TNCC 9TH EDITION STUDY GUIDE LATEST 2025-2026
EXAM UPDATE| QUESTIONS AND ANSWERS
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 ? - Answer-
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 34.60C ( 94.20F ) and an SpO2 of
90 % on oxygen at 15L per non - rebreather mask . Other findings
include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH of 6.8 .
Based on these findings what is the most appropriate intervention -
Answer-Initiate warming measures
Which of the following is a late sign of increased intracranial pressure ?
- Answer-Decreased respiratory effort
Based on fall mechanism , which patient warrants prehospital transfer to
a trauma center ? - Answer-A 2 - year - old lands on grass from a second
- story balcony nurse is caring for an unrestrained
, The trauma nurse is caring for an unrestrained driver who struck their
head on the windshield following a high - speed MVC . The patient has
been diagnosed with an anterior spinal cord injury at the level of C6 .
Which assessment finding would be most concerning ? - Answer-
Increasing work of breathing
While caring for a child who has been injured , what nursing
intervention consistent with a family center approach - Answer-
Allowing family to participate in the care of the patient
A patient is brought to the emergency department with chest pain and
shortness of breath following a high - speed motor vehicle collision in
which they were the unrestrained driver There is crepitus to the left chest
with clear and equal breath sounds . The vital signs are BP 80/40 mmHg
HR 140 beats / minute , and RR 40 breaths / minute . Cardiac monitor
shows sinus tachycardia with premature ventricular contractions . These
findings are most consistent with which type of shock - Answer-
Cardiogenic
Your patient was the unrestrained driver involved in a moderate speed
motor vehicle collision . Assessment reveals tenderness in the upper
right quadiani , crepitus in the lower right ribs , and cechymosis around
the umbilicus The nurse is concerned about injury to which organ -
Answer-Liver
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
EXAM UPDATE| QUESTIONS AND ANSWERS
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 ? - Answer-
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 34.60C ( 94.20F ) and an SpO2 of
90 % on oxygen at 15L per non - rebreather mask . Other findings
include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH of 6.8 .
Based on these findings what is the most appropriate intervention -
Answer-Initiate warming measures
Which of the following is a late sign of increased intracranial pressure ?
- Answer-Decreased respiratory effort
Based on fall mechanism , which patient warrants prehospital transfer to
a trauma center ? - Answer-A 2 - year - old lands on grass from a second
- story balcony nurse is caring for an unrestrained
, The trauma nurse is caring for an unrestrained driver who struck their
head on the windshield following a high - speed MVC . The patient has
been diagnosed with an anterior spinal cord injury at the level of C6 .
Which assessment finding would be most concerning ? - Answer-
Increasing work of breathing
While caring for a child who has been injured , what nursing
intervention consistent with a family center approach - Answer-
Allowing family to participate in the care of the patient
A patient is brought to the emergency department with chest pain and
shortness of breath following a high - speed motor vehicle collision in
which they were the unrestrained driver There is crepitus to the left chest
with clear and equal breath sounds . The vital signs are BP 80/40 mmHg
HR 140 beats / minute , and RR 40 breaths / minute . Cardiac monitor
shows sinus tachycardia with premature ventricular contractions . These
findings are most consistent with which type of shock - Answer-
Cardiogenic
Your patient was the unrestrained driver involved in a moderate speed
motor vehicle collision . Assessment reveals tenderness in the upper
right quadiani , crepitus in the lower right ribs , and cechymosis around
the umbilicus The nurse is concerned about injury to which organ -
Answer-Liver
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
