TNCC 9TH EDITION TESTS Comprehensive b b b b
Questions with Answers, 2025 b b b b
You are caring for a patient who was thrown from a bike and was not wearing a
b b b b b b b b b b b b b b b b
helmet. While performing the head-to-toe assessment, you note clear drainage
b b b b b b b b b b
from the right ear. Which of the following is the most appropriate next step?
b b b b b b b b b b b b b b
A. Clean the ear with a cotton-tipped applicator.
b b b b b b
B. Pack the ear with gauze. b b b b
C. Notify the physician b b
D. Document and continue the exam. - C. Notify the physicianb b b b b b b b b
A patient is brought to the emergency department of a rural hospital following a
b b b b b b b b b b b b b
high-speed motor vehicle collision. When significant abdominal and pelvic
b b b b b b b b b
injuries are noted in the primary survey, what is the priority intervention?
b b b b b b b b b b b b
A. Initiate transfer to a trauma center b b b b b
B. Attempt family notification b b
C. Obtain additional imaging studies b b b
D. Place an indwelling urinary catheter - A. Initiate transfer to a trauma center
b b b b b b b b b b b b
An adult who fell from a second story roof is brought to the emergency department
b b b b b b b b b b b b b b
by private vehicle. The patient is confused with unlabored respirations and has
b b b b b b b b b b b b
strong, palpable radial pulses. There is an open wound in proximity to an obvious
b b b b b b b b b b b b b b
deformity of the left lower extremity. What is the priority intervention?
b b b b b b b b b b b
A. Initiate cervical spine stabilizationb b b
B. Apply a splint to the lower extremity
b b b b b b
C. Put the patient on portable oxygen.
b b b b b
D. Log roll the patient onto a spine board - A. Initiate cervical spine stabilization
b b b b b b b b b b b b b
An adult patient who sustained a severe head trauma has been intubated and is
b b b b b b b b b b b b b
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
b b b b b b b b b b b b b
The patient has received one intravenous fluid bolus of 500 mL of warmed
b b b b b b b b b b b b b
isotonic
b
, crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
b b b b b b b b b b b b b b
92%. BP is 142/70 mm Hg. What is the most important intervention to manage
b b b b b b b b b b b b b b
the cerebral blood flow?
b b b b
A. Decrease the rate of manual ventilation. b b b b b
B. Initiate another fluid bolus. b b b
C. Recheck endotracheal tube placement. b b b
D. Increase the amount of oxygen delivered. - A. Decrease the rate of manual
b b b b b b b b b b b b
ventilation.
b
An adult patient is brought to the emergency department following a vehicle "roll-
b b b b b b b b b b b b
over" with prolonged extrication. Assessment reveals swelling and bruising to
b b b b b b b b b b
the right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist.
b b b b b b b b b b b b b b b
What is the most appropriate initial intervention?
b b b b b b b
A. Application of a tourniquet to the affected extremity b b b b b b b
B. Application of a pelvic binder b b b b
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
b b b b b b b b b
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa) - B.
b b b b b b b b b b b b
Application of a pelvic binder
b b b b b
An adult arrives at the emergency department with superficial burns to the
b b b b b b b b b b b
extremities following a house fire. The patient is reporting a headache with nausea
b b b b b b b b b b b b b
and is drowsy and confused. What is the most likely cause of these symptoms?
b b b b b b b b b b b b b b
A. Capillary leak syndrome b b
B. Rhabdomyolysis
C. Carbon monoxide poisoning b b
D. Hypothermia - b
A adult patient with a knife injury to the neck has an intact airway and is
b b b b b b b b b b b b b b b
hemodynamically stable. They complain of difficulty swallowing and speaking. In
b b b b b b b b b b
the primary survey, further assessment is indicated next for which of the following
b b b b b b b b b b b b b
conditions?
b
a. Damage to the cervical spine b b b b
Questions with Answers, 2025 b b b b
You are caring for a patient who was thrown from a bike and was not wearing a
b b b b b b b b b b b b b b b b
helmet. While performing the head-to-toe assessment, you note clear drainage
b b b b b b b b b b
from the right ear. Which of the following is the most appropriate next step?
b b b b b b b b b b b b b b
A. Clean the ear with a cotton-tipped applicator.
b b b b b b
B. Pack the ear with gauze. b b b b
C. Notify the physician b b
D. Document and continue the exam. - C. Notify the physicianb b b b b b b b b
A patient is brought to the emergency department of a rural hospital following a
b b b b b b b b b b b b b
high-speed motor vehicle collision. When significant abdominal and pelvic
b b b b b b b b b
injuries are noted in the primary survey, what is the priority intervention?
b b b b b b b b b b b b
A. Initiate transfer to a trauma center b b b b b
B. Attempt family notification b b
C. Obtain additional imaging studies b b b
D. Place an indwelling urinary catheter - A. Initiate transfer to a trauma center
b b b b b b b b b b b b
An adult who fell from a second story roof is brought to the emergency department
b b b b b b b b b b b b b b
by private vehicle. The patient is confused with unlabored respirations and has
b b b b b b b b b b b b
strong, palpable radial pulses. There is an open wound in proximity to an obvious
b b b b b b b b b b b b b b
deformity of the left lower extremity. What is the priority intervention?
b b b b b b b b b b b
A. Initiate cervical spine stabilizationb b b
B. Apply a splint to the lower extremity
b b b b b b
C. Put the patient on portable oxygen.
b b b b b
D. Log roll the patient onto a spine board - A. Initiate cervical spine stabilization
b b b b b b b b b b b b b
An adult patient who sustained a severe head trauma has been intubated and is
b b b b b b b b b b b b b
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
b b b b b b b b b b b b b
The patient has received one intravenous fluid bolus of 500 mL of warmed
b b b b b b b b b b b b b
isotonic
b
, crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
b b b b b b b b b b b b b b
92%. BP is 142/70 mm Hg. What is the most important intervention to manage
b b b b b b b b b b b b b b
the cerebral blood flow?
b b b b
A. Decrease the rate of manual ventilation. b b b b b
B. Initiate another fluid bolus. b b b
C. Recheck endotracheal tube placement. b b b
D. Increase the amount of oxygen delivered. - A. Decrease the rate of manual
b b b b b b b b b b b b
ventilation.
b
An adult patient is brought to the emergency department following a vehicle "roll-
b b b b b b b b b b b b
over" with prolonged extrication. Assessment reveals swelling and bruising to
b b b b b b b b b b
the right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist.
b b b b b b b b b b b b b b b
What is the most appropriate initial intervention?
b b b b b b b
A. Application of a tourniquet to the affected extremity b b b b b b b
B. Application of a pelvic binder b b b b
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
b b b b b b b b b
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa) - B.
b b b b b b b b b b b b
Application of a pelvic binder
b b b b b
An adult arrives at the emergency department with superficial burns to the
b b b b b b b b b b b
extremities following a house fire. The patient is reporting a headache with nausea
b b b b b b b b b b b b b
and is drowsy and confused. What is the most likely cause of these symptoms?
b b b b b b b b b b b b b b
A. Capillary leak syndrome b b
B. Rhabdomyolysis
C. Carbon monoxide poisoning b b
D. Hypothermia - b
A adult patient with a knife injury to the neck has an intact airway and is
b b b b b b b b b b b b b b b
hemodynamically stable. They complain of difficulty swallowing and speaking. In
b b b b b b b b b b
the primary survey, further assessment is indicated next for which of the following
b b b b b b b b b b b b b
conditions?
b
a. Damage to the cervical spine b b b b
