TNCC 8TH EDITION
(A GRADED AND REVIEWED 2025/2026)
QUESTIONS AND ANSWERS.
1. Endotracheal tube - ANSWER→-The trauma nurse knows that placing a
bariatric patient in a "ramped position" provides better visualization during
the insertion of which device?
2. Subdural hematoma - ANSWER→-Tearing of the bridging veins is most
frequently associated with which brain injury?
3. Elevated creatine kinase - ANSWER→-A patient is found lying on the floor
after falling 13 hours ago. Which of the following laboratory values is
expected with a musculoskeletal complication associated with this
presentation?
4. Initiate transfer to a trauma center - ANSWER→-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, which of the following is the priority intervention?
5. Bowel - ANSWER→-Which of the following injuries is LEAST likely to be
promptly identified?
6. A 52-year-old diabetic male with a partial-thickness burn to the left lower
leg - ANSWER→-Which of the following patients warrants referral to a
burn center?
7. Fat embolism - ANSWER→-A patient has been in the emergency
department 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
complaining of leg pain. His wife reported that he suddenly became anxious
and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions?
8. Apply a splint and elevate the extremity ABOVE the level of the heart -
ANSWER→-A 36-year old female has a deformity of the left wrist after a
1
, fall. She is reluctant to move her hand due to pain. Which of the following is
the most appropriate intervention?
9. Expedite transfer to the closest trauma center - ANSWER→-A 56-year-old
male patient involved in a motor vehicle crash is brought to the emergency
department of a rural critical assess facility. He complaints of neck pain,
shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is
15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute,
RR 26 breaths/minute, spo2 94% on high-flow oxygen via non-rebreather
mask. Which of the follow is the priority intervention for this patient?
10.CIWA-Ar of 36 - ANSWER→-Which of the following values indicates the
need for alcohol withdrawal interventions?
11.Huddle - ANSWER→-A trauma patient is en route to a rural emergency
department. Radiology notifies the charge nurse that the computed
tomography (CT) scanner will be out of service for several hours. The team
gathers to plan accordingly. Which of the following terms best describes this
trauma team's communication?
12.Bradycardia and absent motor function below the level of injury -
ANSWER→-A patient with a complete spinal cord injury in neurogenic
shock will demonstrate hypotension and which other clinical signs?
13.It can worsen cord damage from a unstable spinal injury - ANSWER→-
Which of the following is true about the log-roll maneuver?
14.Velocity - ANSWER→-What factor contributes most to the kinetic energy
of a body in motion?
15.Report your suspicion of maltreatment in accordance with local regulations -
ANSWER→-A 5-year-old child presents to the ED with bruises to the upper
arms and buttocks in various stages of healing and multiple small, clean,
round burns to the back. There are no abnormalities found based on the
pediatric assessment triangle or primary survey. Which of the following is
the priority nursing intervention?
16.Straight catheter for urine sample - ANSWER→-A 20-year-old male
presents to the ED complaining of severe lower abdominal pain after landing
hard on the bicycle cross bars while performing an aerial BMX maneuver.
2
(A GRADED AND REVIEWED 2025/2026)
QUESTIONS AND ANSWERS.
1. Endotracheal tube - ANSWER→-The trauma nurse knows that placing a
bariatric patient in a "ramped position" provides better visualization during
the insertion of which device?
2. Subdural hematoma - ANSWER→-Tearing of the bridging veins is most
frequently associated with which brain injury?
3. Elevated creatine kinase - ANSWER→-A patient is found lying on the floor
after falling 13 hours ago. Which of the following laboratory values is
expected with a musculoskeletal complication associated with this
presentation?
4. Initiate transfer to a trauma center - ANSWER→-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, which of the following is the priority intervention?
5. Bowel - ANSWER→-Which of the following injuries is LEAST likely to be
promptly identified?
6. A 52-year-old diabetic male with a partial-thickness burn to the left lower
leg - ANSWER→-Which of the following patients warrants referral to a
burn center?
7. Fat embolism - ANSWER→-A patient has been in the emergency
department 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
complaining of leg pain. His wife reported that he suddenly became anxious
and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions?
8. Apply a splint and elevate the extremity ABOVE the level of the heart -
ANSWER→-A 36-year old female has a deformity of the left wrist after a
1
, fall. She is reluctant to move her hand due to pain. Which of the following is
the most appropriate intervention?
9. Expedite transfer to the closest trauma center - ANSWER→-A 56-year-old
male patient involved in a motor vehicle crash is brought to the emergency
department of a rural critical assess facility. He complaints of neck pain,
shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is
15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute,
RR 26 breaths/minute, spo2 94% on high-flow oxygen via non-rebreather
mask. Which of the follow is the priority intervention for this patient?
10.CIWA-Ar of 36 - ANSWER→-Which of the following values indicates the
need for alcohol withdrawal interventions?
11.Huddle - ANSWER→-A trauma patient is en route to a rural emergency
department. Radiology notifies the charge nurse that the computed
tomography (CT) scanner will be out of service for several hours. The team
gathers to plan accordingly. Which of the following terms best describes this
trauma team's communication?
12.Bradycardia and absent motor function below the level of injury -
ANSWER→-A patient with a complete spinal cord injury in neurogenic
shock will demonstrate hypotension and which other clinical signs?
13.It can worsen cord damage from a unstable spinal injury - ANSWER→-
Which of the following is true about the log-roll maneuver?
14.Velocity - ANSWER→-What factor contributes most to the kinetic energy
of a body in motion?
15.Report your suspicion of maltreatment in accordance with local regulations -
ANSWER→-A 5-year-old child presents to the ED with bruises to the upper
arms and buttocks in various stages of healing and multiple small, clean,
round burns to the back. There are no abnormalities found based on the
pediatric assessment triangle or primary survey. Which of the following is
the priority nursing intervention?
16.Straight catheter for urine sample - ANSWER→-A 20-year-old male
presents to the ED complaining of severe lower abdominal pain after landing
hard on the bicycle cross bars while performing an aerial BMX maneuver.
2
