TNCC FINAL EXAM TEST
2026/2027 WITH 100%
ACCURATE ANSWERS
1. A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are
no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
2. Answer: A - ANSWER-A) report your suspicion of the maltreatment in accordance with
local regulations ***
3. B) apply ice to the bruises and consult wound care
4. C) engage in therapeutic communication to determine the MOI
5. D) provide the family with injury prevention resourse
6. A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on
the bicycle cross bars which performing an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders
would the nurse questions?
7. Answer: C - ANSWER-A) Fast exam
8. B) CT scan
9. C) straight cath for urine sample ***
10. D) ice and elevation of the scrotum
11. A 35-year old male presents with facial trauma after bring struck inthe face with a
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
suspected?
,12. Answer: B - ANSWER-A) oculomotor nerve palsy
13. B) globe rupture ***
14. C) uncal herniation
15. D) retinal detachment
16. A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move
her hand due to pain. Which of the following is the most appropriate intervention?
17. Answer: B - ANSWER-A) apply a sling and elevate the extremity to the level of the heart.
18. B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
19. C) Apply a sling and elevate the extremity above the level of the heart
20. D) apply a splint and elevate the extremity to the level of the heart.
21. A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd,
pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of
these negative fast exam except which of the following?
22. Answer: A
23. The FAST exam is done at the bedside to identify pathological fluid in the abdominal and
pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal lavage
and can be repeated if clinical changes or hemodynamic changes occur. A negative FAST
study does not rule out injury and may warrant a follow-up computed tomography scan.
Serial FAST exams can identify increasing abdominal fluid collections from hemorrhage.
Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed by the
surgical team to rapidly identify the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. - ANSWER-A) diagnostic peritoneal lavage ***
24. B) serial fast exams
25. C) abdominal and pelvic CT scans
, 26. D) serial abdominal assessments
27. A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
28. BP 98/71
29. HR 125 beats/min
30. RR 26 breaths/min
31. SpO2 94% on high flow O2 via NRB mask
32. which of the following is the priority intervention for this patient?
33. Answer: C - ANSWER-A) Expedite transport to the CT scanner
34. B) prepare the patient for spinal radiographs
35. C) expedite transfer to the closest trauma center ***
36. D) notify the patients family
37. A passenger is brought to the emergency department of a rural hospital following a high-
speed MVC. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
38. Answer: A - ANSWER-A) initiate transfer to a trauma center **
39. B) provide report to the operating room nurse
40. C) Obtained imaging studies
41. D) Place a gastric tube
42. A patient arrives with a large open chest wound after being assault ed with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it on
3 sides. He is now showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the MOST
appropriate interventions?
2026/2027 WITH 100%
ACCURATE ANSWERS
1. A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are
no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
2. Answer: A - ANSWER-A) report your suspicion of the maltreatment in accordance with
local regulations ***
3. B) apply ice to the bruises and consult wound care
4. C) engage in therapeutic communication to determine the MOI
5. D) provide the family with injury prevention resourse
6. A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on
the bicycle cross bars which performing an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders
would the nurse questions?
7. Answer: C - ANSWER-A) Fast exam
8. B) CT scan
9. C) straight cath for urine sample ***
10. D) ice and elevation of the scrotum
11. A 35-year old male presents with facial trauma after bring struck inthe face with a
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
suspected?
,12. Answer: B - ANSWER-A) oculomotor nerve palsy
13. B) globe rupture ***
14. C) uncal herniation
15. D) retinal detachment
16. A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move
her hand due to pain. Which of the following is the most appropriate intervention?
17. Answer: B - ANSWER-A) apply a sling and elevate the extremity to the level of the heart.
18. B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
19. C) Apply a sling and elevate the extremity above the level of the heart
20. D) apply a splint and elevate the extremity to the level of the heart.
21. A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd,
pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of
these negative fast exam except which of the following?
22. Answer: A
23. The FAST exam is done at the bedside to identify pathological fluid in the abdominal and
pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal lavage
and can be repeated if clinical changes or hemodynamic changes occur. A negative FAST
study does not rule out injury and may warrant a follow-up computed tomography scan.
Serial FAST exams can identify increasing abdominal fluid collections from hemorrhage.
Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed by the
surgical team to rapidly identify the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. - ANSWER-A) diagnostic peritoneal lavage ***
24. B) serial fast exams
25. C) abdominal and pelvic CT scans
, 26. D) serial abdominal assessments
27. A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
28. BP 98/71
29. HR 125 beats/min
30. RR 26 breaths/min
31. SpO2 94% on high flow O2 via NRB mask
32. which of the following is the priority intervention for this patient?
33. Answer: C - ANSWER-A) Expedite transport to the CT scanner
34. B) prepare the patient for spinal radiographs
35. C) expedite transfer to the closest trauma center ***
36. D) notify the patients family
37. A passenger is brought to the emergency department of a rural hospital following a high-
speed MVC. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
38. Answer: A - ANSWER-A) initiate transfer to a trauma center **
39. B) provide report to the operating room nurse
40. C) Obtained imaging studies
41. D) Place a gastric tube
42. A patient arrives with a large open chest wound after being assault ed with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it on
3 sides. He is now showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the MOST
appropriate interventions?
