TNCC 9TH EDITION 2024 TEST WITH QUESTIONS AND WELL VERIFIED
ANSWERS [ALREADY GRADED A+] REAL EXAM!!! REAL EXAM!!!
A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib fractures
on the right side, a small pneumothorax on the right, and a Grade III liver injury. The patient was
intubated and placed on a ventilator with PEEP. Chest tube was deferred at this time. Upon
reassessment, which finding is most concerning?
A.Severely diminished breath sounds on the right
B.Guarding in the right upper quadrant
C.Ecchymosis in the right upper quadrant
D.Crepitus to the right chest - ----ANS---
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ----ANS---
What position optimizes ventilation in the obese patient with a lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
, D.Fowler's - ----ANS---
Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping - ----ANS---
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While
performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the
following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ----ANS---C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, what is
the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ----ANS---A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by private vehicle.
The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an
open wound in proximity to an obvious deformity of the left lower extremity. What is the priority
intervention?
ANSWERS [ALREADY GRADED A+] REAL EXAM!!! REAL EXAM!!!
A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib fractures
on the right side, a small pneumothorax on the right, and a Grade III liver injury. The patient was
intubated and placed on a ventilator with PEEP. Chest tube was deferred at this time. Upon
reassessment, which finding is most concerning?
A.Severely diminished breath sounds on the right
B.Guarding in the right upper quadrant
C.Ecchymosis in the right upper quadrant
D.Crepitus to the right chest - ----ANS---
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ----ANS---
What position optimizes ventilation in the obese patient with a lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
, D.Fowler's - ----ANS---
Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping - ----ANS---
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While
performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the
following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ----ANS---C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, what is
the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ----ANS---A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by private vehicle.
The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an
open wound in proximity to an obvious deformity of the left lower extremity. What is the priority
intervention?
