TNCC 9th Edition Test Bank Exam 2024 -2025 Updated
Questions with Correct Detailed Answers (Verified
Answers) Rated A+
Which findings are most consistent with a complete transection of the
spinal cord? - Correct Answer - Absence of sensory and motor function
below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and
subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The
patient has bilateral subdural hematomas and is awaiting transfer to the
ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the
priority nursing intervention? - Correct Answer - Notify the provider of the
change
While caring for a child who has been injured, what nursing intervention is
consistent with a family-center approach? - Correct Answer - Allowing
family to participate in the care of the patient
Identification of delayed complications following blunt abdominal trauma is
best accomplished by which method? - Correct Answer - Repeat
computerized tomography with contrast
Three adults present at different times during a one-hour period with a high
fever, fatigue, and headache. All three patients have a rash which started
on their mouth, face, and arms with progression to the chest and abdomen.
They all visited the same grocery store within the last week. What is the
most appropriate intervention from triage for these patients? - Correct
Answer - Immediately initiate isolation precautions
pg. 1
,A trauma patient who is 30-weeks pregnant arrives at the emergency
department following a motor vehicle collision. Which normal physiologic
change should be considered when assessing ventilatory status? - Correct
Answer - Increased oxygen consumption
A patient with a chest tube is being transported to the intensive care unit
and fluctuation is noted in the water seal chamber during inspiration and
expiration. What is the best action for the nurse to take? - Correct Answer -
Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and
sustained a femur fracture, liver laceration, and a small subdural
hematoma. These injuries most likely occurred during what level of blast
trauma? - Correct Answer - Tertiary
An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube? - Correct Answer - Ramped
A patient who jumped out of a second-floor window landing on their feet is
diagnosed with a lumbar spine fracture. What is the most likely concurrent
injury to have occurred? - Correct Answer - Calcaneus fracture
A patient arrives with a large metal rod embedded in their left thigh and no
active bleeding. Which intervention is most appropriate for this patient? -
Correct Answer - Prepare the patient for surgery to remove the rod
pg. 2
,A patient who sustained severe injuries was brought to the emergency
department following a high-speed motor vehicle collision. Interventions for
hypovolemic shock have been initiated. What component of the trauma
triad of death is most likely to have begun at the time of injury? - Correct
Answer - Coagulopathy
An adult patient was brought to the emergency department following a
motorcycle crash. On arrival, the patient is only responsive to pain, has
bleeding from the nose, and multiple abrasions and contusions to the face.
What is the priority intervention? - Correct Answer - Use a jaw thrust to
open the airway and look for signs of obstruction
In a motor vehicle collision, which injury pathway is most likely to increase
the patient's morbidity and mortality? - Correct Answer - Ejection
An adult trauma patient has received 1 liter of isotonic crystalloid solution, 6
units of packed red blood cells, 6 units of fresh frozen plasma, and 1
combined unit of platelets during the initial fluid resuscitation phase. Re-
assessment includes: BP 104/66 mm Hg, HR 112 beats/minute, intermittent
ventricular bigeminy on the cardiac monitor, and the presence of muscle
tremors. What should the nurse anticipate administering based on these
findings? - Correct Answer - Calcium gluconate
When transporting an intubated patient, which monitoring adjunct will
provide the best real-time information regarding respiratory status? -
Correct Answer - Waveform capnography
What technique is most appropriate when obtaining a history from a patient
who has experienced a sexual assault? - Correct Answer - Applying active
listening
pg. 3
, During the primary survey, which tool is most effective in identifying the
need for an airway intervention? - Correct Answer - AVPU
What type of wound is most likely to become embedded with gravel or dirt
causing a black, blue, or grey discoloration? - Correct Answer - Abrasion
An adult patient who sustained a severe head trauma has been intubated
and is being manually ventilated via a bag-mask device at a rate of 18
breaths/minute with clear breath sounds bilaterally. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 96%. BP is 142/70 mm Hg. What is the most important
intervention to manage cerebral blood flow? - Correct Answer - Decrease
the rate of manual ventilation
What type of wound closure is used with infection-prone wounds where the
edges are difficult to approximate? - Correct Answer - Secondary
What finding is consistent with the irreversible stage of shock? - Correct
Answer - Bradycardia
Which of the following situations could cause functional grief? - Correct
Answer - Amputation of a limb
A trauma patient is being held in the emergency department because there
are no available inpatient beds. The patient sustained a femur fracture and
required multiple blood products. The patient now has blood oozing from
abrasions, IV sites, the nose, and gums. What condition is most consistent
with these findings? - Correct Answer - Disseminated intravascular
coagulopathy
pg. 4
Questions with Correct Detailed Answers (Verified
Answers) Rated A+
Which findings are most consistent with a complete transection of the
spinal cord? - Correct Answer - Absence of sensory and motor function
below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and
subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The
patient has bilateral subdural hematomas and is awaiting transfer to the
ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the
priority nursing intervention? - Correct Answer - Notify the provider of the
change
While caring for a child who has been injured, what nursing intervention is
consistent with a family-center approach? - Correct Answer - Allowing
family to participate in the care of the patient
Identification of delayed complications following blunt abdominal trauma is
best accomplished by which method? - Correct Answer - Repeat
computerized tomography with contrast
Three adults present at different times during a one-hour period with a high
fever, fatigue, and headache. All three patients have a rash which started
on their mouth, face, and arms with progression to the chest and abdomen.
They all visited the same grocery store within the last week. What is the
most appropriate intervention from triage for these patients? - Correct
Answer - Immediately initiate isolation precautions
pg. 1
,A trauma patient who is 30-weeks pregnant arrives at the emergency
department following a motor vehicle collision. Which normal physiologic
change should be considered when assessing ventilatory status? - Correct
Answer - Increased oxygen consumption
A patient with a chest tube is being transported to the intensive care unit
and fluctuation is noted in the water seal chamber during inspiration and
expiration. What is the best action for the nurse to take? - Correct Answer -
Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and
sustained a femur fracture, liver laceration, and a small subdural
hematoma. These injuries most likely occurred during what level of blast
trauma? - Correct Answer - Tertiary
An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube? - Correct Answer - Ramped
A patient who jumped out of a second-floor window landing on their feet is
diagnosed with a lumbar spine fracture. What is the most likely concurrent
injury to have occurred? - Correct Answer - Calcaneus fracture
A patient arrives with a large metal rod embedded in their left thigh and no
active bleeding. Which intervention is most appropriate for this patient? -
Correct Answer - Prepare the patient for surgery to remove the rod
pg. 2
,A patient who sustained severe injuries was brought to the emergency
department following a high-speed motor vehicle collision. Interventions for
hypovolemic shock have been initiated. What component of the trauma
triad of death is most likely to have begun at the time of injury? - Correct
Answer - Coagulopathy
An adult patient was brought to the emergency department following a
motorcycle crash. On arrival, the patient is only responsive to pain, has
bleeding from the nose, and multiple abrasions and contusions to the face.
What is the priority intervention? - Correct Answer - Use a jaw thrust to
open the airway and look for signs of obstruction
In a motor vehicle collision, which injury pathway is most likely to increase
the patient's morbidity and mortality? - Correct Answer - Ejection
An adult trauma patient has received 1 liter of isotonic crystalloid solution, 6
units of packed red blood cells, 6 units of fresh frozen plasma, and 1
combined unit of platelets during the initial fluid resuscitation phase. Re-
assessment includes: BP 104/66 mm Hg, HR 112 beats/minute, intermittent
ventricular bigeminy on the cardiac monitor, and the presence of muscle
tremors. What should the nurse anticipate administering based on these
findings? - Correct Answer - Calcium gluconate
When transporting an intubated patient, which monitoring adjunct will
provide the best real-time information regarding respiratory status? -
Correct Answer - Waveform capnography
What technique is most appropriate when obtaining a history from a patient
who has experienced a sexual assault? - Correct Answer - Applying active
listening
pg. 3
, During the primary survey, which tool is most effective in identifying the
need for an airway intervention? - Correct Answer - AVPU
What type of wound is most likely to become embedded with gravel or dirt
causing a black, blue, or grey discoloration? - Correct Answer - Abrasion
An adult patient who sustained a severe head trauma has been intubated
and is being manually ventilated via a bag-mask device at a rate of 18
breaths/minute with clear breath sounds bilaterally. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 96%. BP is 142/70 mm Hg. What is the most important
intervention to manage cerebral blood flow? - Correct Answer - Decrease
the rate of manual ventilation
What type of wound closure is used with infection-prone wounds where the
edges are difficult to approximate? - Correct Answer - Secondary
What finding is consistent with the irreversible stage of shock? - Correct
Answer - Bradycardia
Which of the following situations could cause functional grief? - Correct
Answer - Amputation of a limb
A trauma patient is being held in the emergency department because there
are no available inpatient beds. The patient sustained a femur fracture and
required multiple blood products. The patient now has blood oozing from
abrasions, IV sites, the nose, and gums. What condition is most consistent
with these findings? - Correct Answer - Disseminated intravascular
coagulopathy
pg. 4
