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TNCC FINAL EXAM 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
You are treating a 27-year old male in respiratory distress who
was involved in a house fire. Calculating TBSA burned is
deferred d/t the need for emergent intubation. At what rate
should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - ANSWER-B) 500 mL/hr
A patient has been in the ED for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur
fracture after a fall. He has been awake, alert, and c/o leg pain.
His wife reported suddenly becoming anxious and confused.
Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. the patient is exhibiting
signs of symptoms commonly associated with which of the
following conditions?
A) acute lung injury
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B) fat embolism
C) PTX
D) pulmonary contusion - ANSWER-B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - ANSWER-B) narrowed
Which of the following considerations is most important when
caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - ANSWER-B) medical history
Which of the following assessment findings differentiates a
tension pneumothorax from a simple pneumothorax?
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A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - ANSWER-D)
hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax
include anxiety, severe restlessness, severe respiratory
distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels
is consistent with obstructive shock. Hypotension worsens with
inspiration due to increased intrathoracic pressure. Late signs
include distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid resuscitation
needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest.
Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in
the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
TNCC FINAL EXAM 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
You are treating a 27-year old male in respiratory distress who
was involved in a house fire. Calculating TBSA burned is
deferred d/t the need for emergent intubation. At what rate
should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - ANSWER-B) 500 mL/hr
A patient has been in the ED for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur
fracture after a fall. He has been awake, alert, and c/o leg pain.
His wife reported suddenly becoming anxious and confused.
Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. the patient is exhibiting
signs of symptoms commonly associated with which of the
following conditions?
A) acute lung injury
,2 | Page
B) fat embolism
C) PTX
D) pulmonary contusion - ANSWER-B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - ANSWER-B) narrowed
Which of the following considerations is most important when
caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - ANSWER-B) medical history
Which of the following assessment findings differentiates a
tension pneumothorax from a simple pneumothorax?
, 3 | Page
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - ANSWER-D)
hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax
include anxiety, severe restlessness, severe respiratory
distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels
is consistent with obstructive shock. Hypotension worsens with
inspiration due to increased intrathoracic pressure. Late signs
include distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid resuscitation
needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest.
Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in
the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
