TNCC Test Prep 2025 – Complete Study Guide &
Practice Questions REAL EXAM!!
Expedite trANSWERfer to the closest trauma center - ANSWER ✔---A 56 y/o M pt involved in a
motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB,
and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB
mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - ANSWER ✔---Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ANSWER ✔---Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of
the disaster life cycle does this describe?
Smell of ETOH on breath - ANSWER ✔---EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - ANSWER ✔---What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANSWER ✔---Which of the following is a component of the trauma triad of death?
Complete - ANSWER ✔---EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment findings are most consistent
with which of the following types of spinal cord injury?
, flucuation in the water seal chamber - ANSWER ✔---Which of the following is an expected finding in
a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - ANSWER ✔---During the primary survey of
an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
globe rupture - ANSWER ✔---A 35 y/o M presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - ANSWER ✔---A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The
pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANSWER ✔---An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the
most appropriate immediate next step?
within 24 hrs of trauma - ANSWER ✔---When is the tertiary survey completed fora trauma pt?
pressure - ANSWER ✔---An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious?
worsening pneumothorax - ANSWER ✔---Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability - ANSWER ✔---the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ANSWER ✔---Which of the following pulse pressures indicate early hypovolemic shock?
Practice Questions REAL EXAM!!
Expedite trANSWERfer to the closest trauma center - ANSWER ✔---A 56 y/o M pt involved in a
motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB,
and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB
mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - ANSWER ✔---Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ANSWER ✔---Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of
the disaster life cycle does this describe?
Smell of ETOH on breath - ANSWER ✔---EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - ANSWER ✔---What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANSWER ✔---Which of the following is a component of the trauma triad of death?
Complete - ANSWER ✔---EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment findings are most consistent
with which of the following types of spinal cord injury?
, flucuation in the water seal chamber - ANSWER ✔---Which of the following is an expected finding in
a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - ANSWER ✔---During the primary survey of
an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
globe rupture - ANSWER ✔---A 35 y/o M presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - ANSWER ✔---A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The
pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANSWER ✔---An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the
most appropriate immediate next step?
within 24 hrs of trauma - ANSWER ✔---When is the tertiary survey completed fora trauma pt?
pressure - ANSWER ✔---An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious?
worsening pneumothorax - ANSWER ✔---Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability - ANSWER ✔---the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ANSWER ✔---Which of the following pulse pressures indicate early hypovolemic shock?
