TNCC ENA 9th Edition Pre Test Exam fully solved & updated 2025-2026(latest version verified
for accuracy) | 2024\2025Latest!!
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 - correct answer B. Initiate direct
pressure
Rationale: The first step inn controlling any bleeding is application of direct pressure.
What technique is most appropriate when obtaining a history from a patient who has
experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening - correct answer D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially - correct answer B. Apply
gentle pressure over the iliac crests, downward and medially
, Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac crests,
downward and medially.
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 would
indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
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 - correct answer A.
They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their own practice,
a sign of resilience. B indicates the nurse is still not ready to return to their previous level of
engagement in their job. C shows signs of burnout, irritability and frustration. D shows
decreased satisfaction with the job, a sign of burnout.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62
mmHg 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 - correct answer B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also a
small decrease in systolic blood pressure and a larger decrease in diastolic blood pressure due
to a decrease in peripheral resistance. Normal fetal heart rate is between 120 and 160
beats/minute.
for accuracy) | 2024\2025Latest!!
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 - correct answer B. Initiate direct
pressure
Rationale: The first step inn controlling any bleeding is application of direct pressure.
What technique is most appropriate when obtaining a history from a patient who has
experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening - correct answer D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially - correct answer B. Apply
gentle pressure over the iliac crests, downward and medially
, Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac crests,
downward and medially.
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 would
indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
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 - correct answer A.
They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their own practice,
a sign of resilience. B indicates the nurse is still not ready to return to their previous level of
engagement in their job. C shows signs of burnout, irritability and frustration. D shows
decreased satisfaction with the job, a sign of burnout.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62
mmHg 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 - correct answer B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also a
small decrease in systolic blood pressure and a larger decrease in diastolic blood pressure due
to a decrease in peripheral resistance. Normal fetal heart rate is between 120 and 160
beats/minute.
