TNCC ENA 9TH EDITION PRE TEST QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A pa�ent arrives at the emergency department by private vehicle a�er sustaining an injury to the right
lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant
bleeding. What is the priority interven�on?
A. Elevate the extremity to the level of the heart
B. Ini�ate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - ansB. Ini�ate direct pressure
Ra�onale: The first step inn controlling any bleeding is applica�on of direct pressure.
A pa�ent fell two weeks ago, striking their head. Today, the pa�ent presented with a persistent headache
and nausea and was diagnosed with a small subdural hematoma. The pa�ent has been in the ED for 24
hours awai�ng an inpa�ent bed. The night shi� nurse reports the pa�ent has been anxious, restless,
shaky, and vomited twice during the night. The pa�ent states they couldn't sleep because a young child
kept coming into the room. What is the most likely cause for these signs and symptoms?
A. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus - ansB. Alcohol withdrawal
Ra�onale: Alcohol withdrawal is a common delayed condi�on because symptoms are difficult to iden�fy
early. Signs include autonomic hyperac�vity, hand tremors, nausea or vomi�ng, psychomotor agita�on,
anxiety, insomnia, transient hallucina�ons, or seizures.
A pa�ent involved in a MVC has sustained a fracture to the second rib of the anterior le� chest. Which
concurrent injury is most commonly associated with this fracture?
, TNCC ENA 9TH EDITION PRE TEST QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A. Blunt cardiac injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax - ansB. Brachial plexus injury
Ra�onale: First and second rib fractures are most commonly associated with great vessel, head and
spinal cord, and brachial plexus injuries.
A pa�ent with a spinal cord injury at C5 is being cared for in the emergency department while awai�ng
transport to a trauma center. Which of the following represents the highest priority for ongoing
assessment and management for this pa�ent?
A. Maintain adequate respiratory status
B. Administer balanced resuscita�on fluid
C. Perform serial assessments of neurologic func�on
D. Maintain core temperature - ansA. Maintain adequate respiratory status
Ra�onale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve func�on, resul�ng in a
paralyzed diaphragm and inability to breathe. Maintenance of respiratory func�on is the highest priority.
A trauma nurse cared for a child with devasta�ng 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 would indicate this nurse is
coping well?
A. They are talking about taking the emergency nursing cer�fica�on exam
B. They keep reques�ng to be assigned to the walk-in/ambulatory area
C. They are impa�ent and snap at their coworkers
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A pa�ent arrives at the emergency department by private vehicle a�er sustaining an injury to the right
lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant
bleeding. What is the priority interven�on?
A. Elevate the extremity to the level of the heart
B. Ini�ate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - ansB. Ini�ate direct pressure
Ra�onale: The first step inn controlling any bleeding is applica�on of direct pressure.
A pa�ent fell two weeks ago, striking their head. Today, the pa�ent presented with a persistent headache
and nausea and was diagnosed with a small subdural hematoma. The pa�ent has been in the ED for 24
hours awai�ng an inpa�ent bed. The night shi� nurse reports the pa�ent has been anxious, restless,
shaky, and vomited twice during the night. The pa�ent states they couldn't sleep because a young child
kept coming into the room. What is the most likely cause for these signs and symptoms?
A. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus - ansB. Alcohol withdrawal
Ra�onale: Alcohol withdrawal is a common delayed condi�on because symptoms are difficult to iden�fy
early. Signs include autonomic hyperac�vity, hand tremors, nausea or vomi�ng, psychomotor agita�on,
anxiety, insomnia, transient hallucina�ons, or seizures.
A pa�ent involved in a MVC has sustained a fracture to the second rib of the anterior le� chest. Which
concurrent injury is most commonly associated with this fracture?
, TNCC ENA 9TH EDITION PRE TEST QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A. Blunt cardiac injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax - ansB. Brachial plexus injury
Ra�onale: First and second rib fractures are most commonly associated with great vessel, head and
spinal cord, and brachial plexus injuries.
A pa�ent with a spinal cord injury at C5 is being cared for in the emergency department while awai�ng
transport to a trauma center. Which of the following represents the highest priority for ongoing
assessment and management for this pa�ent?
A. Maintain adequate respiratory status
B. Administer balanced resuscita�on fluid
C. Perform serial assessments of neurologic func�on
D. Maintain core temperature - ansA. Maintain adequate respiratory status
Ra�onale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve func�on, resul�ng in a
paralyzed diaphragm and inability to breathe. Maintenance of respiratory func�on is the highest priority.
A trauma nurse cared for a child with devasta�ng 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 would indicate this nurse is
coping well?
A. They are talking about taking the emergency nursing cer�fica�on exam
B. They keep reques�ng to be assigned to the walk-in/ambulatory area
C. They are impa�ent and snap at their coworkers
