Trauma Nursing Core Course (TNCC) Assessment
Clinical Competence TNCC Assessment
Course Title and Number: TNCC Assessment
Exam Title: Assessment Exam
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
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TNCC 9th Edition TNCC Pre- Test TNP Trauma Nursing
Process Exam Review Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025- 2026
Clinical Competence TNCC Assessment Exam
Trauma Nursing Core Course (TNCC) Assessment
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
What should you ask yourself after completing all of your
interventions and reassessments? - =Answer>> Does this
patient need to be transferred to another hospital, to surgery,
or to critical care?
What happens prior to patient arrival? 1-3 - =Answer>> 1.
Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to
intubate has been made? 4-8
A 5-year-old child presents to the emergency department 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?
A.Report your suspicion of maltreatment in accordance with
local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - =Answer>> A.Report
your suspicion of maltreatment in accordance with local
regulations
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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?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. -
=Answer>> D.Prepare the patient for surgery to remove the
rod.
When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
A.As soon as the patient arrives
B.During the secondary survey
C.Should only be done at a burn center
D.During the primary survey - =Answer>> B.During the
secondary surveyt
Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
A.It has a higher sensitivity than diagnostic peritoneal lavage
for fluid detection
B.It can be used in hypotensive patients too unstable for
computed tomography scan
C.It can detect as little as 30 mL of fluid in the abdominal cavity
D.It has high sensitivity in pediatric patients for identifying fluid
in the peritoneum - =Answer>> B.It can be used in hypotensive
patients too unstable for computed tomography scan
What is the priority intervention for a child who has been
diagnosed with an atlanto-occipital dislocation following a high-
speed motor vehicle collision?
A.Initiating a second large caliber intravenous line
B.Maintaining spinal motion restriction
C.Placing the patient on pulse oximetry
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D.Turning the patient to remove the backboard - =Answer>>
B.Maintaining spinal motion restriction
What position optimizes ventilation in the obese patient with a
lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
D.Fowler's - =Answer>> A.Reverse Trendelenburg
During the primary survey of an unconscious patient with multi-
system trauma, the nurse notes snoring respirations. Which
priority nursing intervention should be performed next?
A.Open the airway with the head-tilt/chin-lift maneuver
B.Auscultate bilateral breath sounds
C.Assist respirations using a bag-mask device
D.Insert an oropharyngeal airway if there is no gag reflex -
=Answer>> D.Insert an oropharyngeal airway if there is no gag
reflex
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?
A.Rhabdomyolysis
B.Fat embolism
C.Disseminated intravascular coagulopathy
D.Multiple organ dysfunctions syndrome - =Answer>>
C.Disseminated intravascular coagulopathy
A patient is brought to the emergency department following a
snowmobile crash with prolonged exposure time prior to
transport. The patient is confused. Vital signs are BP 96/54 mm
Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC
(94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
rebreather mask. Other findings include ETCO2 24, serum
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