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Trauma Nursing Core Course (TNCC) – 9th Edition (2026 Update) | Complete Study Questions and Answers

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This document provides a comprehensive collection of study questions and detailed answers for the 9th Edition of the Trauma Nursing Core Course (TNCC), updated for 2026. It covers all major trauma nursing concepts, including biomechanics, assessment protocols, types of shock, airway management, burns, pediatric and geriatric considerations, and trauma-informed care. Designed for nursing students and professionals preparing for TNCC certification or trauma care exams, it serves as a complete review and quick-reference study aid.

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Trauma Nursing Core Course – 9th Edition
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Institution
Trauma Nursing Core Course – 9th Edition
Course
Trauma Nursing Core Course – 9th Edition

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Uploaded on
October 4, 2025
Number of pages
19
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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TNCC 9th Edition Study Questions and
Answers 2026 editions
Why is it important to understand biomechanics as it relates to types of energy forces and
mechanism of injury (MOI)? - Correct Answer To understand and anticipate potential
injuries.



What are common MOIs that result in trauma? - Correct Answer Blunt and Penetrating



What is the most common mechanism of blunt trauma seen at your facility? Penetrating
trauma? - Correct Answer Blunt- Falls

Penetrating- GSW



Why is it important to use a systematic approach to the initial assessment of a trauma
patient? - Correct Answer To maximize outcomes and reduce the risk of undiscovered
injuries.



What is included in the preparation for a trauma patient? - Correct Answer - Activate the
Trauma Team and assign roles

- Prepare the room/equipment

- Don PPE

- Consider safety threats

- Decontamination



What information is obtained during the general impression? - Correct Answer -
Uncontrolled hemorrhage

- Unresponsiveness/Apnea

- Need to reprioritize C-ABC

,TNCC 9th Edition Study Questions and
Answers 2026 editions
What does the A-J mnemonic stand for? - Correct Answer A** Alertness (A1) and Airway
(A2)

B** Breathing and Ventilation

C** Circulation and Control of Hemorrhage

D** Disability (Neurologic Status

E** Exposure (E1) and Environmental Control (E2)

F- Full Set of Vital Signs (F1) and Family Presence (F2)

G- Get Adjuncts (G1) and Give Comfort (G2) [L-P]

H- History (H1) and Head-to-Toe (H2)

I- Inspect Posterior Surfaces

J- Just keep reevaluating (VIPP)



Why is alertness included with the airway assessment? - Correct Answer To evaluate the
Pts ability to protect their airway

AVPU

- Alert and Orientated

- Verbal (responds to)

- Pain (responds to)

- Unresponsive



When an intervention is taken during the primary survey, what must the nurse do after the
intervention? - Correct Answer Reassess effectiveness and move on to the next
component



What are the components of the secondary survey? - Correct Answer H- History and
Head to Toe

, TNCC 9th Edition Study Questions and
Answers 2026 editions
I- Inspect Posterior

J- Just Keep reevaluating (VIPP)



What laboratory tests are commonly utilized for trauma patients? - Correct Answer
VBG/ABG

Lactic

CMP/CBC

Type Screen

Clotting Factors

UA



What should the nurse reevaluate while the patient is in their care? - Correct Answer VIPP

V- Vital

I- Injuries/Interventions

P- Primary Survey

P- Pain



What are the differences between ventilation, diffusion, and perfusion? - Correct Answer
Ventilation- movement of air

Diffusion- movement of gases from high concentration to lower concentration, alveolar-
capillary membrane exchange



What are possible causes of airway obstruction in the trauma patient? What interventions
address these causes of airway obstruction? - Correct Answer Tongue

Blood, vomit, secretions

Altered LOC
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