2024/2025 tncc Exam Questions And Correct Answers
Graded A+
1. Why is a measure of serum lactate obtained in the to gauge end-or-
initial assessment of the trauma patient? gan perfusion and
tissue hypoxia
2. A trauma patient is restless and repeatedly asking compensated
"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. signs and
symptoms of which stage of shock?
3. An elderly patient with a history of anticoagulant use subdural
presents after a fall at home that day. she denies any hematoma
loss of consciousness. She has a hematoma to her
forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symp-
toms?
4. EMS brings a patient who fell riding his bicycle. Using D) Smell of alcohol
the American College of Surgeons screening guide- on breath
lines, which assessment finding would prompt the
nurse to prepare the patient for radiologic spine clear-
ance?
5. Which of the following occurs during the third impact the aorta is torn at
of a motor vehicle crash? its attachment with
the ligamentum ar-
teriosum
6. A passenger is brought to the emergency department initiate transfer to a
of a rural hospital following a high-speed MVC. When trauma center
significant abdominal and pelvic injuries are noted
in the primary survey, which of the following is the
priority interventions?
7. Which of the following injuries is LEAST likely to be bowel
promptly identified?
8. Patients with a crush injury should be monitored for Dysrhthmias
which conditions?
, tncc
9. What finding raises suspicion of complete spinal cord Priapism
injury?
10. A patient with a complete spinal cord injury in neuro- - bradycardia
genic shock will demonstrate hypotension and which - absent motor
other clinical signs? function below the
level of the injury
11. A 5-year old child presents to the ED with bruises report your suspi-
to the upper arms and buttocks in various stages cion of the mal-
of healing and multiple small, clean, round burns to treatment in accor-
the back. There are no abnormalities found based on dance with local
the pediatric assessment triangle or primary survey. regulations
Which of the following is the priority nursing interven-
tion?
12. A patient with lower extremity fracture complains of Elevating the ex-
severe pain and tightness in his calf, minimally re- tremity to the level
lieved by pain medications. Which of the following is of the heart
the priority nursing intervention?
13. A 36-year old female has a deformity of the left wrist apply a splint and
after a fall. She is reluctant to move her hand due to ELEVATE ABOVE
pain. Which of the following is the most appropriate THE LEVEL OF
intervention? THE HEART
14. Which of the following is a late sign of increased Decreased respi-
intracranial pressure? ratory effort
15. what might you see with increased icp? Cushing Re-
sponse
Widening pulse
pressure
Reflex bradycar-
dia
Decreased RR
16. MARCH
Graded A+
1. Why is a measure of serum lactate obtained in the to gauge end-or-
initial assessment of the trauma patient? gan perfusion and
tissue hypoxia
2. A trauma patient is restless and repeatedly asking compensated
"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. signs and
symptoms of which stage of shock?
3. An elderly patient with a history of anticoagulant use subdural
presents after a fall at home that day. she denies any hematoma
loss of consciousness. She has a hematoma to her
forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symp-
toms?
4. EMS brings a patient who fell riding his bicycle. Using D) Smell of alcohol
the American College of Surgeons screening guide- on breath
lines, which assessment finding would prompt the
nurse to prepare the patient for radiologic spine clear-
ance?
5. Which of the following occurs during the third impact the aorta is torn at
of a motor vehicle crash? its attachment with
the ligamentum ar-
teriosum
6. A passenger is brought to the emergency department initiate transfer to a
of a rural hospital following a high-speed MVC. When trauma center
significant abdominal and pelvic injuries are noted
in the primary survey, which of the following is the
priority interventions?
7. Which of the following injuries is LEAST likely to be bowel
promptly identified?
8. Patients with a crush injury should be monitored for Dysrhthmias
which conditions?
, tncc
9. What finding raises suspicion of complete spinal cord Priapism
injury?
10. A patient with a complete spinal cord injury in neuro- - bradycardia
genic shock will demonstrate hypotension and which - absent motor
other clinical signs? function below the
level of the injury
11. A 5-year old child presents to the ED with bruises report your suspi-
to the upper arms and buttocks in various stages cion of the mal-
of healing and multiple small, clean, round burns to treatment in accor-
the back. There are no abnormalities found based on dance with local
the pediatric assessment triangle or primary survey. regulations
Which of the following is the priority nursing interven-
tion?
12. A patient with lower extremity fracture complains of Elevating the ex-
severe pain and tightness in his calf, minimally re- tremity to the level
lieved by pain medications. Which of the following is of the heart
the priority nursing intervention?
13. A 36-year old female has a deformity of the left wrist apply a splint and
after a fall. She is reluctant to move her hand due to ELEVATE ABOVE
pain. Which of the following is the most appropriate THE LEVEL OF
intervention? THE HEART
14. Which of the following is a late sign of increased Decreased respi-
intracranial pressure? ratory effort
15. what might you see with increased icp? Cushing Re-
sponse
Widening pulse
pressure
Reflex bradycar-
dia
Decreased RR
16. MARCH
