TNCC Final Exam Questions and answers
2025
Why .is .a .measure .of .serum .lactate .obtained .in .the .initial .assessment .of .the
.trauma .patient? .
Answer: .c .- .CORRECT .ANSWER-a) .to .measure .oxygenation .and .ventilation
b) .to .quantify .the .base .deficit .for .the .adequacy .of .cellular .perfusion
c) .*to .gauge .end-organ .perfusion .and .tissue .hypoxia .**
d) .to .determine .the .underlying .cause .of .shock
A .trauma .patient .is .restless .and .repeatedly .asking ."where .am .I?" .vital .signs
.upon .arrival .were .BP .100/60 .mm .Hg, .HR .96 .beats/min, .and .RR .24 .breaths/min.
.Her .skin .is .cool .and .dry. .Current .vital .signs .are .BP .104/84mm .Hg, .HR .108, .RR
.28 .breaths/min. .The .patient .is .demonstrating .signs .and .symptoms .of .which
.stage .of .shock? .
Answer: .A .- .CORRECT .ANSWER-A) .compensated .**
B) .Progressive
C) .irreversible
D) .decompensated
An .elderly .patient .with .a .history .of .anticoagulant .use .presents .after .a .fall .at
.home .that .day. .she .denies .any .loss .of .consciousness. .She .has .a .hematoma .to
.her .forehead .and .complains .of .headache, .dizziness, .and .nausea. .Which .is .a
.most .likely .cause .of .her .symptoms?
Answer: .D .- .CORRECT .ANSWER-A) .epidural .hematoma
B) .diffuse .axonal .injury
C) .post-concussive .syndrome
D) .subdural .hematoma .***
EMS .brings .a .patient .who .fell .riding .his .bicycle. .Using .the .American .College .of
.Surgeons .screening .guidelines, .which .assessment .finding .would .prompt .the
.nurse .to .prepare .the .patient .for .radiologic .spine .clearance?
Answer: .D .- .CORRECT .ANSWER-A) .Alert .with .no .neurologic .deficits
B) .Multiple .abrasions .to .the .extremities .
C) .Multiple .requests .of .water
D) .Smell .of .alcohol .on .breath .***
, Which .of .the .following .occurs .during .the .third .impact .of .a .motor .vehicle .crash?
Answer: .C .- .CORRECT .ANSWER-A) .The .driver .of .the .vehicle .collides .with .the
.steering .wheel
B) .the .vehicle .collides .with .a .tree
C) .the .aorta .is .torn .at .its .attachment .with .the .ligamentum .arteriosum .
D) .the .airbag .deploys .and .strikes .the .front .seat .passenger .***
A .passenger .is .brought .to .the .emergency .department .of .a .rural .hospital
.following .a .high-speed .MVC. .When .significant .abdominal .and .pelvic .injuries
.are .noted .in .the .primary .survey, .which .of .the .following .is .the .priority
.interventions?
Answer: .A .- .CORRECT .ANSWER-A) .initiate .transfer .to .a .trauma .center .**
B) .provide .report .to .the .operating .room .nurse
C) .Obtained .imaging .studies
D) .Place .a .gastric .tube
Which .of .the .following .injuries .is .LEAST .likely .to .be .promptly .identified?
Answer: .C .- .CORRECT .ANSWER-A) .spleen
B) .lung
C) .bowel .***
D) .brain
Patients .with .a .crush .injury .should .be .monitored .for .which .of .the .following
.conditions?
Answer: .C .- .CORRECT .ANSWER-A) .Hypernatremia .
B) .Hypercalcemia .
C) .Dysrhthmias .**
D) .polyuria
What .finding .raises .suspicion .of .complete .spinal .cord .injury?
Answer: .B .- .CORRECT .ANSWER-A) .Weakness .in .the .lower .extremities
B) .Priapism .***
C) .voluntary .anal .sphincter .tone
D) .intact .reflexes .distal .to .the .injury
A .patient .with .a .complete .spinal .cord .injury .in .neurogenic .shock .will
.demonstrate .hypotension .and .which .other .clinical .signs?
Answer: .D .- .CORRECT .ANSWER-A) .Bradycardia .and .ipsilateral .absences .of
.motor .function
B) .Tachycardia .and .respiratory .depression
C) .Tachycardia .and .absent .motor .function .below .the .level .of .injury
D) .Bradycardia .and .absent .motor .function .below .the .level .of .the .injury .***
2025
Why .is .a .measure .of .serum .lactate .obtained .in .the .initial .assessment .of .the
.trauma .patient? .
Answer: .c .- .CORRECT .ANSWER-a) .to .measure .oxygenation .and .ventilation
b) .to .quantify .the .base .deficit .for .the .adequacy .of .cellular .perfusion
c) .*to .gauge .end-organ .perfusion .and .tissue .hypoxia .**
d) .to .determine .the .underlying .cause .of .shock
A .trauma .patient .is .restless .and .repeatedly .asking ."where .am .I?" .vital .signs
.upon .arrival .were .BP .100/60 .mm .Hg, .HR .96 .beats/min, .and .RR .24 .breaths/min.
.Her .skin .is .cool .and .dry. .Current .vital .signs .are .BP .104/84mm .Hg, .HR .108, .RR
.28 .breaths/min. .The .patient .is .demonstrating .signs .and .symptoms .of .which
.stage .of .shock? .
Answer: .A .- .CORRECT .ANSWER-A) .compensated .**
B) .Progressive
C) .irreversible
D) .decompensated
An .elderly .patient .with .a .history .of .anticoagulant .use .presents .after .a .fall .at
.home .that .day. .she .denies .any .loss .of .consciousness. .She .has .a .hematoma .to
.her .forehead .and .complains .of .headache, .dizziness, .and .nausea. .Which .is .a
.most .likely .cause .of .her .symptoms?
Answer: .D .- .CORRECT .ANSWER-A) .epidural .hematoma
B) .diffuse .axonal .injury
C) .post-concussive .syndrome
D) .subdural .hematoma .***
EMS .brings .a .patient .who .fell .riding .his .bicycle. .Using .the .American .College .of
.Surgeons .screening .guidelines, .which .assessment .finding .would .prompt .the
.nurse .to .prepare .the .patient .for .radiologic .spine .clearance?
Answer: .D .- .CORRECT .ANSWER-A) .Alert .with .no .neurologic .deficits
B) .Multiple .abrasions .to .the .extremities .
C) .Multiple .requests .of .water
D) .Smell .of .alcohol .on .breath .***
, Which .of .the .following .occurs .during .the .third .impact .of .a .motor .vehicle .crash?
Answer: .C .- .CORRECT .ANSWER-A) .The .driver .of .the .vehicle .collides .with .the
.steering .wheel
B) .the .vehicle .collides .with .a .tree
C) .the .aorta .is .torn .at .its .attachment .with .the .ligamentum .arteriosum .
D) .the .airbag .deploys .and .strikes .the .front .seat .passenger .***
A .passenger .is .brought .to .the .emergency .department .of .a .rural .hospital
.following .a .high-speed .MVC. .When .significant .abdominal .and .pelvic .injuries
.are .noted .in .the .primary .survey, .which .of .the .following .is .the .priority
.interventions?
Answer: .A .- .CORRECT .ANSWER-A) .initiate .transfer .to .a .trauma .center .**
B) .provide .report .to .the .operating .room .nurse
C) .Obtained .imaging .studies
D) .Place .a .gastric .tube
Which .of .the .following .injuries .is .LEAST .likely .to .be .promptly .identified?
Answer: .C .- .CORRECT .ANSWER-A) .spleen
B) .lung
C) .bowel .***
D) .brain
Patients .with .a .crush .injury .should .be .monitored .for .which .of .the .following
.conditions?
Answer: .C .- .CORRECT .ANSWER-A) .Hypernatremia .
B) .Hypercalcemia .
C) .Dysrhthmias .**
D) .polyuria
What .finding .raises .suspicion .of .complete .spinal .cord .injury?
Answer: .B .- .CORRECT .ANSWER-A) .Weakness .in .the .lower .extremities
B) .Priapism .***
C) .voluntary .anal .sphincter .tone
D) .intact .reflexes .distal .to .the .injury
A .patient .with .a .complete .spinal .cord .injury .in .neurogenic .shock .will
.demonstrate .hypotension .and .which .other .clinical .signs?
Answer: .D .- .CORRECT .ANSWER-A) .Bradycardia .and .ipsilateral .absences .of
.motor .function
B) .Tachycardia .and .respiratory .depression
C) .Tachycardia .and .absent .motor .function .below .the .level .of .injury
D) .Bradycardia .and .absent .motor .function .below .the .level .of .the .injury .***
