TNCC Test 2026/2027 Actual Final Exam Test Bank | 850 Complete Expert Questions and Correct Detailed Answers

TNCC Test 2026/2027 Actual Final Exam
Test Bank | 850 Complete Expert
Questions and Correct Detailed Answers

Q1: What is the leading cause of preventable death in the trauma
patient in the prehospital environment?

 A) Airway compromise
 B) Ineffective ventilation
 C) Secondary head injury
 D) Uncontrolled external hemorrhage
Correct Answer: D) Uncontrolled external hemorrhage

Q2: The components of the primary survey in the correct order are:

 A) A-B-C-D-E
 B) A-B-C-D-E-F-G-H-I
 C) C-A-B-D-E
 D) D-A-B-C-E
Correct Answer: B) A-B-C-D-E-F-G-H-I

Q3: What does the "A" in the primary survey assessment of a trauma
patient represent?

 A) Airway and Alertness with simultaneous cervical spinal stabilization
 B) Assessment of vital signs
 C) Administration of medications
 D) Arrival of the trauma team
Correct Answer: A) Airway and Alertness with simultaneous cervical
spinal stabilization

Q4: The AVPU scale is used in the primary survey to assess which
component?

, A) Breathing
 B) Circulation
 C) Airway and Alertness
 D) Disability
Correct Answer: C) Airway and Alertness

Q5: When should personal protective equipment (PPE) be placed?

 A) During the primary survey
 B) Before the arrival of the patient
 C) Only if there is visible bleeding
 D) After the patient is stabilized
Correct Answer: B) Before the arrival of the patient

Q6: Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?

 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
Correct Answer: C) To gauge end-organ perfusion and tissue hypoxia

Q7: A trauma patient is restless and repeatedly asking "where am I?"
Vital signs upon arrival were BP 100/60, HR 96, RR 24. Current vital
signs are BP 104/84, HR 108, RR 28. The patient's skin is cool and dry.
The patient is demonstrating signs of which stage of shock?

 A) Compensated
 B) Progressive
 C) Irreversible
 D) Decompensated
Correct Answer: A) Compensated

Q8: Obstructive shock in trauma is caused by:

 A) Pump failure and decreased myocardial contractility

, B) Hypoperfusion due to obstruction in the vasculature or heart
 C) Decreased circulating blood volume
 D) Systemic vasodilation
Correct Answer: B) Hypoperfusion due to obstruction in the
vasculature or heart

Q9: Which of the following is the best measure of the adequacy of
cellular perfusion and can help predict the outcome of resuscitation?

 A) End-tidal carbon dioxide
 B) Hematocrit level
 C) Base deficit
 D) Oxygen saturation
Correct Answer: C) Base deficit

Q10: What is the priority intervention for a patient with uncontrolled
bleeding from a wound to the right upper extremity?

 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
Correct Answer: C) Apply direct pressure to the wound

Q11: Oxygen should be administered to trauma patients at what initial
rate?

 A) 2 L/min via nasal cannula
 B) 4 L/min via nasal cannula
 C) 10 L/min via non-rebreather
 D) 15 L/min and titrate to patient needs
Correct Answer: D) 15 L/min and titrate to patient needs

Q12: What do late signs of a tension pneumothorax include?

 A) Tachycardia and tachypnea
 B) Tracheal deviation and jugular venous distention

,  C) Increased work of breathing
 D) Unilateral diminished breath sounds
Correct Answer: B) Tracheal deviation and jugular venous distention

Q13: A patient with a complete spinal cord injury in neurogenic shock
will demonstrate hypotension and which other clinical sign?

 A) Tachycardia and respiratory depression
 B) Bradycardia and absent motor function below the level of injury
 C) Tachycardia and ipsilateral absence of motor function
 D) Bradycardia and warm, dry skin
Correct Answer: B) Bradycardia and absent motor function below the
level of injury

Q14: Which of the following occurs during hypovolemic shock?

 A) Increased cardiac output due to vasodilation
 B) Decrease in the amount of circulating volume
 C) Decrease in heart rate
 D) Widening of pulse pressure
Correct Answer: B) Decrease in the amount of circulating volume

Q15: What is the key to a high performing trauma team?

 A) Individual goals
 B) Use of the SBAR tool
 C) Identification of a single decision maker
 D) Consistent communication
Correct Answer: D) Consistent communication

Q16: When obtaining a history for an injured patient, determining
energy transfer through biomechanical data helps the nurse to:

 A) anticipate the types of injury that may be present.
 B) decide if law enforcement should be notified.
 C) determine needed laboratory tests.