TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
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?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in the left lower chest
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 34.6oC (94.2oF) and an SpO2 of 90% on
oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6
mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
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?
A.Cardiogenic
B.Neuroge - ansA.Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin - ansB.Loss of reflexes
A patient is thrown against a car during a tornado and presents with obvious bilateral femur
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?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the n - ansInitiate two large-caliber
intravenous lines for isotonic crystalloid administration.
A patient who sustained severe injuries was brought to the emergency department following a
high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated.
What component of the trauma triad of death is most likely to have begun at the time of
injury?
A.Acidosis
B.Hypothermia
C.Hypocalcemia
D.Coagulopathy - ansD.Coagulopathy
A patient who weighs 120 kg is brought to the emergency department after sustaining partial
thickness burns to both upper extremities and chest with a total body surface area burned of
27%. How much intravenous fluid should be administered in the first 8 hours?
A.1620 mL
B.2160 mL
C.3240 mL
D.6480 mL - ansC.3240 mL
A patient with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ansC.Elevating the leg to the level of the
heart
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66
kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an
indication of the body's response to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ansD.Widening pulse pressure
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
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?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - ansC.Decreased body temperature
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?
A.Rhabdomyolysis
B.Fat embolism
C.Disseminated intravascular coagulopathy
D.Multiple organ dysfunctions syndrome - ansC.Disseminated intravascular coagulopathy
A trauma patient who is 30-weeks pregnant arrives at the emergency department following a
motor vehicle collision. Which normal physiologic change should be considered when
assessing ventilatory status?
A.Increased functional reserve capacity
B.Increased oxygen consumption
C.Decreased minute ventilation
D.Slower desaturation rates with apnea - ansB.Increased oxygen consumption
An adult patient involved in a motor vehicle collision is brought to the emergency department
of a rural critical access facility. They complain of neck pain, shortness of breath, and diffuse
abdominal pain. The Glasgow Coma Score is 15. Vital signs are: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, and SpO2 94% on high-flow oxygen via non-rebreather
mask. Which of the following is the priority intervention for this patient?
A.Expedite transport to the CT scanner
B.Prepare the pati - ansC.Expedite transfer to the closest trauma center
An adult patient was brought to the emergency department following a motorcycle crash. On
arrival, the patient is only responsive to pain, has bleeding from the nose, and multiple
abrasions and contusions to the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
, TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect - ansC.Use a jaw thrust to open the airway
and look for signs of obstruction.
An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the
most important intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Re - ansA.Decrease the rate of manual ventilation.
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph.
The patient is awake and alert and the right leg is shortened. Following initial resuscitation
with fluids, the patient remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - ansApply a pelvic binder
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?
A.Primary
B.Secondary
C.Tertiary
D.Quaternary - ansC.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?
A.Reverse Trendelenburg
B.Lying on side
C.Ramped
D.Supine - ansC.Ramped
An older adult presents to the emergency department with complaints of dizziness, headache,
and nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no
loss of consciousness and a hematoma is noted to the forehead. The patient is currently on
anticoagulant therapy. What is most likely the cause of their symptoms?
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
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?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in the left lower chest
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 34.6oC (94.2oF) and an SpO2 of 90% on
oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6
mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
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?
A.Cardiogenic
B.Neuroge - ansA.Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin - ansB.Loss of reflexes
A patient is thrown against a car during a tornado and presents with obvious bilateral femur
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?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the n - ansInitiate two large-caliber
intravenous lines for isotonic crystalloid administration.
A patient who sustained severe injuries was brought to the emergency department following a
high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated.
What component of the trauma triad of death is most likely to have begun at the time of
injury?
A.Acidosis
B.Hypothermia
C.Hypocalcemia
D.Coagulopathy - ansD.Coagulopathy
A patient who weighs 120 kg is brought to the emergency department after sustaining partial
thickness burns to both upper extremities and chest with a total body surface area burned of
27%. How much intravenous fluid should be administered in the first 8 hours?
A.1620 mL
B.2160 mL
C.3240 mL
D.6480 mL - ansC.3240 mL
A patient with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ansC.Elevating the leg to the level of the
heart
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66
kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an
indication of the body's response to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ansD.Widening pulse pressure
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
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?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - ansC.Decreased body temperature
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?
A.Rhabdomyolysis
B.Fat embolism
C.Disseminated intravascular coagulopathy
D.Multiple organ dysfunctions syndrome - ansC.Disseminated intravascular coagulopathy
A trauma patient who is 30-weeks pregnant arrives at the emergency department following a
motor vehicle collision. Which normal physiologic change should be considered when
assessing ventilatory status?
A.Increased functional reserve capacity
B.Increased oxygen consumption
C.Decreased minute ventilation
D.Slower desaturation rates with apnea - ansB.Increased oxygen consumption
An adult patient involved in a motor vehicle collision is brought to the emergency department
of a rural critical access facility. They complain of neck pain, shortness of breath, and diffuse
abdominal pain. The Glasgow Coma Score is 15. Vital signs are: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, and SpO2 94% on high-flow oxygen via non-rebreather
mask. Which of the following is the priority intervention for this patient?
A.Expedite transport to the CT scanner
B.Prepare the pati - ansC.Expedite transfer to the closest trauma center
An adult patient was brought to the emergency department following a motorcycle crash. On
arrival, the patient is only responsive to pain, has bleeding from the nose, and multiple
abrasions and contusions to the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
, TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect - ansC.Use a jaw thrust to open the airway
and look for signs of obstruction.
An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the
most important intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Re - ansA.Decrease the rate of manual ventilation.
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph.
The patient is awake and alert and the right leg is shortened. Following initial resuscitation
with fluids, the patient remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - ansApply a pelvic binder
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?
A.Primary
B.Secondary
C.Tertiary
D.Quaternary - ansC.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?
A.Reverse Trendelenburg
B.Lying on side
C.Ramped
D.Supine - ansC.Ramped
An older adult presents to the emergency department with complaints of dizziness, headache,
and nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no
loss of consciousness and a hematoma is noted to the forehead. The patient is currently on
anticoagulant therapy. What is most likely the cause of their symptoms?
