TNCC 8TH EDITION PROVIDER EXAM
QUESTIONS AND ANSWERS 2025
EMS brings a patient who fell while 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? - CORRECT ANSWER-Alert with no
neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
better visualization during the insertion of which device? - CORRECT ANSWER-
Endotracheal tube
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. What type of injury is
suspected? - CORRECT ANSWER-Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-
story window. The patient is awake and crying with increased work of breathing and
pale skin. Which of the following interventions has the highest priority? - CORRECT
ANSWER-Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - CORRECT
ANSWER-Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - CORRECT ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - CORRECT ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing intervention should be
performed next? - CORRECT ANSWER-Insert an oropharyngeal airway if there is no
gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax? - CORRECT ANSWER-Hypotension that worsens with
inspiration (pulsus paradoxus)
, What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT ANSWER-Hemoglobin does not readily release oxygen for use by the
tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms best
describes this trauma team's communication? - CORRECT ANSWER-Huddle
What finding raises suspicion of a complete spinal cord injury? - CORRECT ANSWER-
Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles? - CORRECT ANSWER-Initiate two large-caliber
intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate intervention?
- CORRECT ANSWER-Apply a splint and elevate the extremity above the level of the
heart
Which of the following is a late sign of increased intracranial pressure? - CORRECT
ANSWER-Decreased respiratory effort
Tearing of the bridging veins is most frequently associated with which brain injury? -
CORRECT ANSWER-Subdural hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following? - CORRECT ANSWER-Placental abruption
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - CORRECT ANSWER-Bradycardia and
absent motor function below the level of injury
QUESTIONS AND ANSWERS 2025
EMS brings a patient who fell while 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? - CORRECT ANSWER-Alert with no
neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
better visualization during the insertion of which device? - CORRECT ANSWER-
Endotracheal tube
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. What type of injury is
suspected? - CORRECT ANSWER-Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-
story window. The patient is awake and crying with increased work of breathing and
pale skin. Which of the following interventions has the highest priority? - CORRECT
ANSWER-Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - CORRECT
ANSWER-Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - CORRECT ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - CORRECT ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing intervention should be
performed next? - CORRECT ANSWER-Insert an oropharyngeal airway if there is no
gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax? - CORRECT ANSWER-Hypotension that worsens with
inspiration (pulsus paradoxus)
, What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT ANSWER-Hemoglobin does not readily release oxygen for use by the
tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms best
describes this trauma team's communication? - CORRECT ANSWER-Huddle
What finding raises suspicion of a complete spinal cord injury? - CORRECT ANSWER-
Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles? - CORRECT ANSWER-Initiate two large-caliber
intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate intervention?
- CORRECT ANSWER-Apply a splint and elevate the extremity above the level of the
heart
Which of the following is a late sign of increased intracranial pressure? - CORRECT
ANSWER-Decreased respiratory effort
Tearing of the bridging veins is most frequently associated with which brain injury? -
CORRECT ANSWER-Subdural hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following? - CORRECT ANSWER-Placental abruption
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - CORRECT ANSWER-Bradycardia and
absent motor function below the level of injury
