TNCC 9th edition
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. An adult pt who sustained a severe head trauma has been intu-
bated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute The pt has received one intravenous
fluid bolus of 500 mL of warmed isotonic crystalloid solution the
PaCO2 is 30mmHg (4.0 kPa) , and the pulse oximetry is 92%.
BP is 142/70 mmHg What is the most important intervention
to manage the cerebral blood flow?
Answer: Decrease the rate of manual ventilation
2. An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea The pt was in-
volved in a motor vehicle collision 10 days ago There was no loss
of consciousness and a hematoma is noted to the forehead The
pt is currently on anticoagulant therapy What is most likely the
cause of their symptoms?
Answer: post-concussive syndrome
3. A pt with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medication
Which of the following is the priority nursing intervention?
Answer: Elevating the leg to the LEVEL of the heart (compression/crush- level of the
heart) (regular fracture- above the heart)
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,TNCC 9th edition
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
4. A pt involved in a high-speed rollover is complaining of in-
creased difficulty breathing There is a small penetrating wound
to the 6th intercostal space in the left lateral chest Which finding
is most consistent with an injury to the diaphragm?
Answer: Bowel sounds heard in the lower left chest
5. A pt has been in the emergency department for several hours
waiting to be admitted They sustained multiple rib fractures and
a femur fracture after a fall The pt has been awake, alert, and
complaining of leg pain Their spouse reported that the pt sud-
denly became anxious and confused Upon reassessment, the pt is
restless, with respiratory distress and petechiae to his neck The
pt is exhibiting signs and symptoms most commonly associated
with which of the following conditions?
Answer: Fat embolism
6. 3 adult pts present at different times during a 1-hour period
with a high fever, fatigue, and headache All 3 pts 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 pts?
Answer: Immediately initiate contact precautions
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, TNCC 9th edition
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
7. 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 Witai type of injury is suspecied?
Answer: Globe rupture
8. 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 ?
Answer: Increased oxygen consumption
9. 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 initi-
ated . What component of the trauma triad of death is most
likely to have begun at the time of injury ?
Answer: Coagulopathy
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. An adult pt who sustained a severe head trauma has been intu-
bated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute The pt has received one intravenous
fluid bolus of 500 mL of warmed isotonic crystalloid solution the
PaCO2 is 30mmHg (4.0 kPa) , and the pulse oximetry is 92%.
BP is 142/70 mmHg What is the most important intervention
to manage the cerebral blood flow?
Answer: Decrease the rate of manual ventilation
2. An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea The pt was in-
volved in a motor vehicle collision 10 days ago There was no loss
of consciousness and a hematoma is noted to the forehead The
pt is currently on anticoagulant therapy What is most likely the
cause of their symptoms?
Answer: post-concussive syndrome
3. A pt with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medication
Which of the following is the priority nursing intervention?
Answer: Elevating the leg to the LEVEL of the heart (compression/crush- level of the
heart) (regular fracture- above the heart)
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
,TNCC 9th edition
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
4. A pt involved in a high-speed rollover is complaining of in-
creased difficulty breathing There is a small penetrating wound
to the 6th intercostal space in the left lateral chest Which finding
is most consistent with an injury to the diaphragm?
Answer: Bowel sounds heard in the lower left chest
5. A pt has been in the emergency department for several hours
waiting to be admitted They sustained multiple rib fractures and
a femur fracture after a fall The pt has been awake, alert, and
complaining of leg pain Their spouse reported that the pt sud-
denly became anxious and confused Upon reassessment, the pt is
restless, with respiratory distress and petechiae to his neck The
pt is exhibiting signs and symptoms most commonly associated
with which of the following conditions?
Answer: Fat embolism
6. 3 adult pts present at different times during a 1-hour period
with a high fever, fatigue, and headache All 3 pts 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 pts?
Answer: Immediately initiate contact precautions
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
, TNCC 9th edition
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
7. 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 Witai type of injury is suspecied?
Answer: Globe rupture
8. 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 ?
Answer: Increased oxygen consumption
9. 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 initi-
ated . What component of the trauma triad of death is most
likely to have begun at the time of injury ?
Answer: Coagulopathy
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