TNP TNCC 9TH EDITION EXAM NEWEST EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
LATEST UPDATES 2025-2026 (VERIFIED ANSWERS)
ALREADY GRADED A+
-What three items are obtained during the pertinent history assessment? -
ANSWER-Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at least one
during testing) - ANSWER-Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
-For whom is capnography highly recommended? - ANSWER-all patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - ANSWER-EKG
-In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - ANSWER-blankets, room temp increase, warmed fluids, warming
lights
,-To assess circulation, you must do these two main tasks: - ANSWER-1. inspect
AND palpate skin color, temp, moisture and 2. palpate a pulse
-What do you do when alterations are identified in any of the steps in the primary
survery? - ANSWER-intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - ANSWER-1.
attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise
and fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds
-Four of these must be identified to assess breathing effectiveness: - ANSWER-
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous
emphysema, increased work of breathing, symmetrical chest rise and fall, tracheal
deviation/JVD, open wounds/deformities, skin color
-What can be applied in step 12 of "Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section? - ANSWER-cardiac monitor
-When should 2 IV sites be established? - ANSWER-During "Circulation"
assessment
-If the patient is intubated and you've already assessed ETT placement, what else
needs to be done with the ETT? (step 10) - ANSWER-assess ETT position by noting
the number at teeth/gums AND secure ETT
-What should you verbalize after completing all ETT assessments? - ANSWER-
moving patient from assisted ventilation to mechanical
,-During which part of the primary survey would you anticipate the need for a
chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs? -
ANSWER-"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the airway: -
ANSWER-bony deformity, loose teeth, edema, inhalation injury, sounds, tongue
obstruction, burns, fluids, foreign objects, vocalization
While performing an assessment on a 13-month-old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a
sign of possible altered mental status?
A. Sunken fontanel
B. Crying, but consolable
C. Spontaneous movement of arms and legs
D. Cooperation with the assessment - ANSWER-D. Cooperation with the
assessment
An alert older infant or toddler will recognize their caregiver, be cautious of
strangers, and may not respond to commands or cooperate, which are normal
An adult patient sustained a knife injury to the neck. The airway is intact and the
patient is hemodynamically stable. They complain of difficulty swallowing and
speaking. What is the most likely cause of these symptoms?
A. Damage to the cervical spine
B. An expanding pneumothorax
, C. Laceration of the carotid artery
D. Injury to the thyroid gland - ANSWER-A. Damage to the cervical spine
Penetrating neck trauma may include concurrent injuries to the cereal spine and
cord, airway, or vascular neck structures. With an intact airway and hemodynamic
stability, the other common concurrent injury is to the cervical spine
*What is the best position for maintaining an open airway in the obese patient?
A. Prone
B. Supine
C. Reverse Trendelenburg
D. Right lateral recumbent - ANSWER-C. Reverse Trendelenburg
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
A. Respiratory acidosis
B. Metabolic acidosis
C. Neurogenic shock
D. Cerebral vasoconstriction - ANSWER-D. Cerebral vasoconstriction
Hypocapnia, or low levels of carbon dioxide, will cause vasoconstriction, especially
in the cerebral vasculature.
What is the best measure of the adequacy of cellular perfusion and can help to
predict the outcome of resuscitation?
QUESTIONS AND CORRECT DETAILED ANSWERS
LATEST UPDATES 2025-2026 (VERIFIED ANSWERS)
ALREADY GRADED A+
-What three items are obtained during the pertinent history assessment? -
ANSWER-Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at least one
during testing) - ANSWER-Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
-For whom is capnography highly recommended? - ANSWER-all patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - ANSWER-EKG
-In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - ANSWER-blankets, room temp increase, warmed fluids, warming
lights
,-To assess circulation, you must do these two main tasks: - ANSWER-1. inspect
AND palpate skin color, temp, moisture and 2. palpate a pulse
-What do you do when alterations are identified in any of the steps in the primary
survery? - ANSWER-intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - ANSWER-1.
attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise
and fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds
-Four of these must be identified to assess breathing effectiveness: - ANSWER-
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous
emphysema, increased work of breathing, symmetrical chest rise and fall, tracheal
deviation/JVD, open wounds/deformities, skin color
-What can be applied in step 12 of "Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section? - ANSWER-cardiac monitor
-When should 2 IV sites be established? - ANSWER-During "Circulation"
assessment
-If the patient is intubated and you've already assessed ETT placement, what else
needs to be done with the ETT? (step 10) - ANSWER-assess ETT position by noting
the number at teeth/gums AND secure ETT
-What should you verbalize after completing all ETT assessments? - ANSWER-
moving patient from assisted ventilation to mechanical
,-During which part of the primary survey would you anticipate the need for a
chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs? -
ANSWER-"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the airway: -
ANSWER-bony deformity, loose teeth, edema, inhalation injury, sounds, tongue
obstruction, burns, fluids, foreign objects, vocalization
While performing an assessment on a 13-month-old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a
sign of possible altered mental status?
A. Sunken fontanel
B. Crying, but consolable
C. Spontaneous movement of arms and legs
D. Cooperation with the assessment - ANSWER-D. Cooperation with the
assessment
An alert older infant or toddler will recognize their caregiver, be cautious of
strangers, and may not respond to commands or cooperate, which are normal
An adult patient sustained a knife injury to the neck. The airway is intact and the
patient is hemodynamically stable. They complain of difficulty swallowing and
speaking. What is the most likely cause of these symptoms?
A. Damage to the cervical spine
B. An expanding pneumothorax
, C. Laceration of the carotid artery
D. Injury to the thyroid gland - ANSWER-A. Damage to the cervical spine
Penetrating neck trauma may include concurrent injuries to the cereal spine and
cord, airway, or vascular neck structures. With an intact airway and hemodynamic
stability, the other common concurrent injury is to the cervical spine
*What is the best position for maintaining an open airway in the obese patient?
A. Prone
B. Supine
C. Reverse Trendelenburg
D. Right lateral recumbent - ANSWER-C. Reverse Trendelenburg
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
A. Respiratory acidosis
B. Metabolic acidosis
C. Neurogenic shock
D. Cerebral vasoconstriction - ANSWER-D. Cerebral vasoconstriction
Hypocapnia, or low levels of carbon dioxide, will cause vasoconstriction, especially
in the cerebral vasculature.
What is the best measure of the adequacy of cellular perfusion and can help to
predict the outcome of resuscitation?
