TNCC FINAL EXAM 2025 QUESTIONS
AND ANSWERS
You are treating a 27-year old male in respiratory distress who was involved in a house fire.
Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should
you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - ANS B) 500 mL/hr
A patient has been in the ED 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 c/o leg pain. His wife
reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless,
with respiratory distress and petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
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,A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - ANS B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - ANS B) narrowed
Which of the following considerations is most important when caring for a geriatric trauma
patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - ANS B) medical history
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, Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - ANS D) hypotension that worsens with
inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels is consistent with obstructive
shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs
include distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the
patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest. Using the modified Lund and
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AND ANSWERS
You are treating a 27-year old male in respiratory distress who was involved in a house fire.
Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should
you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - ANS B) 500 mL/hr
A patient has been in the ED 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 c/o leg pain. His wife
reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless,
with respiratory distress and petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
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,A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - ANS B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - ANS B) narrowed
Which of the following considerations is most important when caring for a geriatric trauma
patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - ANS B) medical history
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
, Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - ANS D) hypotension that worsens with
inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels is consistent with obstructive
shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs
include distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the
patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest. Using the modified Lund and
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
