1|Page
TNCC 9TH EDITION TNP LATEST
2024-2025 TEST WITH ACTUAL
EXAM TIPS
PASS ON 1ST ATTEMPT
A 5-year-old child presents to the emergency department 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 the priority
nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati -ANS-A.Report your suspicion of
maltreatment in accordance with local regulations
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 -ANS-Globe rupture
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?
,2|Page
A.Rapid fluid boluses
B.Tranexamic acid
C.Inotropic support -ANS-C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured
patients during a staffing crisis. The nurse expresses anger stating that the
patients did not receive quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic
stress
D.Moral injury -ANS-D.Moral injury
,3|Page
A patient arrives following prolonged exposure of their left hand to the cold. The
patient is awake and alert and complains of a tingling sensation to the fingers.
Assessment reveals swelling and bright red skin to the left hand and a 1-inch
round clear blister to the dorsum of that hand. Which of the following nursing
interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 -ANS-D.Gently rewarm over 15 to 30 minutes
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. -ANS-D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a
machete. Prehospital providers placed a nonporous dressing over the chest
wound and taped it on three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair -ANS-C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area -ANS-Voluntary anal sphincter tone
, 4|Page
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The
TNCC 9TH EDITION TNP LATEST
2024-2025 TEST WITH ACTUAL
EXAM TIPS
PASS ON 1ST ATTEMPT
A 5-year-old child presents to the emergency department 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 the priority
nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati -ANS-A.Report your suspicion of
maltreatment in accordance with local regulations
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 -ANS-Globe rupture
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?
,2|Page
A.Rapid fluid boluses
B.Tranexamic acid
C.Inotropic support -ANS-C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured
patients during a staffing crisis. The nurse expresses anger stating that the
patients did not receive quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic
stress
D.Moral injury -ANS-D.Moral injury
,3|Page
A patient arrives following prolonged exposure of their left hand to the cold. The
patient is awake and alert and complains of a tingling sensation to the fingers.
Assessment reveals swelling and bright red skin to the left hand and a 1-inch
round clear blister to the dorsum of that hand. Which of the following nursing
interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 -ANS-D.Gently rewarm over 15 to 30 minutes
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. -ANS-D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a
machete. Prehospital providers placed a nonporous dressing over the chest
wound and taped it on three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair -ANS-C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area -ANS-Voluntary anal sphincter tone
, 4|Page
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The
