TNCC final exam Questions and Answers
2024-2025
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - correct answer ✅✅a) to measure oxygenation and
ventilation
b) to quantify the base deficit for the adequacy of cellular
perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min,
and RR 24 breaths/min. Her skin is cool and dry. Current vital
signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The
patient is demonstrating signs and symptoms of which stage of
shock?
Answer: A - correct answer ✅✅A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents
after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
,TNCC final exam Questions and Answers
2024-2025
complains of headache, dizziness, and nausea. Which is a most
likely cause of her symptoms?
Answer: D - correct answer ✅✅A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the patient
for radiologic spine clearance?
Answer: D - correct answer ✅✅A) Alert with no neurologic
deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C - correct answer ✅✅A) The driver of the vehicle
collides with the steering wheel
B) the vehicle collides with a tree
, TNCC final exam Questions and Answers
2024-2025
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - correct answer ✅✅A) initiate transfer to a trauma
center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C - correct answer ✅✅A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
2024-2025
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - correct answer ✅✅a) to measure oxygenation and
ventilation
b) to quantify the base deficit for the adequacy of cellular
perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min,
and RR 24 breaths/min. Her skin is cool and dry. Current vital
signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The
patient is demonstrating signs and symptoms of which stage of
shock?
Answer: A - correct answer ✅✅A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents
after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
,TNCC final exam Questions and Answers
2024-2025
complains of headache, dizziness, and nausea. Which is a most
likely cause of her symptoms?
Answer: D - correct answer ✅✅A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the patient
for radiologic spine clearance?
Answer: D - correct answer ✅✅A) Alert with no neurologic
deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C - correct answer ✅✅A) The driver of the vehicle
collides with the steering wheel
B) the vehicle collides with a tree
, TNCC final exam Questions and Answers
2024-2025
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - correct answer ✅✅A) initiate transfer to a trauma
center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C - correct answer ✅✅A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
