TNCC Written Exam 2024/2025
150 Questions and Answers
1. What are the late signs of breathing compromise?
A. Tracheal deviation
B. JVD
C. Both A and B (Correct)
D. None of the above
2. What are signs of ineffective breathing?
A. AMS
B. Cyanosis, especially around the mouth
C. Asymmetric expansion of chest wall
D. All of the above (Correct)
3. Upon initial assessment, what type of oxygen should be used for a patient who is
breathing effectively?
A. Nasal cannula at 2-6 lpm
B. Tight-fitting nonrebreather mask at 12-15 lpm (Correct)
C. Simple face mask at 6-10 lpm
D. Venturi mask at 4-10 lpm
,4. What intervention should be done if a patient presents with effective circulation?
A. Insert 2 large caliber IV's (Correct)
B. Give oral fluids
C. Administer oxygen only
D. Apply a tourniquet
5. What are signs of ineffective circulation?
A. Tachycardia
B. AMS
C. Uncontrolled external bleeding
D. All of the above (Correct)
6. What is the first step to control uncontrolled external bleeding?
A. Wait for help
B. Apply direct pressure over the bleeding site (Correct)
C. Elevate the extremity without pressure
D. Apply a vacuum pressure device
7. What medication is part of the LOAD mnemonic for intubation?
A. L - Lidocaine
B. O - Opioids
C. A - Atropine
D. All of the above (Correct)
,8. What is the first step in the Rapid Sequence Intubation (RSI) process?
A. Administer the sedative
B. Gather equipment and staffing (Correct)
C. Apply cricoid pressure
D. Confirm tube placement
9. What is a Combitube?
A. A form of laryngeal mask airway
B. Dual-lumen, dual-cuff airway that can be placed blindly (Correct)
C. A type of endotracheal tube
D. A nebulizer device
10. What is the purpose of a needle cricothyrotomy?
A. It provides a definitive airway
B. It is a temporary method of ventilation (Correct)
C. It is used for emergency tracheostomy
D. It is a last resort for asthma attacks
11. What are the complications associated with surgical cricothyrotomy?
A. Aspiration
B. Hemorrhage
C. Both A and B (Correct)
D. None of the above
, 12. How can you confirm ET Tube placement?
A. Visualization of the vocal cords
B. Listening for breath sounds
C. CO2 detection
D. All of the above (Correct)
13. What are early signs of increased intracranial pressure (ICP)?
A. Headache
B. Nausea/Vomiting
C. Altered LOC
D. All of the above (Correct)
14. What is Cushing's Reflex?
A. Rapid heart rate and headache
B. Progressive hypertension, bradycardia, and diminished respiratory effort (Correct)
C. Associated with respiratory failure
D. Occurs after a concussion
15. What occurs during uncal herniation?
A. Displacement of the uncus into the posterior fossa (Correct)
B. Downward movement of the brainstem
C. Compression of the cerebellum
D. Rupture of the skull
150 Questions and Answers
1. What are the late signs of breathing compromise?
A. Tracheal deviation
B. JVD
C. Both A and B (Correct)
D. None of the above
2. What are signs of ineffective breathing?
A. AMS
B. Cyanosis, especially around the mouth
C. Asymmetric expansion of chest wall
D. All of the above (Correct)
3. Upon initial assessment, what type of oxygen should be used for a patient who is
breathing effectively?
A. Nasal cannula at 2-6 lpm
B. Tight-fitting nonrebreather mask at 12-15 lpm (Correct)
C. Simple face mask at 6-10 lpm
D. Venturi mask at 4-10 lpm
,4. What intervention should be done if a patient presents with effective circulation?
A. Insert 2 large caliber IV's (Correct)
B. Give oral fluids
C. Administer oxygen only
D. Apply a tourniquet
5. What are signs of ineffective circulation?
A. Tachycardia
B. AMS
C. Uncontrolled external bleeding
D. All of the above (Correct)
6. What is the first step to control uncontrolled external bleeding?
A. Wait for help
B. Apply direct pressure over the bleeding site (Correct)
C. Elevate the extremity without pressure
D. Apply a vacuum pressure device
7. What medication is part of the LOAD mnemonic for intubation?
A. L - Lidocaine
B. O - Opioids
C. A - Atropine
D. All of the above (Correct)
,8. What is the first step in the Rapid Sequence Intubation (RSI) process?
A. Administer the sedative
B. Gather equipment and staffing (Correct)
C. Apply cricoid pressure
D. Confirm tube placement
9. What is a Combitube?
A. A form of laryngeal mask airway
B. Dual-lumen, dual-cuff airway that can be placed blindly (Correct)
C. A type of endotracheal tube
D. A nebulizer device
10. What is the purpose of a needle cricothyrotomy?
A. It provides a definitive airway
B. It is a temporary method of ventilation (Correct)
C. It is used for emergency tracheostomy
D. It is a last resort for asthma attacks
11. What are the complications associated with surgical cricothyrotomy?
A. Aspiration
B. Hemorrhage
C. Both A and B (Correct)
D. None of the above
, 12. How can you confirm ET Tube placement?
A. Visualization of the vocal cords
B. Listening for breath sounds
C. CO2 detection
D. All of the above (Correct)
13. What are early signs of increased intracranial pressure (ICP)?
A. Headache
B. Nausea/Vomiting
C. Altered LOC
D. All of the above (Correct)
14. What is Cushing's Reflex?
A. Rapid heart rate and headache
B. Progressive hypertension, bradycardia, and diminished respiratory effort (Correct)
C. Associated with respiratory failure
D. Occurs after a concussion
15. What occurs during uncal herniation?
A. Displacement of the uncus into the posterior fossa (Correct)
B. Downward movement of the brainstem
C. Compression of the cerebellum
D. Rupture of the skull
