TNCC ENA 9th Edition Pre
Test UPDATED ACTUAL
Questions and CORRECT
Answers
1.
During the primary survey of a trauma patient, what is the first priority?
A. Assess circulation
B. Assess airway with simultaneous cervical spine stabilization
C. Assess disability
D. Expose and control the environment
✅ Answer: B. Assess airway with simultaneous cervical spine stabilization
2.
A patient is found unresponsive after a motor vehicle crash. Snoring respirations are
noted. What is your first action?
A. Insert an oral airway
,B. Apply oxygen via non-rebreather mask
C. Reposition the airway and maintain cervical spine alignment
D. Suction the airway
✅ Answer: C. Reposition the airway and maintain cervical spine alignment
3.
What is the preferred method for assessing circulation during the primary survey?
A. Blood pressure measurement
B. Radial pulse check
C. Carotid or femoral pulse and skin assessment
D. Cardiac monitor
✅ Answer: C. Carotid or femoral pulse and skin assessment
4.
Which of the following best describes the “golden hour” in trauma care?
A. The time it takes to get the patient to the OR
B. The first 60 minutes after injury when rapid assessment and intervention improve
outcomes
C. The time between arrival to hospital and surgery
D. The first hour after the patient regains consciousness
,✅ Answer: B. The first 60 minutes after injury when rapid assessment and
intervention improve outcomes
5.
What is the most reliable indicator of adequate tissue perfusion?
A. Capillary refill time
B. Level of consciousness
C. Blood pressure
D. Urine output
✅ Answer: B. Level of consciousness
6.
A trauma patient presents with hypotension, tachycardia, and cool, clammy skin.
What type of shock is most likely?
A. Cardiogenic shock
B. Neurogenic shock
C. Hypovolemic shock
D. Septic shock
✅ Answer: C. Hypovolemic shock
7.
, The “E” in the primary survey stands for:
A. Exposure and environmental control
B. Evaluate for external bleeding
C. Establish IV access
D. Examine for injuries
✅ Answer: A. Exposure and environmental control
8.
A trauma patient has a respiratory rate of 8 and shallow. What is your immediate
action?
A. Insert a nasopharyngeal airway
B. Apply a non-rebreather mask
C. Begin bag-valve-mask ventilation with 100% oxygen
D. Prepare for suctioning
✅ Answer: C. Begin bag-valve-mask ventilation with 100% oxygen
9.
What does the acronym SAMPLE stand for in the secondary survey?
A. Signs/Symptoms, Allergies, Medications, Past history, Last meal, Events
B. Symptoms, Allergies, Mechanism, Past history, Labs, Events
Test UPDATED ACTUAL
Questions and CORRECT
Answers
1.
During the primary survey of a trauma patient, what is the first priority?
A. Assess circulation
B. Assess airway with simultaneous cervical spine stabilization
C. Assess disability
D. Expose and control the environment
✅ Answer: B. Assess airway with simultaneous cervical spine stabilization
2.
A patient is found unresponsive after a motor vehicle crash. Snoring respirations are
noted. What is your first action?
A. Insert an oral airway
,B. Apply oxygen via non-rebreather mask
C. Reposition the airway and maintain cervical spine alignment
D. Suction the airway
✅ Answer: C. Reposition the airway and maintain cervical spine alignment
3.
What is the preferred method for assessing circulation during the primary survey?
A. Blood pressure measurement
B. Radial pulse check
C. Carotid or femoral pulse and skin assessment
D. Cardiac monitor
✅ Answer: C. Carotid or femoral pulse and skin assessment
4.
Which of the following best describes the “golden hour” in trauma care?
A. The time it takes to get the patient to the OR
B. The first 60 minutes after injury when rapid assessment and intervention improve
outcomes
C. The time between arrival to hospital and surgery
D. The first hour after the patient regains consciousness
,✅ Answer: B. The first 60 minutes after injury when rapid assessment and
intervention improve outcomes
5.
What is the most reliable indicator of adequate tissue perfusion?
A. Capillary refill time
B. Level of consciousness
C. Blood pressure
D. Urine output
✅ Answer: B. Level of consciousness
6.
A trauma patient presents with hypotension, tachycardia, and cool, clammy skin.
What type of shock is most likely?
A. Cardiogenic shock
B. Neurogenic shock
C. Hypovolemic shock
D. Septic shock
✅ Answer: C. Hypovolemic shock
7.
, The “E” in the primary survey stands for:
A. Exposure and environmental control
B. Evaluate for external bleeding
C. Establish IV access
D. Examine for injuries
✅ Answer: A. Exposure and environmental control
8.
A trauma patient has a respiratory rate of 8 and shallow. What is your immediate
action?
A. Insert a nasopharyngeal airway
B. Apply a non-rebreather mask
C. Begin bag-valve-mask ventilation with 100% oxygen
D. Prepare for suctioning
✅ Answer: C. Begin bag-valve-mask ventilation with 100% oxygen
9.
What does the acronym SAMPLE stand for in the secondary survey?
A. Signs/Symptoms, Allergies, Medications, Past history, Last meal, Events
B. Symptoms, Allergies, Mechanism, Past history, Labs, Events
