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TNCC Final Exam Test 2026/2027 | Trauma Nursing Core Course Review Questions, Answers & Exam Preparation

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Prepare for the Trauma Nursing Core Course (TNCC) Final Exam with this comprehensive trauma nursing study guide. This resource covers essential trauma care concepts including initial patient assessment, trauma algorithms, shock management, airway and breathing interventions, circulation priorities, neurological assessment, spinal injuries, burns, hemorrhage control, trauma documentation, and emergency nursing interventions. Designed for emergency nurses, trauma care professionals, and nursing students preparing for TNCC certification and trauma nursing assessments.

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CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+

Why is a measure of serum lactate obtained in
the initial assessment of the trauma patient?


Answer: c
a) to measure oxygenation and ventilation

b) to quantify the base deficit for the adequacy of

cellular perfusion
c) to gauge end-organ perfusion and tissue

hypoxia *
d) to determine the underlying cause of shock

A trauma patient is restless and repeatedly
asking "where am I?" vital signs upon arrival
were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR
108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which
stage of shock?




CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+

, CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+
Answer: A
A) compensated **

B) Progressive

C) irreversible

D) decompensated

An elderly patient with a history of
anticoagulant use presents after a fall at home
that day. she denies any loss of
consciousness. She has a hematoma to her
forehead and complains of headache,
dizziness, and nausea. Which is a most likely
cause of her symptoms?


Answer: D
A) epidural hematoma

B) diffuse axonal injury

C) post-concussive syndrome

D) subdural hematoma ***

EMS brings a patient who fell riding his bicycle.
Using the American College of Surgeons
screening guidelines, which assessment finding

CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+

, CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+
would prompt the nurse to prepare the patient
for radiologic spine clearance?


Answer: D
A) Alert with no neurologic deficits

B) Multiple abrasions to the extremities

C) Multiple requests of water

D) Smell of alcohol on breath ***



A patient with lower extremity fracture
complains of severe pain and tightness in his
calf, minimally relieved by pain medications.
Which of the following is the priority nursing
intervention?


Answer: C
A) elevating the extremity above the level of the heart

B) repositioning and apply ice

C) Elevating the extremity to the level of the heart ***

D) Preparing the patient for ultrasound

A 36-year old female has a deformity of the left

CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+

, CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+
wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the
most appropriate intervention?


Answer: B
A) apply a sling and elevate the extremity to the level

of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF

THE HEART ***
C) Apply a sling and elevate the extremity above the

level of the heart
D) apply a splint and elevate the extremity to

the level of the heart. Which of the following
is a late sign of increased intracranial
pressure?
Answer: C
Cushing
Response
Widening pulse
pressure Reflex
bradycardia

CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+

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Uploaded on
August 6, 2026
Number of pages
38
Written in
2026/2027
Type
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