TNCC EXAM 2025 QUESTIONS AND
ANSWERS
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - ANS endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANS subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory
values is expected with a musculoskeletal complication associated with this presentation? -
ANS Elevated creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority intervention? - ANS Initiate transfer to a trauma
center
Which of the following injuries is LEAST likely to be promptly identified? - ANS bowel
Which of the following patients warrants referral to a burn center? - ANS A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
complaining of leg pain. His wife reported that he suddenly became anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, The patient is exhibiting signs and symptoms most commonly associated with which of the
follow conditions? - ANS fat embolism
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? - ANS Apply a
splint and elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency
department of a rural critical assess facility. He complaints of neck pain, shortness of breath,
and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP
98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via
non-rebreather mask. Which of the follow is the priority intervention for this patient? -
ANS Expedite transfer to the closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? -
ANS CIWA-Ar of 36
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? - ANS huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs? - ANS Bradycardia and absent motor function below the level
of injury
Which of the following is true about the log-roll maneuver? - ANS It can worsen cord damage
from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ANS velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no abnormalities
found based on the pediatric assessment triangle or primary survey. Which of the following is
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
ANSWERS
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - ANS endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANS subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory
values is expected with a musculoskeletal complication associated with this presentation? -
ANS Elevated creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority intervention? - ANS Initiate transfer to a trauma
center
Which of the following injuries is LEAST likely to be promptly identified? - ANS bowel
Which of the following patients warrants referral to a burn center? - ANS A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
complaining of leg pain. His wife reported that he suddenly became anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, The patient is exhibiting signs and symptoms most commonly associated with which of the
follow conditions? - ANS fat embolism
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? - ANS Apply a
splint and elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency
department of a rural critical assess facility. He complaints of neck pain, shortness of breath,
and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP
98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via
non-rebreather mask. Which of the follow is the priority intervention for this patient? -
ANS Expedite transfer to the closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? -
ANS CIWA-Ar of 36
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? - ANS huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs? - ANS Bradycardia and absent motor function below the level
of injury
Which of the following is true about the log-roll maneuver? - ANS It can worsen cord damage
from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ANS velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no abnormalities
found based on the pediatric assessment triangle or primary survey. Which of the following is
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
