TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2026/2027 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS
FROM VERIFIED SOURCES RATED GRADED A+.
You are caring for a patient who was thrown from a bike and was
not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
A patient is brought to the emergency department of a rural
hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the primary
survey, what is the priority intervention?
A. Initiate transfer to a trauma center
,B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is
confused with unlabored respirations and has strong, palpable
radial pulses. There is an open wound in proximity to an obvious
deformity of the left lower extremity. What is the priority
intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
A. Initiate cervical spine stabilization
An adult patient 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 patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most
important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
,C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department
following a vehicle "roll-over" with prolonged extrication.
Assessment reveals swelling and bruising to the right proximal
thigh and a weak pedal pulse. Skin is pale, cool, and moist. What
is the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5
mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6
kPa)
B. Application of a pelvic binder
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
, Functional grief relates to the loss of body function or body
parts such as amputation of a limb, paralysis, or loss of sight.
3. What is the most important consideration during the initial
assessment when caring for an older adult who has sustained
serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
B. Medical history including current medications
4. You are caring for a patient who was thrown from a bike and
was not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
5. When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
A. As soon as the patient arrives
NEWEST VERSION 2026/2027 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS
FROM VERIFIED SOURCES RATED GRADED A+.
You are caring for a patient who was thrown from a bike and was
not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
A patient is brought to the emergency department of a rural
hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the primary
survey, what is the priority intervention?
A. Initiate transfer to a trauma center
,B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is
confused with unlabored respirations and has strong, palpable
radial pulses. There is an open wound in proximity to an obvious
deformity of the left lower extremity. What is the priority
intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
A. Initiate cervical spine stabilization
An adult patient 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 patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most
important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
,C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department
following a vehicle "roll-over" with prolonged extrication.
Assessment reveals swelling and bruising to the right proximal
thigh and a weak pedal pulse. Skin is pale, cool, and moist. What
is the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5
mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6
kPa)
B. Application of a pelvic binder
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
, Functional grief relates to the loss of body function or body
parts such as amputation of a limb, paralysis, or loss of sight.
3. What is the most important consideration during the initial
assessment when caring for an older adult who has sustained
serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
B. Medical history including current medications
4. You are caring for a patient who was thrown from a bike and
was not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
5. When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
A. As soon as the patient arrives
