1|Page
TNCC 9th Edition Final Exam 2026 | Actual Exam with
Complete Questions ||Newest Exam!!| Trauma Nursing
Core Course | Emergency Nurses Association
||Verified Exam!!!
You are caring for a patient who was thrown from a bike
and was not wearing a helmet. While performing the head-
to-toe assessment, you note clear drainage from the right
ear. Which of the following is the most appropriate next
step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - Answer-C. Notify
the physician
A patient is brought to the emergency department of a
rural hospital following a high-speed motor vehicle
collision. When significant abdominal and pelvic injuries
are noted in the primary survey, what is the priority
intervention?
,2|Page
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - Answer-A. Initiate
transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is
confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in
proximity to an obvious deformity of the left lower
extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - Answer-A.
Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has
been intubated and is being manually ventilated via a bag-
mask device at a rate of 18 breaths/minute. The patient
has received one intravenous fluid bolus of 500 mL of
,3|Page
warmed isotonic crystalloid solution. The PaCO2 is 30 mm
Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70
mm Hg. What is the most important intervention to
manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - Answer-A.
Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department
following a vehicle "roll-over" with prolonged extrication.
Assessment reveals swelling and bruising to the right
proximal thigh and a weak pedal pulse. Skin is pale, cool,
and moist. What is the most appropriate initial
intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5
mL/kg/hour
, 4|Page
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg
(3.9-4.6 kPa) - Answer-B. Application of a pelvic binder
2. Which of the following situations could cause functional
grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car - Answer-B. Amputation
of a limb
Rationale: Preparation and Ongoing Care\Psychosocial
Aspects
Functional grief relates to the loss of body function or body
parts such as amputation of a limb, paralysis, or loss of
sight.
3. What is the most important consideration during the
initial assessment when caring for an older adult who has
sustained serious injuries?
A. They are likely to be fearful in the emergency
department
TNCC 9th Edition Final Exam 2026 | Actual Exam with
Complete Questions ||Newest Exam!!| Trauma Nursing
Core Course | Emergency Nurses Association
||Verified Exam!!!
You are caring for a patient who was thrown from a bike
and was not wearing a helmet. While performing the head-
to-toe assessment, you note clear drainage from the right
ear. Which of the following is the most appropriate next
step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - Answer-C. Notify
the physician
A patient is brought to the emergency department of a
rural hospital following a high-speed motor vehicle
collision. When significant abdominal and pelvic injuries
are noted in the primary survey, what is the priority
intervention?
,2|Page
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - Answer-A. Initiate
transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is
confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in
proximity to an obvious deformity of the left lower
extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - Answer-A.
Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has
been intubated and is being manually ventilated via a bag-
mask device at a rate of 18 breaths/minute. The patient
has received one intravenous fluid bolus of 500 mL of
,3|Page
warmed isotonic crystalloid solution. The PaCO2 is 30 mm
Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70
mm Hg. What is the most important intervention to
manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - Answer-A.
Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department
following a vehicle "roll-over" with prolonged extrication.
Assessment reveals swelling and bruising to the right
proximal thigh and a weak pedal pulse. Skin is pale, cool,
and moist. What is the most appropriate initial
intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5
mL/kg/hour
, 4|Page
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg
(3.9-4.6 kPa) - Answer-B. Application of a pelvic binder
2. Which of the following situations could cause functional
grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car - Answer-B. Amputation
of a limb
Rationale: Preparation and Ongoing Care\Psychosocial
Aspects
Functional grief relates to the loss of body function or body
parts such as amputation of a limb, paralysis, or loss of
sight.
3. What is the most important consideration during the
initial assessment when caring for an older adult who has
sustained serious injuries?
A. They are likely to be fearful in the emergency
department
