(TNCC) 9TH EDITION 2025
STUDY GUIDE FOR TNCC 9TH
EDITION 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high flow O2 via NRB mask. Which of the
following is the priority intervention for this patient?
Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt?
a pertinent medical hx is crucial
,Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe?
Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of
Surgeons screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance?
Alcohol
All tools and guidelines require the patient to be awake, alert, not under the influence of
any substances, and without neurologic abnormalities
..
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death?
acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
Complete
, Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system?
flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next?
insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M 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?
globe rupture
..
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60,
HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt
is demonstrating s/sx of which stage of shock?
compensated
..
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
ventilate with a bag mask device
STUDY GUIDE FOR TNCC 9TH
EDITION 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high flow O2 via NRB mask. Which of the
following is the priority intervention for this patient?
Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt?
a pertinent medical hx is crucial
,Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe?
Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of
Surgeons screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance?
Alcohol
All tools and guidelines require the patient to be awake, alert, not under the influence of
any substances, and without neurologic abnormalities
..
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death?
acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
Complete
, Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system?
flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next?
insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M 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?
globe rupture
..
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60,
HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt
is demonstrating s/sx of which stage of shock?
compensated
..
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
ventilate with a bag mask device
