TNCC 9th Edition Exam with Q&A
20252026
Which intervention is recommended regarding the use of drug-assisted
intubation and rapid sequence intubation? - >>Pre-oxygenate
ANSWERto
prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places
them at a higher risk for aspiration? - >>Relaxed muscles of
ANSWERthe
oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1.
Which finding would indicate sacral sparing? - >>Voluntary
ANSWERanal
sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to
32% of their body 2 hours prior to arrival. Intravenous fluid resuscitation
was calculated to be 400 mL/hour. The urine output over the last hour was
15mL. What intervention should the nurse anticipate? -
ANSWER >>Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock? - >>Loss
ANSWERof
reflexes
A patient is brought to the emergency department following a motor vehicle
rollover and is complaining of left upper abdominal pain and left shoulder
pain. This presentation is most consistent with an injury to which organ? -
ANSWER
>>Spleen
, An adult patient is brought to the emergency department following a motor
vehicle collision with complaints of neck pain. They have identified as a
person in the process of transitioning from male to female. What effect of
hormone therapy should be considered when planning care for this patient?
- >>Testosterone therapy may decrease blood pressure
ANSWER
Correct rationale: A person who is in the process of transitioning from male
to female will usually be taking female hormones such as estrogen/estradiol
to assist with the transition. This can cause a decrease in muscle mass,
increased risk of thromboembolism, and possibly increased bone density.
These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining
severe facial injuries during an altercation. The patient is awake, confused,
and smells heavily of alcohol. Pulse oximetry is 94% on room air.
Immediate intubation should be anticipated based on which clinical
indicator? - >>Severe facial injuries
ANSWER 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? - >>Bowel sounds heard in the
ANSWER
left lower chest
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? -
ANSWER>>Decreased
body temperature
A patient with a chest tube is being transported to the intensive care unit
and fluctuation is noted in the water seal chamber during inspiration and
20252026
Which intervention is recommended regarding the use of drug-assisted
intubation and rapid sequence intubation? - >>Pre-oxygenate
ANSWERto
prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places
them at a higher risk for aspiration? - >>Relaxed muscles of
ANSWERthe
oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1.
Which finding would indicate sacral sparing? - >>Voluntary
ANSWERanal
sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to
32% of their body 2 hours prior to arrival. Intravenous fluid resuscitation
was calculated to be 400 mL/hour. The urine output over the last hour was
15mL. What intervention should the nurse anticipate? -
ANSWER >>Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock? - >>Loss
ANSWERof
reflexes
A patient is brought to the emergency department following a motor vehicle
rollover and is complaining of left upper abdominal pain and left shoulder
pain. This presentation is most consistent with an injury to which organ? -
ANSWER
>>Spleen
, An adult patient is brought to the emergency department following a motor
vehicle collision with complaints of neck pain. They have identified as a
person in the process of transitioning from male to female. What effect of
hormone therapy should be considered when planning care for this patient?
- >>Testosterone therapy may decrease blood pressure
ANSWER
Correct rationale: A person who is in the process of transitioning from male
to female will usually be taking female hormones such as estrogen/estradiol
to assist with the transition. This can cause a decrease in muscle mass,
increased risk of thromboembolism, and possibly increased bone density.
These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining
severe facial injuries during an altercation. The patient is awake, confused,
and smells heavily of alcohol. Pulse oximetry is 94% on room air.
Immediate intubation should be anticipated based on which clinical
indicator? - >>Severe facial injuries
ANSWER 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? - >>Bowel sounds heard in the
ANSWER
left lower chest
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? -
ANSWER>>Decreased
body temperature
A patient with a chest tube is being transported to the intensive care unit
and fluctuation is noted in the water seal chamber during inspiration and
