TNCC 8th Edition Provider Exam reviewed
questions and answers 2024/2025
A 20-year-old male presents to the ED complaining of severe lower abdominal
pain after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal
ecchymosis. Which of the following orders would the nurse question? - CORRECT
ANSWER -Straight catheter for urine sample
A 35-year-old male presents with facial trauma after being struck in the face with
a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - CORRECT ANSWER -Globe rupture
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention? - CORRECT ANSWER -Apply a splint and elevate the extremity
above the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision presents to
the trauma center complaining of abdominal, pelvic, and bilateral lower extremity
pain. Vital signs are stable. The nurse can anticipate all of these after a negative
FAST exam EXCEPT which of the following? - CORRECT ANSWER -Diagnostic
peritoneal lavage
, A 5-year-old child presents to the ED with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to
the back. There are no abnormalities found based on the pediatric assessment
triangle or primary survey. Which of the following is the priority nursing
intervention? - CORRECT ANSWER -Report your suspicion of maltreatment in
accordance with local regulations
A 56-year-old male patient involved in a motor vehicle crash is brought to the
emergency department of a rural critical access facility. He complains of neck
pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is
15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26
breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which
of the following is the priority intervention for this patient? - CORRECT ANSWER -
Expedite transfer to the closest trauma center
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? -
CORRECT ANSWER -Dressing removal
A patient has been in the emergency department for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture after a fall. He
has been awake, alert, and complaining of leg pain. His wife reported that he
suddenly became anxious and confused. Upon reassessment, the patient is
restless, with respiratory distress and petechiae to his neck. The patient is
exhibiting signs and symptoms most commonly associated with which of the
following conditions? - CORRECT ANSWER -Fat embolism
questions and answers 2024/2025
A 20-year-old male presents to the ED complaining of severe lower abdominal
pain after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal
ecchymosis. Which of the following orders would the nurse question? - CORRECT
ANSWER -Straight catheter for urine sample
A 35-year-old male presents with facial trauma after being struck in the face with
a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - CORRECT ANSWER -Globe rupture
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention? - CORRECT ANSWER -Apply a splint and elevate the extremity
above the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision presents to
the trauma center complaining of abdominal, pelvic, and bilateral lower extremity
pain. Vital signs are stable. The nurse can anticipate all of these after a negative
FAST exam EXCEPT which of the following? - CORRECT ANSWER -Diagnostic
peritoneal lavage
, A 5-year-old child presents to the ED with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to
the back. There are no abnormalities found based on the pediatric assessment
triangle or primary survey. Which of the following is the priority nursing
intervention? - CORRECT ANSWER -Report your suspicion of maltreatment in
accordance with local regulations
A 56-year-old male patient involved in a motor vehicle crash is brought to the
emergency department of a rural critical access facility. He complains of neck
pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is
15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26
breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which
of the following is the priority intervention for this patient? - CORRECT ANSWER -
Expedite transfer to the closest trauma center
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? -
CORRECT ANSWER -Dressing removal
A patient has been in the emergency department for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture after a fall. He
has been awake, alert, and complaining of leg pain. His wife reported that he
suddenly became anxious and confused. Upon reassessment, the patient is
restless, with respiratory distress and petechiae to his neck. The patient is
exhibiting signs and symptoms most commonly associated with which of the
following conditions? - CORRECT ANSWER -Fat embolism
