TNCC EXAM QUESTIONS WITH 100%
VERIFIED ANWERS 2023/2024
The nurse is caring for a 120 kg male brought in after a warehouse fire and is
calculating the patients fluid resuscitation needs. He has painful red blistering to the
entire surface of both upper extremities and superficial burns to the anterior chest.
Using the modified Lund and Browder chart to calculate the total body surface area
burned, how much IV fluid would be administered in the first 8 hours?
2280 mL
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness
burn areas are used in calculating TBSA. The anterior chest shows evidence of
superficial burns. - Answer-2280 mL - -3840 mL A fluid total of 3840 mL is not correct
because only partial or full thickness burn areas are used in calculating TBSA. The
anterior chest shows evidence of superficial burns.
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following?
Placental abruption - Answer-Placental abruption
Patients with a crush injury should be monitored for which of the following conditions?
Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-
threatening dysrhythmias. - Answer-Dysrhythmias Hyperkalemia and other electrolyte
abnormalities can lead to life-threatening dysrhythmias.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for
hemodynamically unstable patients or if FAST and CT are not available. - Answer-
Diagnostic peritoneal lavage is indicated for hemodynamically unstable patients or if
FAST and CT are not available.
A patient is brought to the emergency department of a rural hospital following a high-
speed motor vehicle collision. When significant abdominal and pelvic injuries are noted
in the primary survey, which of the following is the priority intervention?
Initiate transfer to a trauma center - Answer-Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
, Priapism - Answer-Priapism
Which of the following is a component of the trauma triad of death?
Acidosis - Answer-Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
Subdural hematoma - Answer-Subdural hematoma
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. What priority nursing intervention should be performed
next?
Open the airway with the head-tilt, chin lift maneuver xx The unconscious patient with
multi-system trauma should be suspected of having a cervical spine injury. The jaw-
thrust procedure is recommended to open the airway.
Insert an oropharyngeal airway if there is no gag reflex - Answer-Insert an
oropharyngeal airway if there is no gag reflex
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three 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 immediate intervention?
If signs and symptoms of tension pneumothorax develop after the application of the
dressing, remove the dressing and reevaluate the patient. Needle decompression might
be necessary if the patient does not improve after removal of the dressing.
Dressing removal - Answer-Dressing removal
You are treating a 27-year-old male in respiratory distress who was involved in a house
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
emergent intubation. At what rate should you begin fluid resuscitation?
1
500 mL/hour - Answer-500 mL/hour
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation?
Pulse oximetry and capnography - Answer-Pulse oximetry and capnography
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS
reports significant damage to the drivers side of the car. The patient is asking to have
the cervical collar removed. When it is appropriate to remove the cervical collar?
After a physical examination if the patient has no radiologic abnormalities on CT -
Answer-After a physical examination if the patient has no radiologic abnormalities on CT
VERIFIED ANWERS 2023/2024
The nurse is caring for a 120 kg male brought in after a warehouse fire and is
calculating the patients fluid resuscitation needs. He has painful red blistering to the
entire surface of both upper extremities and superficial burns to the anterior chest.
Using the modified Lund and Browder chart to calculate the total body surface area
burned, how much IV fluid would be administered in the first 8 hours?
2280 mL
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness
burn areas are used in calculating TBSA. The anterior chest shows evidence of
superficial burns. - Answer-2280 mL - -3840 mL A fluid total of 3840 mL is not correct
because only partial or full thickness burn areas are used in calculating TBSA. The
anterior chest shows evidence of superficial burns.
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following?
Placental abruption - Answer-Placental abruption
Patients with a crush injury should be monitored for which of the following conditions?
Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-
threatening dysrhythmias. - Answer-Dysrhythmias Hyperkalemia and other electrolyte
abnormalities can lead to life-threatening dysrhythmias.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for
hemodynamically unstable patients or if FAST and CT are not available. - Answer-
Diagnostic peritoneal lavage is indicated for hemodynamically unstable patients or if
FAST and CT are not available.
A patient is brought to the emergency department of a rural hospital following a high-
speed motor vehicle collision. When significant abdominal and pelvic injuries are noted
in the primary survey, which of the following is the priority intervention?
Initiate transfer to a trauma center - Answer-Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
, Priapism - Answer-Priapism
Which of the following is a component of the trauma triad of death?
Acidosis - Answer-Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
Subdural hematoma - Answer-Subdural hematoma
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. What priority nursing intervention should be performed
next?
Open the airway with the head-tilt, chin lift maneuver xx The unconscious patient with
multi-system trauma should be suspected of having a cervical spine injury. The jaw-
thrust procedure is recommended to open the airway.
Insert an oropharyngeal airway if there is no gag reflex - Answer-Insert an
oropharyngeal airway if there is no gag reflex
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three 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 immediate intervention?
If signs and symptoms of tension pneumothorax develop after the application of the
dressing, remove the dressing and reevaluate the patient. Needle decompression might
be necessary if the patient does not improve after removal of the dressing.
Dressing removal - Answer-Dressing removal
You are treating a 27-year-old male in respiratory distress who was involved in a house
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
emergent intubation. At what rate should you begin fluid resuscitation?
1
500 mL/hour - Answer-500 mL/hour
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation?
Pulse oximetry and capnography - Answer-Pulse oximetry and capnography
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS
reports significant damage to the drivers side of the car. The patient is asking to have
the cervical collar removed. When it is appropriate to remove the cervical collar?
After a physical examination if the patient has no radiologic abnormalities on CT -
Answer-After a physical examination if the patient has no radiologic abnormalities on CT
