TNCC 8TH EDITION ACTUAL EXAM SCRIPT
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ Is your facility involved in injury prevention programs? Answer:
no
◉ what are the most common causes of injury related to death in
your country? Your Community? Answer: -unintentional poisoning
(overdose)
-MVC
-falls
(In AL, overdoses, MVCs, firearm-related injuries)
◉ When preparing to receive a seriously injured patient, what are
some examples of equipment you would anticipate needing?
Answer: -IV supplies
-fluids
-intubation box
◉ Who responds to the arrival of trauma patient at your facility?
What are their roles? Answer: anyone who is not currently working
with patients, no roles are typically assigned lol
,◉ At your facility, are there clear predetermined responsibilities for
each member of the team that responds to the trauma patient?
Answer: NOPE :)
◉ When caring for a seriously ill patient what communication
challenges between team members have you experienced that for
your facility? What steps are being taped to address those
challenges? Answer: -too many other people talkign during the
trauma
-too many people coming in to watch
-too many people stand in the way as opposed to help
◉ Why is it important to understand bio mechanics as it relates to
the types of energy forces and mechanisms of injury? Answer:
understanding the law of physics and applying biomechanics,
kinematics, and mechanism of injury principles, along with
knowledge of anatomy and physiology, can assist the trauma-care
nurse in anticipating the intervention and management needs of the
patient
◉ What are common mechanisms of injury That result in trauma?
Answer: -Blunt trauma
-penetrating trauma
- thermal trauma
,-blast trauma
◉ Do you have criteria for trauma activation at your facility? Do the
criteria include clear guidelines for identifying activations for in
following conditions: false, motor vehicle crash, crashes, and
penetrating injuries? Answer: -uncontrolled bleed
- fall from greater than 20 feet
-open fracture
-airway compromise
◉ What is the most common mechanism of blunt trauma seen at
your facility? Penetrating trauma? Answer: our most common cause
of blunt trauma MVCs or Falls. Our most common cause of
penetrating trauma would be GSWs
◉ What injuries can be anticipated for each stage associated with an
explosion injury? Answer: Primary: blast lung, tympanic membrane
rupture, abdominal hemorrhage, TBI
Secondary: penetrating ballistic, eye penetration, close or open brain
injury
Tertiary: blunt or penetrating trauma, fractures, traumatic
amputations
Quaternary: external and internal burns, crush injuries, asthma,
COPD, angina, hypertension, hyperglycemia
Quinary: variety of health effects depending on agents
, ◉ Why is it important to use systematic approach in the initial
assessment of a trauma patient? Answer: the systemic approach is
the best ot use because it allows you to rapidly assess for life-
threatening injuries and intervene in a systemic manner, and it is the
basis for TNP
◉ What is included in the preparation for a trauma patient? Answer:
Don PPE
activate trauma team
prep the trauma room
◉ What information is obtained during the general impression?
Answer: - physiological status
identify any uncontrolled bleeding
- main goal is to immediately identify any and all life threatening
conditions within the first few minutes upon arrival
◉ What does the a to E pneumonic stand for? Answer: -airway and
alertness
-breathing and ventilation
-circulation
-disability
E- exposure
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ Is your facility involved in injury prevention programs? Answer:
no
◉ what are the most common causes of injury related to death in
your country? Your Community? Answer: -unintentional poisoning
(overdose)
-MVC
-falls
(In AL, overdoses, MVCs, firearm-related injuries)
◉ When preparing to receive a seriously injured patient, what are
some examples of equipment you would anticipate needing?
Answer: -IV supplies
-fluids
-intubation box
◉ Who responds to the arrival of trauma patient at your facility?
What are their roles? Answer: anyone who is not currently working
with patients, no roles are typically assigned lol
,◉ At your facility, are there clear predetermined responsibilities for
each member of the team that responds to the trauma patient?
Answer: NOPE :)
◉ When caring for a seriously ill patient what communication
challenges between team members have you experienced that for
your facility? What steps are being taped to address those
challenges? Answer: -too many other people talkign during the
trauma
-too many people coming in to watch
-too many people stand in the way as opposed to help
◉ Why is it important to understand bio mechanics as it relates to
the types of energy forces and mechanisms of injury? Answer:
understanding the law of physics and applying biomechanics,
kinematics, and mechanism of injury principles, along with
knowledge of anatomy and physiology, can assist the trauma-care
nurse in anticipating the intervention and management needs of the
patient
◉ What are common mechanisms of injury That result in trauma?
Answer: -Blunt trauma
-penetrating trauma
- thermal trauma
,-blast trauma
◉ Do you have criteria for trauma activation at your facility? Do the
criteria include clear guidelines for identifying activations for in
following conditions: false, motor vehicle crash, crashes, and
penetrating injuries? Answer: -uncontrolled bleed
- fall from greater than 20 feet
-open fracture
-airway compromise
◉ What is the most common mechanism of blunt trauma seen at
your facility? Penetrating trauma? Answer: our most common cause
of blunt trauma MVCs or Falls. Our most common cause of
penetrating trauma would be GSWs
◉ What injuries can be anticipated for each stage associated with an
explosion injury? Answer: Primary: blast lung, tympanic membrane
rupture, abdominal hemorrhage, TBI
Secondary: penetrating ballistic, eye penetration, close or open brain
injury
Tertiary: blunt or penetrating trauma, fractures, traumatic
amputations
Quaternary: external and internal burns, crush injuries, asthma,
COPD, angina, hypertension, hyperglycemia
Quinary: variety of health effects depending on agents
, ◉ Why is it important to use systematic approach in the initial
assessment of a trauma patient? Answer: the systemic approach is
the best ot use because it allows you to rapidly assess for life-
threatening injuries and intervene in a systemic manner, and it is the
basis for TNP
◉ What is included in the preparation for a trauma patient? Answer:
Don PPE
activate trauma team
prep the trauma room
◉ What information is obtained during the general impression?
Answer: - physiological status
identify any uncontrolled bleeding
- main goal is to immediately identify any and all life threatening
conditions within the first few minutes upon arrival
◉ What does the a to E pneumonic stand for? Answer: -airway and
alertness
-breathing and ventilation
-circulation
-disability
E- exposure
