Combine TNCC test 8th Edition, TNCC
Written Exam, TNCC final exam test 2025
COMPLETE QUESTIONS AND ANSWERS
(VERIFIED)
Expedite transfer to the closest trauma center - correct answer-
AL56 y/o M pt involved in a motor vehicle crash is broughtLto the ED of a rural critical access facility. He co
mplains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94%L
on high-flow O2 via NRB mask. Which of the following is the priority intervention for thisLpatient?
a pertinent medical hx is crucial - correct answer-
Which of the following considerations is the most important when caring for a geriatric trauma pt?
Mitigation -Lcorrect answer-
Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is tak
ingLsteps to minimize the impact of a future disaster . Which phase of the disaster life cycle does this descr
ibe?
Alcohol
All tools and guidelines require theLpatient to be awake, alert, notLunder the influence of any substances, a
nd without neurologic abnormalities - correct answer-
EMS brings a pt who fell while ridingLhis bicycle. UsingLthe American College of Surgeons screening guideli
nes, which assessment finding would prompt the RN to prepare the pt for a radiologicLspine clearance?
hemoglobin does not readily release O2 for use by the tissues - correct answer-
WhatLis the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - correctLanswer-Which of the following is a component of the trauma triad of death?
,Complete - correct 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 inconti
nence and priapism. These assessment findings are most consistent with which of the following typesLof s
pinal cord injury?
flucuation in the water seal chamber - correct answer-
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainag
e system?
insert an oropharyngeal airway if there is no gag reflex -Lcorrect answer-
During the primary survey of an unconscious pt with multi-
system trauma, the nurse notesLsnoring respirations. What priority nursing interventions should be prefor
med next?
globe rupture - correct 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 - correct answer-
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her s
kin is cool and dry. Current VS are BP 104/84, HRL108, RR 28. The pt is demonstrating s/sx of which stage of
shock?
ventilate with a bag mask device -Lcorrect answer-
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored respirations, and dus
ky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immedi
ate next step?
within 24Lhrs of trauma -Lcorrect answer-When is the tertiary survey completed fora trauma pt?
pressure - correct answer-
An intubated and sedated pt in the ED has multiple extremity injuries with the potential for causing compa
rtment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unco
nscious?
,worsening pneumothorax - correct answer-Which of the followingLisLpossible complication of positive-
pressureLventilation?
pelvic stability -Lcorrect answer-
the most reassuring finding for a male pt with hip pain after a fall isLwhich of theLfollowing?
narrowed - correct answer-Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - correct answer-
Patients with a crush injury should be monitored for which of the following conditions?
subdural hematoma - correct answer-
TearingLof the bridgingLveins is most frequently associated with which brain injury?
straight cath for urineLsample - correct answer-
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the bicycle cross
bars while preforming an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and
scrotal ecchymosis. Which of the following orders would the RN question?
placental abruption -Lcorrect answer-
You are caring for a pt who was involved in a MVCLand is 32 weeks pregnant. Findings of your secondary su
rvey include abd pain on palpation, fundal ht at the costal margin, and some dark bloody show. VaryingLac
celerations and decelerations are noted on cariocgraphy. These findings are most consistent with which of
the following?
it can worsen cord damage from an unstable spinal injury - correct answer-
Which of the following is true about the log-roll?
defusings - correct answer-
All of these are considered a critical communication point in trauma care EXCEPT which of the following?
pulse oximetry and capnography - correct answer-
What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness of ventilati
on?
, padding the upper back while stabilizingLthe cervical spine - correct answer-
Caregivers carry in a 2 y/o into the ED who fell out of a second-
story window. The pt is awake and crying with increased work of breathing and pale skin. Which of the foll
owing interventionsLhas the highest priority?
bowel - correct answer-Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - correct answer-
A pt is brought to the ED of a rural hospital following a high-
speed MVC. When significantLabd and pelvicLinjuries are noted in the primary survey, which of the followi
ng is the priority interventions?
bardycardia and absent motor function below the level of injury - correct answer-
ALpt with a complete spinal cord injury in neurogenic shockLwill demonstrate hypotension and which other
clinical signs?
apply splint and elevate above the level of the heart - correct answer-
a 37 y/oLF has a deformity of the L wrist after a fall. She is reluctantLto move her hand due to pain. Which o
f the following is the most appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - correct answer-
which of the following occurs during the third impactLof a motor vehicle crash?
ReportLyour suspicion of maltreatment in accordance with local regulations - correct answer-
a 5 y/o child presents to the ED with bruises to the upper arm and buttocks in various stages of healing an
d 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 followingLis the priority survey. Which of the followin
g is the priority nursingLintervention?
to guage end-organ perfusion and tissue hypoxia - correct answer-
Why is a measure of serum lactateLobtained in the initial assessmentLof a trauma patient?
Written Exam, TNCC final exam test 2025
COMPLETE QUESTIONS AND ANSWERS
(VERIFIED)
Expedite transfer to the closest trauma center - correct answer-
AL56 y/o M pt involved in a motor vehicle crash is broughtLto the ED of a rural critical access facility. He co
mplains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94%L
on high-flow O2 via NRB mask. Which of the following is the priority intervention for thisLpatient?
a pertinent medical hx is crucial - correct answer-
Which of the following considerations is the most important when caring for a geriatric trauma pt?
Mitigation -Lcorrect answer-
Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is tak
ingLsteps to minimize the impact of a future disaster . Which phase of the disaster life cycle does this descr
ibe?
Alcohol
All tools and guidelines require theLpatient to be awake, alert, notLunder the influence of any substances, a
nd without neurologic abnormalities - correct answer-
EMS brings a pt who fell while ridingLhis bicycle. UsingLthe American College of Surgeons screening guideli
nes, which assessment finding would prompt the RN to prepare the pt for a radiologicLspine clearance?
hemoglobin does not readily release O2 for use by the tissues - correct answer-
WhatLis the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - correctLanswer-Which of the following is a component of the trauma triad of death?
,Complete - correct 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 inconti
nence and priapism. These assessment findings are most consistent with which of the following typesLof s
pinal cord injury?
flucuation in the water seal chamber - correct answer-
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainag
e system?
insert an oropharyngeal airway if there is no gag reflex -Lcorrect answer-
During the primary survey of an unconscious pt with multi-
system trauma, the nurse notesLsnoring respirations. What priority nursing interventions should be prefor
med next?
globe rupture - correct 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 - correct answer-
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her s
kin is cool and dry. Current VS are BP 104/84, HRL108, RR 28. The pt is demonstrating s/sx of which stage of
shock?
ventilate with a bag mask device -Lcorrect answer-
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored respirations, and dus
ky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immedi
ate next step?
within 24Lhrs of trauma -Lcorrect answer-When is the tertiary survey completed fora trauma pt?
pressure - correct answer-
An intubated and sedated pt in the ED has multiple extremity injuries with the potential for causing compa
rtment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unco
nscious?
,worsening pneumothorax - correct answer-Which of the followingLisLpossible complication of positive-
pressureLventilation?
pelvic stability -Lcorrect answer-
the most reassuring finding for a male pt with hip pain after a fall isLwhich of theLfollowing?
narrowed - correct answer-Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - correct answer-
Patients with a crush injury should be monitored for which of the following conditions?
subdural hematoma - correct answer-
TearingLof the bridgingLveins is most frequently associated with which brain injury?
straight cath for urineLsample - correct answer-
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the bicycle cross
bars while preforming an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and
scrotal ecchymosis. Which of the following orders would the RN question?
placental abruption -Lcorrect answer-
You are caring for a pt who was involved in a MVCLand is 32 weeks pregnant. Findings of your secondary su
rvey include abd pain on palpation, fundal ht at the costal margin, and some dark bloody show. VaryingLac
celerations and decelerations are noted on cariocgraphy. These findings are most consistent with which of
the following?
it can worsen cord damage from an unstable spinal injury - correct answer-
Which of the following is true about the log-roll?
defusings - correct answer-
All of these are considered a critical communication point in trauma care EXCEPT which of the following?
pulse oximetry and capnography - correct answer-
What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness of ventilati
on?
, padding the upper back while stabilizingLthe cervical spine - correct answer-
Caregivers carry in a 2 y/o into the ED who fell out of a second-
story window. The pt is awake and crying with increased work of breathing and pale skin. Which of the foll
owing interventionsLhas the highest priority?
bowel - correct answer-Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - correct answer-
A pt is brought to the ED of a rural hospital following a high-
speed MVC. When significantLabd and pelvicLinjuries are noted in the primary survey, which of the followi
ng is the priority interventions?
bardycardia and absent motor function below the level of injury - correct answer-
ALpt with a complete spinal cord injury in neurogenic shockLwill demonstrate hypotension and which other
clinical signs?
apply splint and elevate above the level of the heart - correct answer-
a 37 y/oLF has a deformity of the L wrist after a fall. She is reluctantLto move her hand due to pain. Which o
f the following is the most appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - correct answer-
which of the following occurs during the third impactLof a motor vehicle crash?
ReportLyour suspicion of maltreatment in accordance with local regulations - correct answer-
a 5 y/o child presents to the ED with bruises to the upper arm and buttocks in various stages of healing an
d 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 followingLis the priority survey. Which of the followin
g is the priority nursingLintervention?
to guage end-organ perfusion and tissue hypoxia - correct answer-
Why is a measure of serum lactateLobtained in the initial assessmentLof a trauma patient?
