TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They
complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next
for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after sustaining an injury to the right
lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant
bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache
and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24
hours awaiting an inpatient bed. The night shift nurse reports the patient has been ~anxious, ~restless,
~shaky, ~and ~vomited ~twice ~during ~the ~night. ~The ~patient ~states ~they ~couldn't ~sleep ~because ~a
~young ~child ~kept ~coming ~into ~the ~room. ~What ~is ~the ~most ~likely ~cause ~for ~these ~signs ~and
~symptoms?
~a. ~increase ~intracranial ~pressure
b. ~alcohol ~withdrawal
c. ~rhabdomyolysis
d. ~pulmonary ~embolus ~- ~ansb. ~alcohol ~withdrawal
A ~patient ~involved ~in ~a ~MVC ~has ~sustained ~a ~fracture ~to ~the ~second ~rib ~of ~the ~anterior ~left
~chest. ~Which ~concurrent ~injury ~is ~most ~commonly ~associated ~with ~this ~fracture?
a. ~Blunt ~cardiac ~injury
b. ~Brachial ~plexus ~injury
c. ~Pneumothorax
d. ~Hemothorax ~- ~ansb. ~Brachial ~plexus ~injury
A ~patient ~with ~a ~spinal ~cord ~injury ~at ~C5 ~is ~being ~cared ~for ~in ~the ~emergency ~department
~while ~awaiting ~transport ~to ~a ~trauma ~center. ~Which ~of ~the ~following ~represents ~the ~highest
~priority ~for ~ongoing ~assessment ~and ~management ~for ~this ~patient?
a. ~maintain ~adequate ~respiratory ~status.
b. ~administer ~balanced ~resuscitation ~fluid
c. ~perform ~serial ~assessments ~of ~neurologic ~function
d. ~maintain ~core ~temperature ~- ~ansa. ~maintain ~adequate ~respiratory ~status
A ~trauma ~nurse ~cared ~for ~a ~child ~with ~devastating ~burns ~two ~weeks ~ago. ~The ~nurse ~called
~in ~sick ~for ~a ~couple ~of ~days ~and ~is ~now ~back ~working ~on ~the ~team. ~Which ~of ~the ~following
~behaviors ~would ~indicate ~this ~nurse ~is ~coping ~well?
a. ~They ~are ~talking ~about ~taking ~the ~emergency ~nursing ~certification ~examination.
b. ~They ~keep ~requesting ~to ~be ~assigned ~to ~the ~walk-in/ambulatory ~area
c. ~They ~are ~impatient ~and ~snap ~at ~their ~coworkers.
d. ~They ~are ~thinking ~about ~transferring ~out ~of ~the ~emergency ~department. ~- ~ansa. ~They ~are
~talking ~about ~taking ~the ~emergency ~nursing ~certification ~examination.
, TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
Following ~a ~bomb ~explosion, ~fragmentation ~injuries ~from ~the ~bomb ~or ~objects ~in ~the
~environment ~are ~examples ~of ~which ~phase ~of ~injury?
a. ~primary
b. ~secondary
c. ~tertiary
d. ~quaternary ~- ~ansb. ~secondary
In ~a ~patient ~with ~severe ~traumatic ~brain ~injury, ~hypocapnia ~causes ~which ~condition?
a. ~Respiratory ~acidosis
b. ~Metabolic ~acidosis
c. ~Neurogenic ~shock
d. ~Cerebral ~vasoconstriction ~- ~ansd. ~Cerebral ~vasoconstriction
The ~general ~impression ~step ~in ~the ~initial ~assessment ~provides ~the ~opportunity ~to ~do ~which ~of
~the ~following?
a. ~Assess ~for ~uncontrolled ~internal ~hemorrhage
b. ~Accurately ~triage ~the ~patient
c. ~Reprioritize ~circulation ~before ~airway ~or ~breathing.
d. ~Activate ~the ~trauma ~team ~- ~ansc. ~Reprioritize ~circulation ~before ~airway ~or ~breathing.
The ~nurse ~is ~obtaining ~a ~history ~for ~a ~patient ~who ~presents ~following ~sexual ~assault. ~This
~history ~is ~completed ~using ~which ~of ~the ~following ~techniques?
a. ~Bring ~the ~family ~in ~to ~the ~interview ~room.
b. ~Use ~direct ~quotes ~to ~record ~information.
c. ~Obtain ~information ~specific ~only ~to ~the ~assault.
d. ~Provide ~food ~and ~drink ~to ~help ~create ~rapport. ~- ~ansb. ~Use ~direct ~quotes ~to ~record
~information.
The ~vital ~signs ~of ~a ~pregnant ~trauma ~patient ~at ~30 ~weeks ~include ~a ~blood ~pressure ~of ~94/62
~mm ~Hg ~and ~a ~heart ~rate ~of ~108 ~beats/minute. ~Fetal ~heart ~tones ~are ~124 ~beats/minute. ~The
~emergency ~nurse ~interprets ~the ~patient's ~hemodynamic ~findings ~as ~an ~indication ~of ~which ~of
~the ~following?
a. ~Decompensated ~shock
b. ~Normal ~vital ~signs ~in ~pregnancy
c. ~Compensated ~shock
d. ~Supine ~hypotension ~syndrome ~- ~ansb. ~Normal ~vital ~signs ~in ~pregnancy
Treatment ~for ~frostbite ~can ~include ~which ~of ~the ~following ~interventions?
a. ~warm ~the ~affected ~part ~over ~30-60 ~minutes
b. ~use ~gentle ~friction ~to ~improve ~circulation
c. ~administer ~tissue ~plasminogen ~activator
d. ~leave ~all ~of ~the ~blisters ~intact ~- ~ansc. ~administer ~tissue ~plasminogen ~activator
Understanding ~the ~kinematic ~concepts ~associated ~with ~the ~mechanism ~of ~injury ~and ~energy
~transfer ~can ~initially ~assist ~the ~trauma ~care ~provider ~in ~which ~of ~the ~following?
a. ~Anticipating ~the ~types ~of ~injuries ~that ~may ~be ~present
b. ~Deciding ~whether ~law ~enforcement ~should ~be ~notified
c. ~Determining ~needed ~laboratory ~tests
d. ~Predicting ~the ~need ~for ~a ~surgical ~procedure ~- ~ansa. ~Anticipating ~the ~types ~of ~injuries ~that
~may ~be ~present
What ~is ~the ~appropriate ~technique ~for ~palpating ~the ~pelvis ~for ~stability?
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They
complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next
for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after sustaining an injury to the right
lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant
bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache
and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24
hours awaiting an inpatient bed. The night shift nurse reports the patient has been ~anxious, ~restless,
~shaky, ~and ~vomited ~twice ~during ~the ~night. ~The ~patient ~states ~they ~couldn't ~sleep ~because ~a
~young ~child ~kept ~coming ~into ~the ~room. ~What ~is ~the ~most ~likely ~cause ~for ~these ~signs ~and
~symptoms?
~a. ~increase ~intracranial ~pressure
b. ~alcohol ~withdrawal
c. ~rhabdomyolysis
d. ~pulmonary ~embolus ~- ~ansb. ~alcohol ~withdrawal
A ~patient ~involved ~in ~a ~MVC ~has ~sustained ~a ~fracture ~to ~the ~second ~rib ~of ~the ~anterior ~left
~chest. ~Which ~concurrent ~injury ~is ~most ~commonly ~associated ~with ~this ~fracture?
a. ~Blunt ~cardiac ~injury
b. ~Brachial ~plexus ~injury
c. ~Pneumothorax
d. ~Hemothorax ~- ~ansb. ~Brachial ~plexus ~injury
A ~patient ~with ~a ~spinal ~cord ~injury ~at ~C5 ~is ~being ~cared ~for ~in ~the ~emergency ~department
~while ~awaiting ~transport ~to ~a ~trauma ~center. ~Which ~of ~the ~following ~represents ~the ~highest
~priority ~for ~ongoing ~assessment ~and ~management ~for ~this ~patient?
a. ~maintain ~adequate ~respiratory ~status.
b. ~administer ~balanced ~resuscitation ~fluid
c. ~perform ~serial ~assessments ~of ~neurologic ~function
d. ~maintain ~core ~temperature ~- ~ansa. ~maintain ~adequate ~respiratory ~status
A ~trauma ~nurse ~cared ~for ~a ~child ~with ~devastating ~burns ~two ~weeks ~ago. ~The ~nurse ~called
~in ~sick ~for ~a ~couple ~of ~days ~and ~is ~now ~back ~working ~on ~the ~team. ~Which ~of ~the ~following
~behaviors ~would ~indicate ~this ~nurse ~is ~coping ~well?
a. ~They ~are ~talking ~about ~taking ~the ~emergency ~nursing ~certification ~examination.
b. ~They ~keep ~requesting ~to ~be ~assigned ~to ~the ~walk-in/ambulatory ~area
c. ~They ~are ~impatient ~and ~snap ~at ~their ~coworkers.
d. ~They ~are ~thinking ~about ~transferring ~out ~of ~the ~emergency ~department. ~- ~ansa. ~They ~are
~talking ~about ~taking ~the ~emergency ~nursing ~certification ~examination.
, TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
Following ~a ~bomb ~explosion, ~fragmentation ~injuries ~from ~the ~bomb ~or ~objects ~in ~the
~environment ~are ~examples ~of ~which ~phase ~of ~injury?
a. ~primary
b. ~secondary
c. ~tertiary
d. ~quaternary ~- ~ansb. ~secondary
In ~a ~patient ~with ~severe ~traumatic ~brain ~injury, ~hypocapnia ~causes ~which ~condition?
a. ~Respiratory ~acidosis
b. ~Metabolic ~acidosis
c. ~Neurogenic ~shock
d. ~Cerebral ~vasoconstriction ~- ~ansd. ~Cerebral ~vasoconstriction
The ~general ~impression ~step ~in ~the ~initial ~assessment ~provides ~the ~opportunity ~to ~do ~which ~of
~the ~following?
a. ~Assess ~for ~uncontrolled ~internal ~hemorrhage
b. ~Accurately ~triage ~the ~patient
c. ~Reprioritize ~circulation ~before ~airway ~or ~breathing.
d. ~Activate ~the ~trauma ~team ~- ~ansc. ~Reprioritize ~circulation ~before ~airway ~or ~breathing.
The ~nurse ~is ~obtaining ~a ~history ~for ~a ~patient ~who ~presents ~following ~sexual ~assault. ~This
~history ~is ~completed ~using ~which ~of ~the ~following ~techniques?
a. ~Bring ~the ~family ~in ~to ~the ~interview ~room.
b. ~Use ~direct ~quotes ~to ~record ~information.
c. ~Obtain ~information ~specific ~only ~to ~the ~assault.
d. ~Provide ~food ~and ~drink ~to ~help ~create ~rapport. ~- ~ansb. ~Use ~direct ~quotes ~to ~record
~information.
The ~vital ~signs ~of ~a ~pregnant ~trauma ~patient ~at ~30 ~weeks ~include ~a ~blood ~pressure ~of ~94/62
~mm ~Hg ~and ~a ~heart ~rate ~of ~108 ~beats/minute. ~Fetal ~heart ~tones ~are ~124 ~beats/minute. ~The
~emergency ~nurse ~interprets ~the ~patient's ~hemodynamic ~findings ~as ~an ~indication ~of ~which ~of
~the ~following?
a. ~Decompensated ~shock
b. ~Normal ~vital ~signs ~in ~pregnancy
c. ~Compensated ~shock
d. ~Supine ~hypotension ~syndrome ~- ~ansb. ~Normal ~vital ~signs ~in ~pregnancy
Treatment ~for ~frostbite ~can ~include ~which ~of ~the ~following ~interventions?
a. ~warm ~the ~affected ~part ~over ~30-60 ~minutes
b. ~use ~gentle ~friction ~to ~improve ~circulation
c. ~administer ~tissue ~plasminogen ~activator
d. ~leave ~all ~of ~the ~blisters ~intact ~- ~ansc. ~administer ~tissue ~plasminogen ~activator
Understanding ~the ~kinematic ~concepts ~associated ~with ~the ~mechanism ~of ~injury ~and ~energy
~transfer ~can ~initially ~assist ~the ~trauma ~care ~provider ~in ~which ~of ~the ~following?
a. ~Anticipating ~the ~types ~of ~injuries ~that ~may ~be ~present
b. ~Deciding ~whether ~law ~enforcement ~should ~be ~notified
c. ~Determining ~needed ~laboratory ~tests
d. ~Predicting ~the ~need ~for ~a ~surgical ~procedure ~- ~ansa. ~Anticipating ~the ~types ~of ~injuries ~that
~may ~be ~present
What ~is ~the ~appropriate ~technique ~for ~palpating ~the ~pelvis ~for ~stability?
