TNCC FINAL EXAM TEST 2025 SUMMER-FALL
QUESTIONS AND CORRECT ANSWERS. GENUINE
2025 ACTUAL EXAM UPDATE. ALREADY GRADED A+.
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ANSWER >> a) to measure oxygenation and ventilation
to quantify the base deficit for the adequacy of cellular perfusion
*to gauge end-organ perfusion and tissue hypoxia **
to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were
BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current
vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating
signs and symptoms of which stage of shock?
Answer: A - ANSWER >> A) compensated **
Progressive
irreversible
decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. she
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. Which is a most likely because of her symptoms?
Answer: D - ANSWER >> A) epidural hematoma
diffuse axonal injury
post-concussive syndrome
subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons
screening guidelines, which assessment finding would prompt the nurse to prepare the patient
for radiologic spine clearance?
Answer: D - ANSWER >> A) Alert with no neurologic deficits
Multiple abrasions to the extremities
Multiple requests of water
Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
, Answer: C - ANSWER >> A) The driver of the vehicle collides with the steering wheel
the vehicle collides with a tree
the aorta is torn at its attachment with the ligamentum arteriosum
the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following a high-speed
MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of
the following is the priority interventions?
Answer: A - ANSWER >> A) initiate transfer to a trauma center **
provide report to the operating room nurse
Obtained imaging studies
Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - ANSWER >> A) spleen
lung
bowel ***
brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - ANSWER >> A) Hypernatremia
Hypercalcemia
Dysrhthmias **
polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - ANSWER >> A) Weakness in the lower extremities
Priapism ***
voluntary anal sphincter tone
intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs?
Answer: D - ANSWER >> A) Bradycardia and ipsilateral absences of motor function
Tachycardia and respiratory depression
Tachycardia and absent motor function below the level of injury
Bradycardia and absent motor function below the level of the injury ***
QUESTIONS AND CORRECT ANSWERS. GENUINE
2025 ACTUAL EXAM UPDATE. ALREADY GRADED A+.
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ANSWER >> a) to measure oxygenation and ventilation
to quantify the base deficit for the adequacy of cellular perfusion
*to gauge end-organ perfusion and tissue hypoxia **
to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were
BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current
vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating
signs and symptoms of which stage of shock?
Answer: A - ANSWER >> A) compensated **
Progressive
irreversible
decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. she
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. Which is a most likely because of her symptoms?
Answer: D - ANSWER >> A) epidural hematoma
diffuse axonal injury
post-concussive syndrome
subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons
screening guidelines, which assessment finding would prompt the nurse to prepare the patient
for radiologic spine clearance?
Answer: D - ANSWER >> A) Alert with no neurologic deficits
Multiple abrasions to the extremities
Multiple requests of water
Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
, Answer: C - ANSWER >> A) The driver of the vehicle collides with the steering wheel
the vehicle collides with a tree
the aorta is torn at its attachment with the ligamentum arteriosum
the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following a high-speed
MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of
the following is the priority interventions?
Answer: A - ANSWER >> A) initiate transfer to a trauma center **
provide report to the operating room nurse
Obtained imaging studies
Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - ANSWER >> A) spleen
lung
bowel ***
brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - ANSWER >> A) Hypernatremia
Hypercalcemia
Dysrhthmias **
polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - ANSWER >> A) Weakness in the lower extremities
Priapism ***
voluntary anal sphincter tone
intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs?
Answer: D - ANSWER >> A) Bradycardia and ipsilateral absences of motor function
Tachycardia and respiratory depression
Tachycardia and absent motor function below the level of injury
Bradycardia and absent motor function below the level of the injury ***
