TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
1. You- are- caring- for- a- patient- who- was- thrown- from- a- bike- and-
was- not- wearing- a- helmet.- While- performing- the- head-to-toe-
assessment,- you- note- clear- drainage- from- the- right- ear.-Which- of- the-
following- is- the- most- appropriate- next- step?
A. Clean- the- ear- with- a- cotton-tipped- applicator.
B. Pack- the- ear- with- gauze.
C. Notify- the- physician
D. Document- and- continue- the- exam.:- C.- Notify- the- physician
2. A- patient- is- brought- to- the- emergency- department- of- a- rural-
hospital- fol-- lowing- a- high-speed- motor- vehicle- collision.-When-
significant- abdominal- and- pelvic- injuries- are- noted- in- the- primary-
survey,- what- is- the- priority- interven-- tion?
A. Initiate- transfer- to- a- trauma- center
B. Attempt- family- notification
C. Obtain- additional- imaging- studies
D. Place- an- indwelling- urinary- catheter:- A.- Initiate- transfer- to- a- trauma-
center
3. An- adult- who- fell- from- a- second- story- roof- is- brought- to- the-
emergency- department- by- private- vehicle.-The- patient- is- confused-
with- unlabored- res-- pirations- and- has- strong,- palpable- radial-
pulses.- There- is- an- open- wound- in- proximity- to- an- obvious-
deformity- of- the- left- lower- extremity.- What- is- the- priority-
intervention?
A. Initiate- cervical- spine- stabilization
B. Apply- a- splint- to- the- lower- extremity
C. Put- the- patient- on- portable- oxygen.
D. Log- roll- the- patient- onto- a- spine- board:- A.- Initiate- cervical- spine-
stabilization
4. An- adult- patient- who- sustained- a- severe- head- trauma- has- been-
intubat-- ed- 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-
1- /- 46
, TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
the- most- important- intervention- to- manage- the- cerebral- blood- flow?
A. Decrease- the- rate- of- manual- ventilation.
B. Initiate- another- fluid- bolus.
2- /- 46
, TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
C. Recheck- endotracheal- tube- placement.
D. Increase- the- amount- of- oxygen- delivered.:- A.- Decrease- the- rate- of-
manual- ventilation.
5. An- adult- patient- is- brought- to- the- emergency- department- following-
a- vehi-- cle- "roll-over"- with- prolonged- extrication.- Assessment- reveals-
swelling- and- bruising- to- the- right- proximal- thigh- and- a- weak- pedal-
pulse.- Skin- is- pale,- cool,- and- moist.- What- is- the- most- appropriate-
initial- intervention?
A. Application- of- a- tourniquet- to- the- affected- extremity
B. Application- of- a- pelvic- binder
C. Fluid- resuscitation- to- maintain- a- urine- output- of- 0.5- mL/kg/hour
D. Oxygen- to- maintain- the- ETCO2- between- 30-35- mm- Hg- (3.9-4.6-
kPa):- B.- Application- of- a- pelvic- binder
6. An- adult- arrives- at- the- emergency- department- with- superficial-
burns- to- the- extremities- following- a- house- fire.- The- patient- is-
reporting- a- headache- with- nausea- and- is- drowsy- and- confused.- What-
is- the- most- likely- cause- of- these- symptoms?
A. Capillary- leak- syndrome
B. Rhabdomyolysis
C. Carbon- monoxide- poisoning
D. Hypothermia:
7. 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:
8. 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-
3- /- 46
, TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
following?
A. Intentional- violence
4- /- 46
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
1. You- are- caring- for- a- patient- who- was- thrown- from- a- bike- and-
was- not- wearing- a- helmet.- While- performing- the- head-to-toe-
assessment,- you- note- clear- drainage- from- the- right- ear.-Which- of- the-
following- is- the- most- appropriate- next- step?
A. Clean- the- ear- with- a- cotton-tipped- applicator.
B. Pack- the- ear- with- gauze.
C. Notify- the- physician
D. Document- and- continue- the- exam.:- C.- Notify- the- physician
2. A- patient- is- brought- to- the- emergency- department- of- a- rural-
hospital- fol-- lowing- a- high-speed- motor- vehicle- collision.-When-
significant- abdominal- and- pelvic- injuries- are- noted- in- the- primary-
survey,- what- is- the- priority- interven-- tion?
A. Initiate- transfer- to- a- trauma- center
B. Attempt- family- notification
C. Obtain- additional- imaging- studies
D. Place- an- indwelling- urinary- catheter:- A.- Initiate- transfer- to- a- trauma-
center
3. An- adult- who- fell- from- a- second- story- roof- is- brought- to- the-
emergency- department- by- private- vehicle.-The- patient- is- confused-
with- unlabored- res-- pirations- and- has- strong,- palpable- radial-
pulses.- There- is- an- open- wound- in- proximity- to- an- obvious-
deformity- of- the- left- lower- extremity.- What- is- the- priority-
intervention?
A. Initiate- cervical- spine- stabilization
B. Apply- a- splint- to- the- lower- extremity
C. Put- the- patient- on- portable- oxygen.
D. Log- roll- the- patient- onto- a- spine- board:- A.- Initiate- cervical- spine-
stabilization
4. An- adult- patient- who- sustained- a- severe- head- trauma- has- been-
intubat-- ed- 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-
1- /- 46
, TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
the- most- important- intervention- to- manage- the- cerebral- blood- flow?
A. Decrease- the- rate- of- manual- ventilation.
B. Initiate- another- fluid- bolus.
2- /- 46
, TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
C. Recheck- endotracheal- tube- placement.
D. Increase- the- amount- of- oxygen- delivered.:- A.- Decrease- the- rate- of-
manual- ventilation.
5. An- adult- patient- is- brought- to- the- emergency- department- following-
a- vehi-- cle- "roll-over"- with- prolonged- extrication.- Assessment- reveals-
swelling- and- bruising- to- the- right- proximal- thigh- and- a- weak- pedal-
pulse.- Skin- is- pale,- cool,- and- moist.- What- is- the- most- appropriate-
initial- intervention?
A. Application- of- a- tourniquet- to- the- affected- extremity
B. Application- of- a- pelvic- binder
C. Fluid- resuscitation- to- maintain- a- urine- output- of- 0.5- mL/kg/hour
D. Oxygen- to- maintain- the- ETCO2- between- 30-35- mm- Hg- (3.9-4.6-
kPa):- B.- Application- of- a- pelvic- binder
6. An- adult- arrives- at- the- emergency- department- with- superficial-
burns- to- the- extremities- following- a- house- fire.- The- patient- is-
reporting- a- headache- with- nausea- and- is- drowsy- and- confused.- What-
is- the- most- likely- cause- of- these- symptoms?
A. Capillary- leak- syndrome
B. Rhabdomyolysis
C. Carbon- monoxide- poisoning
D. Hypothermia:
7. 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:
8. 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-
3- /- 46
, TNCC 9 TH- EDITION- ACTUAL EXAM NEWEST VERSION-
QUESTION
FINAL AND CORRECT DETAILED-
2025/2026VERIFIED- ANSWERS- FROM-
VERIFIED SOURCES RATED A GRADE.
following?
A. Intentional- violence
4- /- 46
