TNCC TEST PREPA. EXAM QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
Expedite transfer to the closest trauma center - ANS A 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain,
SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-
flow O2 via NRB mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - ANS Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ANS Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe?
Multiple requests for water - ANS EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which assessment finding would prompt the
RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - ANS What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANS Which of the following is a component of the trauma triad of death?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Complete - ANS EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C).
The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - ANS Which of the following is an expected finding in a
pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - ANS During the primary survey of an
unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority
nursing interventions should be preformed next?
globe rupture - ANS 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 - ANS A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANS An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - ANS When is the tertiary survey completed fora trauma pt?
pressure - ANS An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,worsening pneumothorax - ANS Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability - ANS the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ANS Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - ANS Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - ANS Tearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - ANS 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 - ANS You are caring for a pt who was involved in a MVC and is 32 weeks
pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the
costal margin, and some dark bloody show. Varying accelerations 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 - ANS Which of the following is true
about the log-roll?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, defusings - ANS All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography - ANS What bedside monitoring parameters are used to
assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ANS 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 following interventions has the highest priority?
bowel - ANS Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - ANS A pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - ANS A pt with a complete
spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical
signs?
apply splint and elevate above the level of the heart - ANS a 37 y/o F has a deformity of the L
wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the
most appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - ANS which of the
following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - ANS a 5 y/o
child presents to the ED with bruises to the upper arm and buttocks in various stages of healing
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS GRADED A+ 2025/2026
Expedite transfer to the closest trauma center - ANS A 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain,
SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-
flow O2 via NRB mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - ANS Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ANS Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe?
Multiple requests for water - ANS EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which assessment finding would prompt the
RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - ANS What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANS Which of the following is a component of the trauma triad of death?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Complete - ANS EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C).
The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - ANS Which of the following is an expected finding in a
pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - ANS During the primary survey of an
unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority
nursing interventions should be preformed next?
globe rupture - ANS 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 - ANS A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANS An unresponsive trauma pt has an oropharygeal
airway in place, shallow and labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - ANS When is the tertiary survey completed fora trauma pt?
pressure - ANS An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,worsening pneumothorax - ANS Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability - ANS the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ANS Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - ANS Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - ANS Tearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - ANS 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 - ANS You are caring for a pt who was involved in a MVC and is 32 weeks
pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the
costal margin, and some dark bloody show. Varying accelerations 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 - ANS Which of the following is true
about the log-roll?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, defusings - ANS All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography - ANS What bedside monitoring parameters are used to
assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ANS 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 following interventions has the highest priority?
bowel - ANS Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - ANS A pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - ANS A pt with a complete
spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical
signs?
apply splint and elevate above the level of the heart - ANS a 37 y/o F has a deformity of the L
wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the
most appropriate intervention?
the aorta is torn at its attachment with the ligamentum arteriosum - ANS which of the
following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - ANS a 5 y/o
child presents to the ED with bruises to the upper arm and buttocks in various stages of healing
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
