
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
at day. she denies any loss of consciousness. She has a hematoma to her forehead an
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
d complains of headache, dizziness, and nausea. Which is a most likely cause of her s
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ymptoms? Answer: D @x @x
ANSWER
, A)@x epidural hematoma @x
B)@x diffuse axonal injury @x @x
C)@x post-concussive syndrome @x
D) subdural hematoma ***
@x @x @x
QUESTION 4 @x
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeo
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
ns screening guidelines, which assessment finding would prompt the nurse to prepar
@x @x @x @x @x @x @x @x @x @x @x
e the patient for radiologic spine clearance? Answer: D
@x @x @x @x @x @x @x @x
ANSWER
A)@x Alert with no neurologic deficits
@x @x @x @x
B)@x Multiple abrasions to the extremities
@x @x @x @x
C)@x Multiple requests of water @x @x @x
D) Smell of alcohol on breath ***
@x @x @x @x @x @x
QUESTION 5 @x
Which of the following occurs during the third impact of a motor vehicle crash? Ans
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
wer: C @x
ANSWER
A)@x The driver of the vehicle collides with the steering wheel
@x @x @x @x @x @x @x @x @x
B)@x the vehicle collides with a tree
@x @x @x @x @x
C)@x the aorta is torn at its attachment with the ligamentum arteriosum
@x @x @x @x @x @x @x @x @x @x
D) the airbag deploys and strikes the front seat passenger ***
@x @x @x @x @x @x @x @x @x @x
QUESTION 6 @x
A passenger is brought to the emergency department of a rural hospital following a
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
high-
speed MVC. When significant abdominal and pelvic injuries are noted in the primary
@x @x @x @x @x @x @x @x @x @x @x @x @x
survey, which of the following is the priority interventions? Answer: A
@x @x @x @x @x @x @x @x @x @x
ANSWER
A)@x initiate transfer to a trauma center **
@x @x @x @x @x @x
B)@x provide report to the operating room nurse
@x @x @x @x @x @x
C)@x Obtained imaging studies @x @x
D) Place a gastric tube
@x @x @x @x
QUESTION 7 @x
Which of the following injuries is LEAST likely to be promptly identified? Answer: C
@x @x @x @x @x @x @x @x @x @x @x @x @x