TNCC 9th Edition Final Exam
Preparation-Questions with Detailed
Rationales
### SECTION 1: PRIMARY SURVEY AND TRAUMA NURSING PROCESS
(Questions 1-15)
**Question 1**
According to the Trauma Nursing Process (TNP), what is the correct
order of phases?
A) Primary Survey, Secondary Survey, Resuscitation, Definitive Care
B) Primary Survey, Resuscitation, Secondary Survey, Definitive Care
C) Resuscitation, Primary Survey, Secondary Survey, Definitive Care
D) Secondary Survey, Primary Survey, Resuscitation, Definitive Care
**Correct Answer: B**
,**Rationale:** The Trauma Nursing Process (TNP) phases are: (1)
Primary Survey, (2) Resuscitation (interventions for life threats), (3)
Secondary Survey (head-to-toe, AMPLE history), and (4) Definitive
Care/Transfer. This systematic approach ensures life-threatening
conditions are identified and treated in order of priority before
proceeding to the secondary assessment.
---
**Question 2**
A trauma patient is brought to the emergency department after a
motor vehicle collision. The nurse completes the primary survey and
identifies a life-threatening airway obstruction. Which is the priority
intervention?
A) Obtain a detailed medical history
B) Apply a cervical collar
C) Open the airway using a jaw thrust maneuver
D) Start two large-bore IVs
**Correct Answer: C**
**Rationale:** Airway is the first step in the primary survey (A). The
priority intervention for airway obstruction is to open the airway. In
,trauma patients, a jaw thrust maneuver is used to open the airway
while maintaining cervical spine precautions.
---
**Question 3**
Which of the following represents the correct order of the primary
survey?
A) Disability, Airway, Breathing, Circulation, Exposure
B) Circulation, Airway, Breathing, Disability, Exposure
C) Airway, Breathing, Circulation, Disability, Exposure
D) Exposure, Airway, Breathing, Circulation, Disability
**Correct Answer: C**
**Rationale:** The primary survey follows the ABCDE sequence:
Airway (with cervical spine protection), Breathing, Circulation, Disability
(neurologic status), and Exposure. This systematic approach identifies
and manages life-threatening conditions in order of priority.
---
, **Question 4**
The "AMPLE" history is obtained during which phase of the Trauma
Nursing Process?
A) Primary Survey
B) Resuscitation
C) Secondary Survey
D) Definitive Care
**Correct Answer: C**
**Rationale:** The AMPLE history (Allergies, Medications, Past medical
history, Last meal, Events leading to injury) is obtained during the
Secondary Survey phase. This information is essential for guiding
ongoing care but is not part of the life-saving primary survey.
---
**Question 5**
During the primary survey, what is the initial action for a patient with
snoring respirations?
A) Insert an oropharyngeal airway
Preparation-Questions with Detailed
Rationales
### SECTION 1: PRIMARY SURVEY AND TRAUMA NURSING PROCESS
(Questions 1-15)
**Question 1**
According to the Trauma Nursing Process (TNP), what is the correct
order of phases?
A) Primary Survey, Secondary Survey, Resuscitation, Definitive Care
B) Primary Survey, Resuscitation, Secondary Survey, Definitive Care
C) Resuscitation, Primary Survey, Secondary Survey, Definitive Care
D) Secondary Survey, Primary Survey, Resuscitation, Definitive Care
**Correct Answer: B**
,**Rationale:** The Trauma Nursing Process (TNP) phases are: (1)
Primary Survey, (2) Resuscitation (interventions for life threats), (3)
Secondary Survey (head-to-toe, AMPLE history), and (4) Definitive
Care/Transfer. This systematic approach ensures life-threatening
conditions are identified and treated in order of priority before
proceeding to the secondary assessment.
---
**Question 2**
A trauma patient is brought to the emergency department after a
motor vehicle collision. The nurse completes the primary survey and
identifies a life-threatening airway obstruction. Which is the priority
intervention?
A) Obtain a detailed medical history
B) Apply a cervical collar
C) Open the airway using a jaw thrust maneuver
D) Start two large-bore IVs
**Correct Answer: C**
**Rationale:** Airway is the first step in the primary survey (A). The
priority intervention for airway obstruction is to open the airway. In
,trauma patients, a jaw thrust maneuver is used to open the airway
while maintaining cervical spine precautions.
---
**Question 3**
Which of the following represents the correct order of the primary
survey?
A) Disability, Airway, Breathing, Circulation, Exposure
B) Circulation, Airway, Breathing, Disability, Exposure
C) Airway, Breathing, Circulation, Disability, Exposure
D) Exposure, Airway, Breathing, Circulation, Disability
**Correct Answer: C**
**Rationale:** The primary survey follows the ABCDE sequence:
Airway (with cervical spine protection), Breathing, Circulation, Disability
(neurologic status), and Exposure. This systematic approach identifies
and manages life-threatening conditions in order of priority.
---
, **Question 4**
The "AMPLE" history is obtained during which phase of the Trauma
Nursing Process?
A) Primary Survey
B) Resuscitation
C) Secondary Survey
D) Definitive Care
**Correct Answer: C**
**Rationale:** The AMPLE history (Allergies, Medications, Past medical
history, Last meal, Events leading to injury) is obtained during the
Secondary Survey phase. This information is essential for guiding
ongoing care but is not part of the life-saving primary survey.
---
**Question 5**
During the primary survey, what is the initial action for a patient with
snoring respirations?
A) Insert an oropharyngeal airway
