TNCC 9th Edition final exam test 100 questions with correct and verified answers. Graded A+

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1. You are caring for a patient who was thrown from a bike and was not wearing a
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helmet.While performing the head-to-toe assessment, you note cleardrainage
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fromtherightear.Whichofthefollowingisthemostappropriate next step?
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A. Clean the ear with a cotton-tipped applicator. 77i 77i 77i 77i 77i 77i




B. Pack the ear with gauze. 77i 77i 77i 77i




C. Notify the physician 77i 77i




D. Document and continue the exam.:C.Notify the physician 77i 77i 77i 77i i
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2. A patient is brought to the emergency department of a rural hospital fol-
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lowinga high-speedmotorvehiclecollision.Whensignificantabdominaland
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pelvic injuries are noted in the primary survey, what is the priority interven- tion?
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A. Initiate transfer to a trauma center 77i 77i 77i 77i 77i




B. Attempt family notification 77i 77i




C. Obtain additional imaging studies 77i 77i 77i




D. Place an indwelling urinary catheter:A.Initiate transfer to a trauma center
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3. An adult who fell from a second story roof is brought to the emergency
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department by private vehicle.The patient is confused with unlabored res-
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pirations and has strong, palpable radial pulses.There is an open wound in
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proximitytoanobviousdeformityoftheleftlowerextremity.Whatisthe priority
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intervention?
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A. Initiate cervical spine stabilization 77i 77i 77i




B. Apply a splint to the lower extremity 77i 77i 77i 77i 77i 77i




C. Put the patient on portable oxygen.
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D. Log roll the patient onto a spine board:A.Initiate cervical spine stabilization
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4. An adult patient who sustained a severe head trauma has been intubat- ed
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and is being manually ventilated via a bag-mask device at a rate of 18
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breaths/minute.Thepatient has received one intravenous fluid bolus of 500
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mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and
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the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important
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intervention to manage the cerebral blood flow?
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A. Decrease the rate of manual ventilation. 77i 77i 77i 77i 77i




B. Initiate another fluid bolus. 77i 77i 77i




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, TNCC9THEDITIONFINAL ACTUAL EXAM NEWEST VERSION 2025/2026 i
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QUESTIONANDCORRECTDETAILEDVERIFIEDANSWERSFROMVERIFIED i
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SOURCES RATED A GRADE.
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C. Recheck endotracheal tube placement. 77i 77i 77i




D. Increasethe amount of oxygen delivered.:A.Decrease the rateof manual 77i 77i 77i 77i 77i i
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ventilation.
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5. An adult patient is brought to the emergency department following a vehi- cle
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"roll-over" with prolonged extrication. Assessment reveals swelling and
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bruisingtotherightproximalthighandaweakpedalpulse.Skinispale,cool, and
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moist.What is the most appropriate initial intervention?
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A. Application of a tourniquet to the affected extremity 77i 77i 77i 77i 77i 77i 77i




B. Application of a pelvic binder 77i 77i 77i 77i




C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
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D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa):B. 77i 77i 77i 77i 77i 77i 77i 77i 77i 77i i
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Application of a pelvic binder
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6. An adult arrives at the emergency department with superficial burns to the
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extremities following a house fire.The patient is reporting a headache with
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nausea and is drowsy and confused.What is the most likely cause of these
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symptoms?
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A. Capillary leak syndrome 77i 77 i




B. Rhabdomyolysis
C. Carbon monoxide poisoning 77i 77i




D. Hypothermia:
7. UsingtheAmericanCollegeofSurgeonsGuidelinesforScreeningPatients with
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Suspected Spine Injury, what assessment finding would prompt the nurse to
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prepare a patient for cervical spine imaging?
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A. Alert with no neurologic deficits or neck pain
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B. Multiple abrasions to the extremities 77i 77i 77i 77i




C. Ecchymosis to the flank 77i 77i 77i




D. Responds to verbal stimulation using AVPU: 77i 77i 77i 77i 77i




8. A 5-month pregnant patient arrives in the emergency department stating
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she tripped and fell, landing on her abdomen. Assessment reveals bruising to
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the abdomen, both arms, and her neck. She states she does not take
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any medications and has not had any prenatal care. The nurse suspects the
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findings are most likely related to which of the following?
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A. Intentional violence 77i




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QUESTIONANDCORRECTDETAILEDVERIFIEDANSWERSFROMVERIFIED i
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B. Pregnancy-relatedchanges i
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C.Undiagnosed embolus
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D.Iron deficiency:
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9. During the primary survey of anunconscious patient with multi-system trau- ma, i
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the nurse notes snoring respirations.Which priority nursing intervention should
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be performed next?
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A. Opentheairwaywiththehead-tilt/chin-liftmaneuver 77i 77i 77
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B.Auscultate bilateral breath sounds
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C. Assist respirations using a bag-mask device 77i 77i 77i 77i 77i




D. Insert an oropharyngeal airway if there is no gag reflex: 77i 77i 77i 77i 77i 77i 77i 77i 77i




10. Anadultwasthrownagainstaconcretewallduringafactoryexplosionand
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sustained a femur fracture,liver laceration,and a small subdural hematoma.
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These injuries most likely occurred during what level of blast trauma?
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A.Primary
B.Secondary
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C.Tertiary
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D.Quaternary:
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11. A patient presents to the emergency department with a degloving injury
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involvingtheentire forearm.What shouldthe nurse consider whenplanning care
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for a patient with this injury?
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A. Wound edgescanbe easilyapproximatedforsuturing. 77i 77i 77i 77i 77i 77i 77i




B. Surgical intervention will be needed 77i 77i 77i 77i




C. Extentoftissuedamagedoesnot affectpotentiallimb salvage 77i 77i 77i 77i 77i 77i 77i 77i 77i




D.Only soft tissue has been damaged:
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12. A 35-year-old male presents with facial trauma after being struck in the face
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withabaseball.Ateardrop-shapedleftpupilisnotedonexam.Whattype of injury is
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suspected?
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A.Oculomotornervepalsy i
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B.Globe rupture
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C.Retrobulbar hematoma
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D.Retinal detachment:
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13. A driver involved in a high-speed motor vehicle collision arrives in the
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emergencydepartment.Thevehicle'sair-bagfailedtodeploy.Thepatientis
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