TNCC FINAL EXAM TEST 2026-2027 OPEN BOOK (UPDATED
QUESTIONS WITH VERIFIED ANSWERS)
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ANSWER -a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs
upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24
breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - ANSWER -A) compensated **
B) Progressive
C) irreversible
,D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at
home that day. she denies any loss of consciousness. She has a hematoma
to her forehead and complains of headache, dizziness, and nausea. Which is
a most likely cause of her symptoms?
Answer: D - ANSWER -A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College
of Surgeons screening guidelines, which assessment finding would prompt
the nurse to prepare the patient for radiologic spine clearance?
Answer: D - ANSWER -A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
, D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - ANSWER -A) The driver of
the vehicle collides with the steering wheel
p p p p p p p
B) the vehicle collides with a tree
p p p p p p p
C) the aorta is torn at its attachment with the ligamentum arteriosum
p p p p p p p p p p p p
D) the airbag deploysand strikes the front seat passenger ***
p p p p p p p p p p p
Apassenger is brought to the emergency department of a rural hospital following
p p p p p p p p p p p p p
a high-
p
speed MVC. When significant abdominal and pelvic injuries arenoted in the prima
p p p p p p p p p p p p
ry survey, which of the following is the priority interventions?
p p p p p p p p p p
Answer: A - ANSWER -A) initiate transfer to a trauma center **
p p p p p p p p p p p p
B) provide report to the operating room nurse
p p p p p p p p
C) Obtained imaging studies
p p p p
QUESTIONS WITH VERIFIED ANSWERS)
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ANSWER -a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs
upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24
breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - ANSWER -A) compensated **
B) Progressive
C) irreversible
,D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at
home that day. she denies any loss of consciousness. She has a hematoma
to her forehead and complains of headache, dizziness, and nausea. Which is
a most likely cause of her symptoms?
Answer: D - ANSWER -A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College
of Surgeons screening guidelines, which assessment finding would prompt
the nurse to prepare the patient for radiologic spine clearance?
Answer: D - ANSWER -A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
, D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - ANSWER -A) The driver of
the vehicle collides with the steering wheel
p p p p p p p
B) the vehicle collides with a tree
p p p p p p p
C) the aorta is torn at its attachment with the ligamentum arteriosum
p p p p p p p p p p p p
D) the airbag deploysand strikes the front seat passenger ***
p p p p p p p p p p p
Apassenger is brought to the emergency department of a rural hospital following
p p p p p p p p p p p p p
a high-
p
speed MVC. When significant abdominal and pelvic injuries arenoted in the prima
p p p p p p p p p p p p
ry survey, which of the following is the priority interventions?
p p p p p p p p p p
Answer: A - ANSWER -A) initiate transfer to a trauma center **
p p p p p p p p p p p p
B) provide report to the operating room nurse
p p p p p p p p
C) Obtained imaging studies
p p p p
