TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
1. Expedite transfer to the closest trauma center: A 56 y/o M pt involved
in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd
pain. His GCS is 15. His VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient?
2. a pertinent medical hx is crucial: Which of the following considerations
is the most important when caring for a geriatric trauma pt?
3. Mitigation: Following a review of recent drills and a real disaster
event, a hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the disaster
life cycle does this describe?
4. Multiple requests for water: EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines,
which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance?
5. hemoglobin does not readily release O2 for use by the tissues: What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
6. acidosis: Which of the following is a component of the trauma triad of
death?
7. Complete: EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
assessment findings are most consistent with which of the following
types of spinal cord injury?
8. flucuation in the water seal chamber: Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest
drainage system?
9. insert an oropharyngeal airway if there is no gag reflex: During the
primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should
be preformed next?
10. globe rupture: A 35 y/o M presents with facial trauma after being
, TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
struck in the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
11. compensated: A trauma pt is restless and repeatedly asking "where am
i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry.
Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of
which stage of shock?
12. ventilate with a bag mask device: An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and
dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What
is the most appropriate immedi- ate next step?
, TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
13. within 24 hrs of trauma: When is the tertiary survey completed fora
trauma pt?
14. pressure: An intubated and sedated pt in the ED has multiple extremity
injuries with the potential for causing compartment syndrome. What is
the most reliable indication of compartment syndrome in a patient who
is unconscious?
15. worsening pneumothorax: Which of the following is possible
complication of positive-pressure ventilation?
16. pelvic stability: the most reassuring finding for a male pt with hip
pain after a fall is which of the following?
17. narrowed: Which of the following pulse pressures indicate early
hypovolemic shock?
18. dysrhythmias: Patients with a crush injury should be monitored for
which of the following conditions?
19. subdural hematoma: Tearing of the bridging veins is most frequently
associ- ated with which brain injury?
20. straight cath for urine sample: A 20 y/o M presents to the ED
complaining of severe lower abd pain after landing hard on the bicycle
cross bars while preforming an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question?
21. placental abruption: You are caring for a pt who was involved in a
MVC and is 32 weeks pregnant. Findings of your secondary survey include
abd pain on palpation, fundal ht at the costal margin, and some dark
bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the
following?
22. it can worsen cord damage from an unstable spinal injury: Which of
the following is true about the log-roll?
23. defusings: All of these are considered a critical communication point
in trauma care EXCEPT which of the following?
, TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
24. pulse oximetry and capnography: What bedside monitoring parameters
are used to assess for adequacy of O2 and effectiveness of ventilation?
25. padding the upper back while stabilizing the cervical spine: Caregivers
carry in a 2 y/o into the ED who fell out of a second-story window. The
pt is awake and crying with increased work of breathing and pale skin.
Which of the following interventions has the highest priority?
Written Exam | TNCC Prep | TNCC Exam
1. Expedite transfer to the closest trauma center: A 56 y/o M pt involved
in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd
pain. His GCS is 15. His VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient?
2. a pertinent medical hx is crucial: Which of the following considerations
is the most important when caring for a geriatric trauma pt?
3. Mitigation: Following a review of recent drills and a real disaster
event, a hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the disaster
life cycle does this describe?
4. Multiple requests for water: EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines,
which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance?
5. hemoglobin does not readily release O2 for use by the tissues: What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
6. acidosis: Which of the following is a component of the trauma triad of
death?
7. Complete: EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
assessment findings are most consistent with which of the following
types of spinal cord injury?
8. flucuation in the water seal chamber: Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest
drainage system?
9. insert an oropharyngeal airway if there is no gag reflex: During the
primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should
be preformed next?
10. globe rupture: A 35 y/o M presents with facial trauma after being
, TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
struck in the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
11. compensated: A trauma pt is restless and repeatedly asking "where am
i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry.
Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of
which stage of shock?
12. ventilate with a bag mask device: An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and
dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What
is the most appropriate immedi- ate next step?
, TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
13. within 24 hrs of trauma: When is the tertiary survey completed fora
trauma pt?
14. pressure: An intubated and sedated pt in the ED has multiple extremity
injuries with the potential for causing compartment syndrome. What is
the most reliable indication of compartment syndrome in a patient who
is unconscious?
15. worsening pneumothorax: Which of the following is possible
complication of positive-pressure ventilation?
16. pelvic stability: the most reassuring finding for a male pt with hip
pain after a fall is which of the following?
17. narrowed: Which of the following pulse pressures indicate early
hypovolemic shock?
18. dysrhythmias: Patients with a crush injury should be monitored for
which of the following conditions?
19. subdural hematoma: Tearing of the bridging veins is most frequently
associ- ated with which brain injury?
20. straight cath for urine sample: A 20 y/o M presents to the ED
complaining of severe lower abd pain after landing hard on the bicycle
cross bars while preforming an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question?
21. placental abruption: You are caring for a pt who was involved in a
MVC and is 32 weeks pregnant. Findings of your secondary survey include
abd pain on palpation, fundal ht at the costal margin, and some dark
bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the
following?
22. it can worsen cord damage from an unstable spinal injury: Which of
the following is true about the log-roll?
23. defusings: All of these are considered a critical communication point
in trauma care EXCEPT which of the following?
, TNCC 8th Edition Study Guide | TNCC Test Prep A | TNCC Notes for
Written Exam | TNCC Prep | TNCC Exam
24. pulse oximetry and capnography: What bedside monitoring parameters
are used to assess for adequacy of O2 and effectiveness of ventilation?
25. padding the upper back while stabilizing the cervical spine: Caregivers
carry in a 2 y/o into the ED who fell out of a second-story window. The
pt is awake and crying with increased work of breathing and pale skin.
Which of the following interventions has the highest priority?
