TNCC 9TH EDITION TNP EXAM 2026/2027
QUESTION AND CORRECT ANSWERS
GRADED A+
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of
the following behaviors would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification examination
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department
A. They are talking about taking the emergency nursing certification examination
This is an indication the nurse is taking positive steps to advance their own
practice, a sign of resilience.
What is the appropriate technique for palpating the pelvis for stability?
B. Apply gentle pressure over the iliac crests, downward and medially
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure
of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings
as an indication of which of the following?
,a. Decompensated shock
b. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome
b. Normal vital signs in pregnancy
In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also
a small decrease in systolic blood pressure and a larger decrease in diastolic blood
pressure due to a decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute
Which of the following accurately describes ventilation principles associated with
use of a bag-mask device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds
B. Delivers 100% oxygen
C. Squeeze the bag-mask device completely for each breath
D. Maintain the oxygen saturation levels between 92% and 94%
A. Compress the bag-mask device at a rate of one breath every 6 seconds
The general impression step in the initial assessment provides the opportunity to do
which of the following?
A. Assess for uncontrolled internal hemorrhage
,B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team
C. Reprioritize circulation before airway or breathing
The general impression is formed at the beginning o fate riorary survey to rapidly
assess the need to reprioritize circulation before airway or breathing. this is done if
uncontrolled external hemorrhage is identified.
*What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening
D. Applying active listening
Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction
A patient fell two weeks ago, striking his head. He came to the emergency
department with a persistent headache and nausea. He was diagnosed with a small
subdural hematoma and has been in the ED for 24 hours awaiting an inpatient bed.
The night shift nurse reports he has been anxious, restless, and shaky. he vomited
twice during the night. He tells the day shift nurse he couldn't sleep because a
, young child kept coming into his room. What is a likely cause for these signs and
symptoms?
A. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus
B. Alcohol withdrawal
Alcohol withdrawal is a common delayed condition because symptoms are
difficult to identify early. Signs include autonomic hyperactivity, hand tremors,
nausea or vomiting, psychomotor agitation, anxiety, insomnia, transient
hallucinations, or seizures.
Which o the following is considered a cornerstone of a high-performance trauma
team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication
D. Effective communication
Skilled communication, cooperation, and coordination are the cornerstones of
high-performance teams and high-quality trauma care
QUESTION AND CORRECT ANSWERS
GRADED A+
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of
the following behaviors would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification examination
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department
A. They are talking about taking the emergency nursing certification examination
This is an indication the nurse is taking positive steps to advance their own
practice, a sign of resilience.
What is the appropriate technique for palpating the pelvis for stability?
B. Apply gentle pressure over the iliac crests, downward and medially
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure
of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings
as an indication of which of the following?
,a. Decompensated shock
b. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome
b. Normal vital signs in pregnancy
In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also
a small decrease in systolic blood pressure and a larger decrease in diastolic blood
pressure due to a decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute
Which of the following accurately describes ventilation principles associated with
use of a bag-mask device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds
B. Delivers 100% oxygen
C. Squeeze the bag-mask device completely for each breath
D. Maintain the oxygen saturation levels between 92% and 94%
A. Compress the bag-mask device at a rate of one breath every 6 seconds
The general impression step in the initial assessment provides the opportunity to do
which of the following?
A. Assess for uncontrolled internal hemorrhage
,B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team
C. Reprioritize circulation before airway or breathing
The general impression is formed at the beginning o fate riorary survey to rapidly
assess the need to reprioritize circulation before airway or breathing. this is done if
uncontrolled external hemorrhage is identified.
*What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening
D. Applying active listening
Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction
A patient fell two weeks ago, striking his head. He came to the emergency
department with a persistent headache and nausea. He was diagnosed with a small
subdural hematoma and has been in the ED for 24 hours awaiting an inpatient bed.
The night shift nurse reports he has been anxious, restless, and shaky. he vomited
twice during the night. He tells the day shift nurse he couldn't sleep because a
, young child kept coming into his room. What is a likely cause for these signs and
symptoms?
A. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus
B. Alcohol withdrawal
Alcohol withdrawal is a common delayed condition because symptoms are
difficult to identify early. Signs include autonomic hyperactivity, hand tremors,
nausea or vomiting, psychomotor agitation, anxiety, insomnia, transient
hallucinations, or seizures.
Which o the following is considered a cornerstone of a high-performance trauma
team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication
D. Effective communication
Skilled communication, cooperation, and coordination are the cornerstones of
high-performance teams and high-quality trauma care
