TNCC Final Exam Latest 2026 Actual Questions
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Terms in this set (50)
Why is a measure of serum lactate a) to measure oxygenation and ventilation
obtained in the initial assessment of b) to quantify the base deficit for the adequacy of
the trauma patient? cellular perfusion
c) to gauge end-organ perfusion and tissue
Answer: c hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and A) compensated **
repeatedly asking "where am I?" B) Progressive
vital signs upon arrival were BP C) irreversible
100/60 mm Hg, HR 96 beats/min, D) decompensated
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?
Answer: A
,An elderly patient with a history of A) epidural hematoma
anticoagulant use presents after a B) diffuse axonal injury
fall at home that day. she denies any C) post-concussive syndrome
loss of consciousness. She has a D) subdural hematoma ***
hematoma to her forehead and
complains of headache, dizziness,
and nausea. Which is a most likely
cause of her symptoms?
Answer: D
EMS brings a patient who fell riding A) Alert with no neurologic deficits
his bicycle. Using the American B) Multiple abrasions to the extremities
College of Surgeons screening C) Multiple requests of water
guidelines, which assessment D) Smell of alcohol on breath ***
finding would prompt the nurse to
prepare the patient for radiologic
spine clearance?
Answer: D
Which of the following occurs A) The driver of the vehicle collides with the
during the third impact of a motor steering wheel
vehicle crash? B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the
Answer: C ligamentum arteriosum
D) the airbag deploys and strikes the front seat
passenger ***
, A passenger is brought to the A) initiate transfer to a trauma center **
emergency department of a rural B) provide report to the operating room nurse
hospital following a high-speed C) Obtained imaging studies
MVC. When significant abdominal D) Place a gastric tube
and pelvic injuries are noted in the
primary survey, which of the
following is the priority
interventions?
Answer: A
Which of the following injuries is A) spleen
LEAST likely to be promptly B) lung
identified? C) bowel ***
D) brain
Answer: C
Patients with a crush injury should A) Hypernatremia
be monitored for which of the B) Hypercalcemia
following conditions? C) Dysrhthmias **
D) polyuria
Answer: C
What finding raises suspicion of A) Weakness in the lower extremities
complete spinal cord injury? B) Priapism ***
C) voluntary anal sphincter tone
Answer: B D) intact reflexes distal to the injury
A patient with a complete spinal A) Bradycardia and ipsilateral absences of motor
cord injury in neurogenic shock will function
demonstrate hypotension and B) Tachycardia and respiratory depression
which other clinical signs? C) Tachycardia and absent motor function below
the level of injury
Answer: D D) Bradycardia and absent motor function below
the level of the injury ***
and Verified Answers (Latest
Update) A+ Grade 100% Guarantee Verified by
Experts
Terms in this set (50)
Why is a measure of serum lactate a) to measure oxygenation and ventilation
obtained in the initial assessment of b) to quantify the base deficit for the adequacy of
the trauma patient? cellular perfusion
c) to gauge end-organ perfusion and tissue
Answer: c hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and A) compensated **
repeatedly asking "where am I?" B) Progressive
vital signs upon arrival were BP C) irreversible
100/60 mm Hg, HR 96 beats/min, D) decompensated
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?
Answer: A
,An elderly patient with a history of A) epidural hematoma
anticoagulant use presents after a B) diffuse axonal injury
fall at home that day. she denies any C) post-concussive syndrome
loss of consciousness. She has a D) subdural hematoma ***
hematoma to her forehead and
complains of headache, dizziness,
and nausea. Which is a most likely
cause of her symptoms?
Answer: D
EMS brings a patient who fell riding A) Alert with no neurologic deficits
his bicycle. Using the American B) Multiple abrasions to the extremities
College of Surgeons screening C) Multiple requests of water
guidelines, which assessment D) Smell of alcohol on breath ***
finding would prompt the nurse to
prepare the patient for radiologic
spine clearance?
Answer: D
Which of the following occurs A) The driver of the vehicle collides with the
during the third impact of a motor steering wheel
vehicle crash? B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the
Answer: C ligamentum arteriosum
D) the airbag deploys and strikes the front seat
passenger ***
, A passenger is brought to the A) initiate transfer to a trauma center **
emergency department of a rural B) provide report to the operating room nurse
hospital following a high-speed C) Obtained imaging studies
MVC. When significant abdominal D) Place a gastric tube
and pelvic injuries are noted in the
primary survey, which of the
following is the priority
interventions?
Answer: A
Which of the following injuries is A) spleen
LEAST likely to be promptly B) lung
identified? C) bowel ***
D) brain
Answer: C
Patients with a crush injury should A) Hypernatremia
be monitored for which of the B) Hypercalcemia
following conditions? C) Dysrhthmias **
D) polyuria
Answer: C
What finding raises suspicion of A) Weakness in the lower extremities
complete spinal cord injury? B) Priapism ***
C) voluntary anal sphincter tone
Answer: B D) intact reflexes distal to the injury
A patient with a complete spinal A) Bradycardia and ipsilateral absences of motor
cord injury in neurogenic shock will function
demonstrate hypotension and B) Tachycardia and respiratory depression
which other clinical signs? C) Tachycardia and absent motor function below
the level of injury
Answer: D D) Bradycardia and absent motor function below
the level of the injury ***
