TNCC final exam With 50 Questions and answers Newest RATED A+ 2025/2026

TNCC final exam With 50 Questions and answers
Newest RATED A+ 2025/2026

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Answer: c - Correct Answers a) to measure oxygenation and ventilation
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




b) to quantify the base deficit for the adequacy of cellular perfusion
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




c) *to gauge end-organ perfusion and tissue hypoxia **
Il` Il` Il` Il` Il` Il` Il` Il`




d) to determine the underlying cause of shock
Il` Il` Il` Il` Il` Il` Il`




A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




and symptoms of which stage of shock?
Il` Il` Il` Il` Il` Il` Il` Il`




Answer: A - Correct Answers A) compensated ** Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) Progressive
Il`




C) irreversible
Il`




D) decompensated
Il`




An elderly patient with a history of anticoagulant use presents after a fall at home that day. she
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




denies any loss of consciousness. She has a hematoma to her forehead and complains of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Answer: D - Correct Answers A) epidural hematoma Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) diffuse axonal injury
Il` Il` Il`




C) post-concussive syndrome
Il` Il`

,D) subdural hematoma ***
Il` Il` Il`




EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




screening guidelines, which assessment finding would prompt the nurse to prepare the patient
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




for radiologic spine clearance?
Il` Il` Il` Il`




Answer: D - Correct Answers A) Alert with no neurologic deficits
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) Multiple abrasions to the extremities
Il` Il` Il` Il` Il` Il`




C) Multiple requests of water
Il` Il` Il` Il`




D) Smell of alcohol on breath ***
Il` Il` Il` Il` Il` Il`




Il` Which of the following occurs during the third impact of a motor vehicle crash?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Answer: C - Correct Answers A) The driver of the vehicle collides with the steering wheel
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) the vehicle collides with a tree
Il` Il` Il` Il` Il` Il`




C) the aorta is torn at its attachment with the ligamentum arteriosum
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




D) the airbag deploys and strikes the front seat passenger ***
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




A passenger is brought to the emergency department of a rural hospital following a high-speed
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




the following is the priority interventions?
Il` Il` Il` Il` Il` Il`




Answer: A - Correct Answers A) initiate transfer to a trauma center **
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) provide report to the operating room nurse
Il` Il` Il` Il` Il` Il` Il`




C) Obtained imaging studies
Il` Il` Il`




D) Place a gastric tube
Il` Il` Il` Il`

, Il` Which of the following injuries is LEAST likely to be promptly identified?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Answer: C - Correct Answers A) spleenIl` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) lung Il`




C) bowel ***
Il` Il`




D) brain Il`




Il` Patients with a crush injury should be monitored for which of the following conditions?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Answer: C - Correct Answers A) Hypernatremia
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) Hypercalcemia
Il` Il`




C) Dysrhthmias **
Il` Il`




D) polyuria Il`




Il` What finding raises suspicion of complete spinal cord injury?
Il` Il` Il` Il` Il` Il` Il` Il`




Answer: B - Correct Answers A) Weakness in the lower extremities
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) Priapism ***
Il` Il`




C) voluntary anal sphincter tone
Il` Il` Il` Il`




D) intact reflexes distal to the injury
Il` Il` Il` Il` Il` Il`




A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




and which other clinical signs?
Il` Il` Il` Il` Il`




Answer: D - Correct Answers A) Bradycardia and ipsilateral absences of motor function
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




B) Tachycardia and respiratory depression
Il` Il` Il` Il`