TNCC 9th Edition Exam with correct
answers 100% 2026
Which intervention is recommended regarding the use of drug-assisted intubation and rapid
sequence intubation? - Correct Answers Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? - Correct Answers Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing? - Correct Answers Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2
hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The
urine output over the last hour was 15mL. What intervention should the nurse anticipate? -
Correct Answers Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock? - Correct Answers Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is
complaining of left upper abdominal pain and left shoulder pain. This presentation is most
consistent with an injury to which organ? - Correct Answers Spleen
An adult patient is brought to the emergency department following a motor vehicle collision
with complaints of neck pain. They have identified as a person in the process of transitioning
from male to female. What effect of hormone therapy should be considered when planning care
for this patient? - Correct Answers Testosterone therapy may decrease blood pressure
Correct rationale: A person who is in the process of transitioning from male to female will
usually be taking female hormones such as estrogen/estradiol to assist with the transition. This
, can cause a decrease in muscle mass, increased risk of thromboembolism, and possibly
increased bone density. These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial injuries
during an altercation. The patient is awake, confused, and smells heavily of alcohol. Pulse
oximetry is 94% on room air. Immediate intubation should be anticipated based on which
clinical indicator? - Correct Answers Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest. Which
finding is most consistent with an injury to the diaphragm? - Correct Answers Bowel sounds
heard in the left lower chest
A severely injured patient has been intubated and is being mechanically ventilated. The patient
has received a balanced resuscitation including multiple blood products. Under which
circumstance will it be harder for the hemoglobin to release oxygen to the tissues? - Correct
Answers Decreased body temperature
A patient with a chest tube is being transported to the intensive care unit and fluctuation is
noted in the water seal chamber during inspiration and expiration. What is the best action for
the nurse to take? - Correct Answers Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and sustained a femur
fracture, liver laceration, and a small subdural hematoma. These injuries most likely occurred
during what level of blast trauma? - Correct Answers Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications, which
position will provide the best visualization for insertion of the endotracheal tube? - Correct
Answers Ramped
answers 100% 2026
Which intervention is recommended regarding the use of drug-assisted intubation and rapid
sequence intubation? - Correct Answers Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? - Correct Answers Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing? - Correct Answers Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2
hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The
urine output over the last hour was 15mL. What intervention should the nurse anticipate? -
Correct Answers Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock? - Correct Answers Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is
complaining of left upper abdominal pain and left shoulder pain. This presentation is most
consistent with an injury to which organ? - Correct Answers Spleen
An adult patient is brought to the emergency department following a motor vehicle collision
with complaints of neck pain. They have identified as a person in the process of transitioning
from male to female. What effect of hormone therapy should be considered when planning care
for this patient? - Correct Answers Testosterone therapy may decrease blood pressure
Correct rationale: A person who is in the process of transitioning from male to female will
usually be taking female hormones such as estrogen/estradiol to assist with the transition. This
, can cause a decrease in muscle mass, increased risk of thromboembolism, and possibly
increased bone density. These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial injuries
during an altercation. The patient is awake, confused, and smells heavily of alcohol. Pulse
oximetry is 94% on room air. Immediate intubation should be anticipated based on which
clinical indicator? - Correct Answers Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest. Which
finding is most consistent with an injury to the diaphragm? - Correct Answers Bowel sounds
heard in the left lower chest
A severely injured patient has been intubated and is being mechanically ventilated. The patient
has received a balanced resuscitation including multiple blood products. Under which
circumstance will it be harder for the hemoglobin to release oxygen to the tissues? - Correct
Answers Decreased body temperature
A patient with a chest tube is being transported to the intensive care unit and fluctuation is
noted in the water seal chamber during inspiration and expiration. What is the best action for
the nurse to take? - Correct Answers Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and sustained a femur
fracture, liver laceration, and a small subdural hematoma. These injuries most likely occurred
during what level of blast trauma? - Correct Answers Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications, which
position will provide the best visualization for insertion of the endotracheal tube? - Correct
Answers Ramped
