TNCC 9th Edition Exam | 50 REAL EXAM
QUESTIONS WITH CORRECT SOLUTION
| RATED CORRECT | ALREADY GRADED
A+| 2025 LATEST UPDATED
/. Which intervention is recommended regarding the use of drug-assisted intubation and
rapid sequence intubation? - Answer-Pre-oxygenate to prolong the time to hypoxia
/.Which normal anatomic or physiologic change in an older adult places them at a
higher risk for aspiration? - Answer-Relaxed muscles of the oropharynx
/.A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing? - Answer-Voluntary anal sphincter tone
/.An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of
their body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be
400 mL/hour. The urine output over the last hour was 15mL. What intervention should
the nurse anticipate? - Answer-Increase isotonic crystalloid infusion rate
/.A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which
finding is consistent with spinal shock? - Answer-Loss of reflexes
/.A patient is brought to the emergency department following a motor vehicle rollover
and is complaining of left upper abdominal pain and left shoulder pain. This presentation
is most consistent with an injury to which organ? - Answer-Spleen
/.An adult patient is brought to the emergency department following a motor vehicle
collision with complaints of neck pain. They have identified as a person in the process of
transitioning from male to female. What effect of hormone therapy should be considered
when planning care for this patient? - Answer-Testosterone therapy may decrease
blood pressure
Correct rationale: A person who is in the process of transitioning from male to female
will usually be taking female hormones such as estrogen/estradiol to assist with the
transition. This can cause a decrease in muscle mass, increased risk of
thromboembolism, and possibly increased bone density. These patients would not be
taking testosterone.
/.An adult patient presents to the emergency department after sustaining severe facial
injuries during an altercation. The patient is awake, confused, and smells heavily of
, alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated
based on which clinical indicator? - Answer-Severe facial injuries
/.A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the left
lateral chest. Which finding is most consistent with an injury to the diaphragm? -
Answer-Bowel sounds heard in the left lower chest
/.A severely injured patient has been intubated and is being mechanically ventilated.
The patient has received a balanced resuscitation including multiple blood products.
Under which circumstance will it be harder for the hemoglobin to release oxygen to the
tissues? - Answer-Decreased body temperature
/.A patient with a chest tube is being transported to the intensive care unit and
fluctuation is noted in the water seal chamber during inspiration and expiration. What is
the best action for the nurse to take? - Answer-Continue to the intensive care unit
/.An adult was thrown against a concrete wall during a factory explosion and sustained
a femur fracture, liver laceration, and a small subdural hematoma. These injuries most
likely occurred during what level of blast trauma? - Answer-Tertiary
/.An obese trauma patient requires intubation. Assuming there are no contraindications,
which position will provide the best visualization for insertion of the endotracheal tube? -
Answer-Ramped
/.A patient who jumped out of a second-floor window landing on their feet is diagnosed
with a lumbar spine fracture. What is the most likely concurrent injury to have occurred?
- Answer-Calcaneus fracture
/.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? - Answer-Prepare the
patient for surgery to remove the rod
/.Which findings are most consistent with a complete transection of the spinal cord? -
Answer-Absence of sensory and motor function below the level of injury
/.Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and subsequent Glasgow
Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural
hematomas and is awaiting transfer to the ICU. Your next assessment reveals a GCS of
9 (E-2, V-2, M-5). What is the priority nursing intervention? - Answer-Notify the provider
of the change
/.While caring for a child who has been injured, what nursing intervention is consistent
with a family-center approach? - Answer-Allowing family to participate in the care of the
patient
QUESTIONS WITH CORRECT SOLUTION
| RATED CORRECT | ALREADY GRADED
A+| 2025 LATEST UPDATED
/. Which intervention is recommended regarding the use of drug-assisted intubation and
rapid sequence intubation? - Answer-Pre-oxygenate to prolong the time to hypoxia
/.Which normal anatomic or physiologic change in an older adult places them at a
higher risk for aspiration? - Answer-Relaxed muscles of the oropharynx
/.A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing? - Answer-Voluntary anal sphincter tone
/.An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of
their body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be
400 mL/hour. The urine output over the last hour was 15mL. What intervention should
the nurse anticipate? - Answer-Increase isotonic crystalloid infusion rate
/.A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which
finding is consistent with spinal shock? - Answer-Loss of reflexes
/.A patient is brought to the emergency department following a motor vehicle rollover
and is complaining of left upper abdominal pain and left shoulder pain. This presentation
is most consistent with an injury to which organ? - Answer-Spleen
/.An adult patient is brought to the emergency department following a motor vehicle
collision with complaints of neck pain. They have identified as a person in the process of
transitioning from male to female. What effect of hormone therapy should be considered
when planning care for this patient? - Answer-Testosterone therapy may decrease
blood pressure
Correct rationale: A person who is in the process of transitioning from male to female
will usually be taking female hormones such as estrogen/estradiol to assist with the
transition. This can cause a decrease in muscle mass, increased risk of
thromboembolism, and possibly increased bone density. These patients would not be
taking testosterone.
/.An adult patient presents to the emergency department after sustaining severe facial
injuries during an altercation. The patient is awake, confused, and smells heavily of
, alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated
based on which clinical indicator? - Answer-Severe facial injuries
/.A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the left
lateral chest. Which finding is most consistent with an injury to the diaphragm? -
Answer-Bowel sounds heard in the left lower chest
/.A severely injured patient has been intubated and is being mechanically ventilated.
The patient has received a balanced resuscitation including multiple blood products.
Under which circumstance will it be harder for the hemoglobin to release oxygen to the
tissues? - Answer-Decreased body temperature
/.A patient with a chest tube is being transported to the intensive care unit and
fluctuation is noted in the water seal chamber during inspiration and expiration. What is
the best action for the nurse to take? - Answer-Continue to the intensive care unit
/.An adult was thrown against a concrete wall during a factory explosion and sustained
a femur fracture, liver laceration, and a small subdural hematoma. These injuries most
likely occurred during what level of blast trauma? - Answer-Tertiary
/.An obese trauma patient requires intubation. Assuming there are no contraindications,
which position will provide the best visualization for insertion of the endotracheal tube? -
Answer-Ramped
/.A patient who jumped out of a second-floor window landing on their feet is diagnosed
with a lumbar spine fracture. What is the most likely concurrent injury to have occurred?
- Answer-Calcaneus fracture
/.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? - Answer-Prepare the
patient for surgery to remove the rod
/.Which findings are most consistent with a complete transection of the spinal cord? -
Answer-Absence of sensory and motor function below the level of injury
/.Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and subsequent Glasgow
Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural
hematomas and is awaiting transfer to the ICU. Your next assessment reveals a GCS of
9 (E-2, V-2, M-5). What is the priority nursing intervention? - Answer-Notify the provider
of the change
/.While caring for a child who has been injured, what nursing intervention is consistent
with a family-center approach? - Answer-Allowing family to participate in the care of the
patient
