TNCC 9TH EDITION TNP EXAM |COMPLETE QUESTIONS WITH 100% RATED
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. An adult pt 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 pt has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mmHg. What is the
most important intervention to manage the cerebral blood flow?: Decrease the rate of manual ventilation 2. An older
adult presents to the emergency department with complaints of dizziness, headache, and nausea. The pt was involved
in a motor vehicle collision 10 days ago. There was no loss of consciousness and a hematoma is noted to the forehead.
The pt is currently on anticoagulant therapy. What is most likely the cause of their symptoms?: post-concussive
syndrome
3. A pt with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by
pain medication. Which of the following is the priority nursing intervention?: Elevating the leg to the LEVEL of the
heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
4. A pt involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small
penetrating wound to the 6th intercostal space in the left lateral chest. Which finding is most consistent with an injury to
the diaphragm?: Bowel sounds heard in the lower left chest
5. A pt has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib
fractures and a femur fracture after a fall. The pt has been awake, alert, and complaining of leg pain. Their spouse
reported that the pt suddenly became anxious and confused. Upon reassessment, the pt is restless, with respiratory distress
and petechiae to his neck. The pt is exhibiting signs and symptoms most commonly associated with which of the
following conditions?: Fat embolism
, 6. 3 adult pts present at different times during a 1-hour period with a high fever, fatigue, and headache. All 3 pts
have a rash which started on their mouth, face, and arms with progression to the chest and abdomen. They all visited the
same grocery store within the last week. What is the most appropriate intervention from triage for these pts?: Immediately
initiate contact precautions
7. A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped
left pupil is noted on exam.
Witai type of injury is suspecied?: Globe rupture
8. A trauma patient who is 30 - weeks pregnant arrives at the emergency department following a motor vehicle
collision Which normal physiologic change should be considered when assessing ventilatory status ?: Increased oxygen
consumption
9. A patient who sustained severe injuries was brought to the emergency department following a high - speed motor
vehicle collision . Interventions for hypovolemic shock have been initiated . What component of the trauma triad of
death is most likely to have begun at the time of injury ?: Coagulopathy 10. An adult patient involved in a motor vehicle
collision is brought to the emergency department of a rural critical access facility . They complain of neck pain , shortness
of breath , and diffuse abdominal pain . The Glasgow Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125
beats / minute , RR 26 breaths / minute , and SpO2 94 % on high - flow oxygen via non - rebreather mask . Which of the
following is the priority intervention for this patient ?: Expedite transfer to the closest trauma center
11. A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to
both upper extremities and chest with a total body surface area burned of 27 % . How much intravenous fluid should
be administered in the first 8 hours ?: 3240 mL
12. A trauma patient is being held in the emergency department because there are no available inpatient beds . The
patient sustained a femur fracture and required multiple blood products . The patient now has blood oozing from
abrasions , IV sites , the nose , and gums . What condition is most consistent with these findings ?: Disseminated
intravascular coagulopathy
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. An adult pt 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 pt has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mmHg. What is the
most important intervention to manage the cerebral blood flow?: Decrease the rate of manual ventilation 2. An older
adult presents to the emergency department with complaints of dizziness, headache, and nausea. The pt was involved
in a motor vehicle collision 10 days ago. There was no loss of consciousness and a hematoma is noted to the forehead.
The pt is currently on anticoagulant therapy. What is most likely the cause of their symptoms?: post-concussive
syndrome
3. A pt with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by
pain medication. Which of the following is the priority nursing intervention?: Elevating the leg to the LEVEL of the
heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
4. A pt involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small
penetrating wound to the 6th intercostal space in the left lateral chest. Which finding is most consistent with an injury to
the diaphragm?: Bowel sounds heard in the lower left chest
5. A pt has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib
fractures and a femur fracture after a fall. The pt has been awake, alert, and complaining of leg pain. Their spouse
reported that the pt suddenly became anxious and confused. Upon reassessment, the pt is restless, with respiratory distress
and petechiae to his neck. The pt is exhibiting signs and symptoms most commonly associated with which of the
following conditions?: Fat embolism
, 6. 3 adult pts present at different times during a 1-hour period with a high fever, fatigue, and headache. All 3 pts
have a rash which started on their mouth, face, and arms with progression to the chest and abdomen. They all visited the
same grocery store within the last week. What is the most appropriate intervention from triage for these pts?: Immediately
initiate contact precautions
7. A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped
left pupil is noted on exam.
Witai type of injury is suspecied?: Globe rupture
8. A trauma patient who is 30 - weeks pregnant arrives at the emergency department following a motor vehicle
collision Which normal physiologic change should be considered when assessing ventilatory status ?: Increased oxygen
consumption
9. A patient who sustained severe injuries was brought to the emergency department following a high - speed motor
vehicle collision . Interventions for hypovolemic shock have been initiated . What component of the trauma triad of
death is most likely to have begun at the time of injury ?: Coagulopathy 10. An adult patient involved in a motor vehicle
collision is brought to the emergency department of a rural critical access facility . They complain of neck pain , shortness
of breath , and diffuse abdominal pain . The Glasgow Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125
beats / minute , RR 26 breaths / minute , and SpO2 94 % on high - flow oxygen via non - rebreather mask . Which of the
following is the priority intervention for this patient ?: Expedite transfer to the closest trauma center
11. A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to
both upper extremities and chest with a total body surface area burned of 27 % . How much intravenous fluid should
be administered in the first 8 hours ?: 3240 mL
12. A trauma patient is being held in the emergency department because there are no available inpatient beds . The
patient sustained a femur fracture and required multiple blood products . The patient now has blood oozing from
abrasions , IV sites , the nose , and gums . What condition is most consistent with these findings ?: Disseminated
intravascular coagulopathy
