TNCC EXAM (2024-2025) QUESTIONS WITH ANSWERS
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 - <<,Answers>>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 - <<,Answers>>500 mL/hour
What bedside monitoring parameters are used to assess for
adequacy of oxygenation and effectiveness of ventilation?
, TNCC EXAM (2024-2025) QUESTIONS WITH ANSWERS
Pulse oximetry and capnography - <<,Answers>>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 - <<,Answers>>After a physical
examination if the patient has no radiologic abnormalities on
CT
Which of the following injuries is LEAST likely to be
promptly identified?
Bowel - <<,Answers>>Bowel
A patient is found lying on the floor after falling 13 hours ago.
Which of the following laboratory values is expected with a
musculoskeletal complication associated with this
presentation?
Elevated creatinine phosphokinase - <<,Answers>>Elevated
creatinine phosphokinase
Caregivers carry in a 2-year-old into the emergency
department who fell out of a second-story window. The
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 - <<,Answers>>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 - <<,Answers>>500 mL/hour
What bedside monitoring parameters are used to assess for
adequacy of oxygenation and effectiveness of ventilation?
, TNCC EXAM (2024-2025) QUESTIONS WITH ANSWERS
Pulse oximetry and capnography - <<,Answers>>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 - <<,Answers>>After a physical
examination if the patient has no radiologic abnormalities on
CT
Which of the following injuries is LEAST likely to be
promptly identified?
Bowel - <<,Answers>>Bowel
A patient is found lying on the floor after falling 13 hours ago.
Which of the following laboratory values is expected with a
musculoskeletal complication associated with this
presentation?
Elevated creatinine phosphokinase - <<,Answers>>Elevated
creatinine phosphokinase
Caregivers carry in a 2-year-old into the emergency
department who fell out of a second-story window. The
