TNCC 9TH EDITION TNP LATEST EXAM
2024-2025 QUESTIONS AND 100%
CORRECT ANSWERS WITH
RATIONALES | A+ GRADE STUDY
MATERIALS
Following a bomb explosion, fragmentation injuries from
the bomb or objects in the environment are examples of
which phase of injury?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary Correct Answer B. Secondary
The primary phase of a blast results from impact of
the pressurization wave on body surfaces. injuries
include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild
traumatic brain injury.
The secondary phase of a blast results from flying
debris, projectiles, and bomb fragments causing
lacerations or penetrating injuries.
The tertiary phase of a blast results from individuals
being thrown b the blast and impacting walls, ground,
or any hard object
The quaternary phase of blast results from any
explosion-related illness or injury including
,hyperglycemia, hypertension, angina, asthma, CPOD,
or sepsis.
Treatment for frostbite can include which of the following
interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters Correct Answer
C. Administer tissue plasminogen activator
With frostbite, thrombus formation is a risk. Tissue
plasminogen activator, a thrombolytic medication, has
been effective in maintaining perfusion and
decreasing the need for amputation when
administered within 24 hours of rewarming.
A patient arrives at the emergency department by private
vehicle after 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 intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the ope wound with sterile saline dressings
Correct Answer B. Initiate direct pressure
,The first step in controlling any bleeding is application
of direct pressure.
A patient involved in a MVC has sustained a fracture to
the second rib of the anterior left chest. Which concurrent
injury is most commonly associated with this fracture?
A. Blunt Cardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax Correct Answer B. Brachial plexus injury
First and second rib fractures are most commonly
associated with great vessel, head and spinal cord,
and brachial plexus injuries.
A patient with a spinal cord injury at C5 is being cared for
in the emergency department while awaiting transport to a
trauma center. Which of the following represents the
highest priority for ongoing assessment and management
for this patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature Correct Answer A. Maintain
adequate respiratory status
Spinal cord injuries at C3 to C5 can cause the loss of
phrenic nerve function, resulting in paralyzed
, diaphragm and inability to breathe. Maintenance of
respiratory function is the highest priority.
What is the lead cause of preventable death for the
trauma patient in the prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage Correct Answer D.
Uncontrolled external hemorrhage
Uncontrolled external hemorrhage is the leading
cause of preventable death after injury in the
prehospital environment; assessment to identify
uncontrolled external hemorrhage is key to the initial
assessment process, beginning with the general
impression.
Understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist
the trauma care provider in which of the following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure Correct
Answer A. Anticipating the types of injuries the may be
present
2024-2025 QUESTIONS AND 100%
CORRECT ANSWERS WITH
RATIONALES | A+ GRADE STUDY
MATERIALS
Following a bomb explosion, fragmentation injuries from
the bomb or objects in the environment are examples of
which phase of injury?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary Correct Answer B. Secondary
The primary phase of a blast results from impact of
the pressurization wave on body surfaces. injuries
include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild
traumatic brain injury.
The secondary phase of a blast results from flying
debris, projectiles, and bomb fragments causing
lacerations or penetrating injuries.
The tertiary phase of a blast results from individuals
being thrown b the blast and impacting walls, ground,
or any hard object
The quaternary phase of blast results from any
explosion-related illness or injury including
,hyperglycemia, hypertension, angina, asthma, CPOD,
or sepsis.
Treatment for frostbite can include which of the following
interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters Correct Answer
C. Administer tissue plasminogen activator
With frostbite, thrombus formation is a risk. Tissue
plasminogen activator, a thrombolytic medication, has
been effective in maintaining perfusion and
decreasing the need for amputation when
administered within 24 hours of rewarming.
A patient arrives at the emergency department by private
vehicle after 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 intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the ope wound with sterile saline dressings
Correct Answer B. Initiate direct pressure
,The first step in controlling any bleeding is application
of direct pressure.
A patient involved in a MVC has sustained a fracture to
the second rib of the anterior left chest. Which concurrent
injury is most commonly associated with this fracture?
A. Blunt Cardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax Correct Answer B. Brachial plexus injury
First and second rib fractures are most commonly
associated with great vessel, head and spinal cord,
and brachial plexus injuries.
A patient with a spinal cord injury at C5 is being cared for
in the emergency department while awaiting transport to a
trauma center. Which of the following represents the
highest priority for ongoing assessment and management
for this patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature Correct Answer A. Maintain
adequate respiratory status
Spinal cord injuries at C3 to C5 can cause the loss of
phrenic nerve function, resulting in paralyzed
, diaphragm and inability to breathe. Maintenance of
respiratory function is the highest priority.
What is the lead cause of preventable death for the
trauma patient in the prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage Correct Answer D.
Uncontrolled external hemorrhage
Uncontrolled external hemorrhage is the leading
cause of preventable death after injury in the
prehospital environment; assessment to identify
uncontrolled external hemorrhage is key to the initial
assessment process, beginning with the general
impression.
Understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist
the trauma care provider in which of the following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure Correct
Answer A. Anticipating the types of injuries the may be
present
