TNCC practice exam
What is the key to a high-performance trauma team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication - ✔✔D. Effective communication
When obtaining a history for an injured patient, understanding the kinematic concepts associated
with the mechanism of injury and energy transfer can initially assist the trauma provider in:
A. Evaluating and anticipating the types of injury that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - ✔✔A. Evaluating and anticipating the types of injury
that may be present
The major preventable cause of death in the trauma patient is:
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled hemorrhage - ✔✔D. Uncontrolled hemorrhage
The across-the-room observation step in the initial assessment providers the opportunity to:
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team - ✔✔C. Reprioritize circulation before airway or breathing
Which of the following accurately describes ventilation principles associated with a bag-mask device?
A. Ventilate at a rate of 10 to 12 breaths/minute
, B. Deliver 100% oxygen
C. Compress the bag-mask device completely
D. Maintain the oxygen saturation level between 92% and 94% - ✔✔A. Ventilate at a rate of 10-12
breaths/minute
Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict
the outcome of resuscitation?
A. End-tidal carbon dioxide
B. Hypoxia
C. Base deficit
D. Oxygen saturation - ✔✔C. Base deficit
What is a safe pharmacological alternative to opioids for rib fracture pain management in the
anticoagulated patient?
A. Corticosteroids
B. Intercostal nerve blocks
C. Nonsteroidal anti-inflammatory drugs
D. Epidural anesthetics - ✔✔B. Intercostal nerve blocks
In a patient with severe traumatic brain injury, hypocapnia causes:
A. Respiratory acidosis
B. Metabolic acidosis
C. Neurogenic shock
D. Cerebral vasoconstriction - ✔✔D. Cerebral vasoconstriction
A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He
complains of difficulty swallowing and speaking. Further assessment is indicated next for which of
the following conditions?
A. Damage to the spinal cord
B. An expanding pneumothorax
C. Laceration of the carotid artery
D. Injury to the thyroid gland - ✔✔A. Damage to the spinal cord
What is the key to a high-performance trauma team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication - ✔✔D. Effective communication
When obtaining a history for an injured patient, understanding the kinematic concepts associated
with the mechanism of injury and energy transfer can initially assist the trauma provider in:
A. Evaluating and anticipating the types of injury that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - ✔✔A. Evaluating and anticipating the types of injury
that may be present
The major preventable cause of death in the trauma patient is:
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled hemorrhage - ✔✔D. Uncontrolled hemorrhage
The across-the-room observation step in the initial assessment providers the opportunity to:
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team - ✔✔C. Reprioritize circulation before airway or breathing
Which of the following accurately describes ventilation principles associated with a bag-mask device?
A. Ventilate at a rate of 10 to 12 breaths/minute
, B. Deliver 100% oxygen
C. Compress the bag-mask device completely
D. Maintain the oxygen saturation level between 92% and 94% - ✔✔A. Ventilate at a rate of 10-12
breaths/minute
Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict
the outcome of resuscitation?
A. End-tidal carbon dioxide
B. Hypoxia
C. Base deficit
D. Oxygen saturation - ✔✔C. Base deficit
What is a safe pharmacological alternative to opioids for rib fracture pain management in the
anticoagulated patient?
A. Corticosteroids
B. Intercostal nerve blocks
C. Nonsteroidal anti-inflammatory drugs
D. Epidural anesthetics - ✔✔B. Intercostal nerve blocks
In a patient with severe traumatic brain injury, hypocapnia causes:
A. Respiratory acidosis
B. Metabolic acidosis
C. Neurogenic shock
D. Cerebral vasoconstriction - ✔✔D. Cerebral vasoconstriction
A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He
complains of difficulty swallowing and speaking. Further assessment is indicated next for which of
the following conditions?
A. Damage to the spinal cord
B. An expanding pneumothorax
C. Laceration of the carotid artery
D. Injury to the thyroid gland - ✔✔A. Damage to the spinal cord
