TNCC FINAL Exam – 200 Practice Questions Trauma Nursing Core
Course – Complete Study Guide (2026 Update) Latest Update This
Year Instant Pdf Download
About the TNCC Final Exam
The Trauma Nursing Core Course (TNCC) is a two-day course developed by the
Emergency Nurses Association (ENA) that teaches a systematic approach to the initial
assessment and management of trauma patients. The TNCC Final Exam consists of 50
scored questions with a 2-hour time limit, and a passing score of 85% .
Course Description: TNCC provides essential trauma nursing knowledge for all nurses
caring for trauma patients across the spectrum. The course is updated every four years to
reflect the latest evidence-based practices .
Key Components:
Textbook with comprehensive trauma nursing content
Two-day course format (in-person)
Final online examination after course completion
Psychomotor skills stations
20.43 contact hours available
Trauma Nursing Core Course (TNCC) 9th Edition Content:
Module Content
1 Introduction to Trauma Nursing
2 The Trauma Nursing Process
3 Epidemiology and Injury Prevention
4 Biomechanics of Trauma
5 Primary Survey
6 Secondary Survey
, Module Content
7 Tertiary Survey
8 Emergency Nursing Process
9 Trauma Resuscitation
10 Teamwork and Communication
11 Psychological Aspects of Trauma Care
12 Special Populations
13 Disaster Preparedness
14 Legal and Ethical Issues
15 Injury Prevention
TNP (Trauma Nursing Process) Components:
The TNCC uses the Trauma Nursing Process (TNP) which follows the ABCDE approach:
1. Assessment – Rapid collection of data using the ABCDE framework
2. Diagnosis – Identification of actual or potential problems
3. Planning – Development of an individualized care plan
4. Implementation – Prioritized interventions
5. Evaluation – Ongoing assessment of patient response
Section 1: The Initial Assessment (Questions 1-30)
1. The first step in the trauma nursing process is:
A) Diagnosis
B) Planning
,C) Implementation
D) Assessment
Answer: D
Rationale: The trauma nursing process begins with assessment, which is the rapid
collection of data using the ABCDE framework. This initial assessment identifies immediate
life-threatening injuries and guides prioritization of care.
2. The "A" in the ABCDE trauma assessment stands for:
A) Airway
B) Breathing
C) Circulation
D) Disability
Answer: A
Rationale: The primary survey begins with Airway assessment with cervical spine
stabilization. Airway obstruction is the most rapidly life-threatening condition and must be
addressed first.
3. A patient involved in a motor vehicle crash presents with stridor, hoarseness, and
a blunt neck injury. What is the most likely cause of airway compromise?
A) Bronchospasm
B) Laryngeal fracture
C) Pulmonary contusion
D) Tension pneumothorax
Answer: B
, Rationale: Stridor, hoarseness, and a blunt neck injury strongly suggest laryngeal fracture.
This requires immediate identification and preparation for definitive airway management.
Rationale: If an infant or child is being resuscitated in the emergency department, the chest
compression rate is at least 100 compressions per minute. For an infant, the compression to
ventilation ratio is 15:2 for two-person CPR.
4. Which of the following is the highest priority in the primary survey?
A) Circulation
B) Airway with cervical spine stabilization
C) Disability
D) Exposure
Answer: B
Rationale: Airway with cervical spine stabilization is the first step in the primary survey
because without a patent airway, the patient cannot survive. Airway obstruction is the most
rapidly life-threatening condition.
5. What is the classic presentation of a tension pneumothorax?
A) Hypotension, bradycardia, and clear breath sounds
B) Hypertension, tachycardia, and muffled heart sounds
C) Tachypnea, absent breath sounds, and chest asymmetry
D) Severe respiratory distress, tachycardia, hypotension, and absent breath sounds
on the affected side
Answer: D
Course – Complete Study Guide (2026 Update) Latest Update This
Year Instant Pdf Download
About the TNCC Final Exam
The Trauma Nursing Core Course (TNCC) is a two-day course developed by the
Emergency Nurses Association (ENA) that teaches a systematic approach to the initial
assessment and management of trauma patients. The TNCC Final Exam consists of 50
scored questions with a 2-hour time limit, and a passing score of 85% .
Course Description: TNCC provides essential trauma nursing knowledge for all nurses
caring for trauma patients across the spectrum. The course is updated every four years to
reflect the latest evidence-based practices .
Key Components:
Textbook with comprehensive trauma nursing content
Two-day course format (in-person)
Final online examination after course completion
Psychomotor skills stations
20.43 contact hours available
Trauma Nursing Core Course (TNCC) 9th Edition Content:
Module Content
1 Introduction to Trauma Nursing
2 The Trauma Nursing Process
3 Epidemiology and Injury Prevention
4 Biomechanics of Trauma
5 Primary Survey
6 Secondary Survey
, Module Content
7 Tertiary Survey
8 Emergency Nursing Process
9 Trauma Resuscitation
10 Teamwork and Communication
11 Psychological Aspects of Trauma Care
12 Special Populations
13 Disaster Preparedness
14 Legal and Ethical Issues
15 Injury Prevention
TNP (Trauma Nursing Process) Components:
The TNCC uses the Trauma Nursing Process (TNP) which follows the ABCDE approach:
1. Assessment – Rapid collection of data using the ABCDE framework
2. Diagnosis – Identification of actual or potential problems
3. Planning – Development of an individualized care plan
4. Implementation – Prioritized interventions
5. Evaluation – Ongoing assessment of patient response
Section 1: The Initial Assessment (Questions 1-30)
1. The first step in the trauma nursing process is:
A) Diagnosis
B) Planning
,C) Implementation
D) Assessment
Answer: D
Rationale: The trauma nursing process begins with assessment, which is the rapid
collection of data using the ABCDE framework. This initial assessment identifies immediate
life-threatening injuries and guides prioritization of care.
2. The "A" in the ABCDE trauma assessment stands for:
A) Airway
B) Breathing
C) Circulation
D) Disability
Answer: A
Rationale: The primary survey begins with Airway assessment with cervical spine
stabilization. Airway obstruction is the most rapidly life-threatening condition and must be
addressed first.
3. A patient involved in a motor vehicle crash presents with stridor, hoarseness, and
a blunt neck injury. What is the most likely cause of airway compromise?
A) Bronchospasm
B) Laryngeal fracture
C) Pulmonary contusion
D) Tension pneumothorax
Answer: B
, Rationale: Stridor, hoarseness, and a blunt neck injury strongly suggest laryngeal fracture.
This requires immediate identification and preparation for definitive airway management.
Rationale: If an infant or child is being resuscitated in the emergency department, the chest
compression rate is at least 100 compressions per minute. For an infant, the compression to
ventilation ratio is 15:2 for two-person CPR.
4. Which of the following is the highest priority in the primary survey?
A) Circulation
B) Airway with cervical spine stabilization
C) Disability
D) Exposure
Answer: B
Rationale: Airway with cervical spine stabilization is the first step in the primary survey
because without a patent airway, the patient cannot survive. Airway obstruction is the most
rapidly life-threatening condition.
5. What is the classic presentation of a tension pneumothorax?
A) Hypotension, bradycardia, and clear breath sounds
B) Hypertension, tachycardia, and muffled heart sounds
C) Tachypnea, absent breath sounds, and chest asymmetry
D) Severe respiratory distress, tachycardia, hypotension, and absent breath sounds
on the affected side
Answer: D
