TECC Complete Exam Prep 2026/2027 | 500+ Practice Questions,
Answers & Rationales | Provider, TECC-LEO & Tactical Trauma Care
1. What is the primary priority during Direct Threat Care?
A. Complete a detailed head-to-toe assessment
B. Mitigate the immediate threat and provide essential life-saving care
C. Establish two IV lines
D. Complete documentation
Answer: B
Rationale: Direct Threat Care prioritizes threat mitigation, responder
safety, and immediately necessary life-saving interventions rather
than prolonged medical treatment.
2. Which sequence represents the three TECC phases?
A. Primary, Secondary, Tertiary
B. Hot, Warm, Cold
C. Direct Threat, Indirect Threat, Evacuation
D. Scene, Hospital, Rehabilitation
Answer: C
Rationale: TECC uses Direct Threat Care, Indirect Threat Care, and
Evacuation Care. These phases are dynamic and depend on the
tactical environment.
3. TECC is primarily intended to address trauma care in which
setting?
A. Routine outpatient clinics
B. High-threat civilian environments
C. Elective surgical units
D. Long-term rehabilitation centers
Answer: B
Rationale: Tactical Emergency Casualty Care applies trauma
principles to civilian high-threat situations where tactical hazards
and evacuation challenges may exist.
,4. Which principle is central to TECC?
A. Complete all medical treatment before movement
B. Protect rescuers from unnecessary exposure to threats
C. Keep casualties at the point of injury
D. Delay evacuation until all vital signs normalize
Answer: B
Rationale: Responder safety is fundamental because an injured
rescuer can create another casualty and reduce the team's ability to
provide care.
5. What is one major objective of TECC?
A. Replace definitive hospital treatment
B. Provide rapid life-saving interventions and facilitate evacuation
C. Keep casualties at the scene as long as possible
D. Perform every possible procedure before evacuation
Answer: B
Rationale: TECC emphasizes rapid control of immediately life-
threatening problems followed by movement toward definitive care.
6. What determines the appropriate TECC phase?
A. The color of the ambulance
B. The current tactical threat and environment
C. The casualty's insurance status
D. The distance to the hospital alone
Answer: B
Rationale: TECC phases are based on the tactical situation and threat
level, not simply geographic location.
7. Which statement best describes Direct Threat Care?
A. It is a prolonged treatment phase
B. It occurs when an immediate threat is present
,C. It occurs only inside a hospital
D. It requires complete triage before treatment
Answer: B
Rationale: Direct Threat Care occurs while an immediate threat
remains and therefore emphasizes tactical safety and essential life-
saving actions.
8. Which statement best describes Indirect Threat Care?
A. No medical treatment is permitted
B. More systematic medical assessment can occur while tactical
awareness remains necessary
C. Definitive surgical care begins
D. Evacuation is prohibited
Answer: B
Rationale: Indirect Threat Care provides an opportunity for more
comprehensive treatment while recognizing that danger may still
exist.
9. What is the purpose of Evacuation Care?
A. Prevent movement of casualties
B. Continue appropriate care while moving toward definitive medical
treatment
C. Replace hospital trauma services
D. Conduct only administrative duties
Answer: B
Rationale: Evacuation Care focuses on continuing appropriate
medical management during movement toward a higher level of
care.
10. Which acronym may be used to prioritize trauma assessment in
TECC?
, A. SAMPLE
B. MARCH
C. OPQRST only
D. AVPU only
Answer: B
Rationale: MARCH stands for Massive hemorrhage, Airway,
Respirations, Circulation, and Head injury/Hypothermia.
11. In MARCH, what does M represent?
A. Mental status
B. Mechanism
C. Massive hemorrhage
D. Medication
Answer: C
Rationale: Massive hemorrhage is addressed first because
uncontrolled bleeding can cause death very rapidly.
12. In MARCH, what does A represent?
A. Airway
B. Alertness
C. Assessment
D. Ambulance
Answer: A
Rationale: A represents Airway, which is assessed after life-
threatening hemorrhage is addressed.
13. In MARCH, what does R represent?
A. Recovery
B. Respirations
C. Response
D. Resuscitation
Answer: B
Answers & Rationales | Provider, TECC-LEO & Tactical Trauma Care
1. What is the primary priority during Direct Threat Care?
A. Complete a detailed head-to-toe assessment
B. Mitigate the immediate threat and provide essential life-saving care
C. Establish two IV lines
D. Complete documentation
Answer: B
Rationale: Direct Threat Care prioritizes threat mitigation, responder
safety, and immediately necessary life-saving interventions rather
than prolonged medical treatment.
2. Which sequence represents the three TECC phases?
A. Primary, Secondary, Tertiary
B. Hot, Warm, Cold
C. Direct Threat, Indirect Threat, Evacuation
D. Scene, Hospital, Rehabilitation
Answer: C
Rationale: TECC uses Direct Threat Care, Indirect Threat Care, and
Evacuation Care. These phases are dynamic and depend on the
tactical environment.
3. TECC is primarily intended to address trauma care in which
setting?
A. Routine outpatient clinics
B. High-threat civilian environments
C. Elective surgical units
D. Long-term rehabilitation centers
Answer: B
Rationale: Tactical Emergency Casualty Care applies trauma
principles to civilian high-threat situations where tactical hazards
and evacuation challenges may exist.
,4. Which principle is central to TECC?
A. Complete all medical treatment before movement
B. Protect rescuers from unnecessary exposure to threats
C. Keep casualties at the point of injury
D. Delay evacuation until all vital signs normalize
Answer: B
Rationale: Responder safety is fundamental because an injured
rescuer can create another casualty and reduce the team's ability to
provide care.
5. What is one major objective of TECC?
A. Replace definitive hospital treatment
B. Provide rapid life-saving interventions and facilitate evacuation
C. Keep casualties at the scene as long as possible
D. Perform every possible procedure before evacuation
Answer: B
Rationale: TECC emphasizes rapid control of immediately life-
threatening problems followed by movement toward definitive care.
6. What determines the appropriate TECC phase?
A. The color of the ambulance
B. The current tactical threat and environment
C. The casualty's insurance status
D. The distance to the hospital alone
Answer: B
Rationale: TECC phases are based on the tactical situation and threat
level, not simply geographic location.
7. Which statement best describes Direct Threat Care?
A. It is a prolonged treatment phase
B. It occurs when an immediate threat is present
,C. It occurs only inside a hospital
D. It requires complete triage before treatment
Answer: B
Rationale: Direct Threat Care occurs while an immediate threat
remains and therefore emphasizes tactical safety and essential life-
saving actions.
8. Which statement best describes Indirect Threat Care?
A. No medical treatment is permitted
B. More systematic medical assessment can occur while tactical
awareness remains necessary
C. Definitive surgical care begins
D. Evacuation is prohibited
Answer: B
Rationale: Indirect Threat Care provides an opportunity for more
comprehensive treatment while recognizing that danger may still
exist.
9. What is the purpose of Evacuation Care?
A. Prevent movement of casualties
B. Continue appropriate care while moving toward definitive medical
treatment
C. Replace hospital trauma services
D. Conduct only administrative duties
Answer: B
Rationale: Evacuation Care focuses on continuing appropriate
medical management during movement toward a higher level of
care.
10. Which acronym may be used to prioritize trauma assessment in
TECC?
, A. SAMPLE
B. MARCH
C. OPQRST only
D. AVPU only
Answer: B
Rationale: MARCH stands for Massive hemorrhage, Airway,
Respirations, Circulation, and Head injury/Hypothermia.
11. In MARCH, what does M represent?
A. Mental status
B. Mechanism
C. Massive hemorrhage
D. Medication
Answer: C
Rationale: Massive hemorrhage is addressed first because
uncontrolled bleeding can cause death very rapidly.
12. In MARCH, what does A represent?
A. Airway
B. Alertness
C. Assessment
D. Ambulance
Answer: A
Rationale: A represents Airway, which is assessed after life-
threatening hemorrhage is addressed.
13. In MARCH, what does R represent?
A. Recovery
B. Respirations
C. Response
D. Resuscitation
Answer: B
