1|Page
TNCC 9th Edition 2025, trauma nursing exam, TNCC
test questions, emergency care nursing, TNCC 100
questions, verified trauma answers, trauma
assessment exam
Using the American College of Surgeons Guidelines for
Screening Patients with Suspected Spine Injury, what
assessment finding would prompt the nurse to prepare a patient
for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU - ANSWER-
A 5-month pregnant patient arrives in the emergency department
stating she tripped and fell, landing on her abdomen. Assessment
reveals bruising to the abdomen, both arms, and her neck. She
states she does not take any medications and has not had any
prenatal care. The nurse suspects the findings are most likely
related to which of the following?
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A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - ANSWER-
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?
A.Open the airway with the head-tilt/chin-lift maneuver
B.Auscultate bilateral breath sounds
C.Assist respirations using a bag-mask device
D.Insert an oropharyngeal airway if there is no gag reflex -
ANSWER-
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
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C.Tertiary
D.Quaternary - ANSWER-
A patient presents to the emergency department with a
degloving injury involving the entire forearm. What should the
nurse consider when planning care for a patient with this injury?
A.Wound edges can be easily approximated for suturing.
B.Surgical intervention will be needed
C.Extent of tissue damage does not affect potential limb salvage
D.Only soft tissue has been damaged - ANSWER-
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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-
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A driver involved in a high-speed motor vehicle collision arrives
in the emergency department. The vehicle's air-bag failed to
deploy. The patient is drowsy but arousable and complaining of
chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled
bleeding. Cardiac monitor shows premature ventricular
contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Epinephrine administration - ANSWER-
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 - ANSWER-
TNCC 9th Edition 2025, trauma nursing exam, TNCC
test questions, emergency care nursing, TNCC 100
questions, verified trauma answers, trauma
assessment exam
Using the American College of Surgeons Guidelines for
Screening Patients with Suspected Spine Injury, what
assessment finding would prompt the nurse to prepare a patient
for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU - ANSWER-
A 5-month pregnant patient arrives in the emergency department
stating she tripped and fell, landing on her abdomen. Assessment
reveals bruising to the abdomen, both arms, and her neck. She
states she does not take any medications and has not had any
prenatal care. The nurse suspects the findings are most likely
related to which of the following?
,2|Page
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - ANSWER-
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?
A.Open the airway with the head-tilt/chin-lift maneuver
B.Auscultate bilateral breath sounds
C.Assist respirations using a bag-mask device
D.Insert an oropharyngeal airway if there is no gag reflex -
ANSWER-
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
,3|Page
C.Tertiary
D.Quaternary - ANSWER-
A patient presents to the emergency department with a
degloving injury involving the entire forearm. What should the
nurse consider when planning care for a patient with this injury?
A.Wound edges can be easily approximated for suturing.
B.Surgical intervention will be needed
C.Extent of tissue damage does not affect potential limb salvage
D.Only soft tissue has been damaged - ANSWER-
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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-
, 4|Page
A driver involved in a high-speed motor vehicle collision arrives
in the emergency department. The vehicle's air-bag failed to
deploy. The patient is drowsy but arousable and complaining of
chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled
bleeding. Cardiac monitor shows premature ventricular
contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Epinephrine administration - ANSWER-
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 - ANSWER-
