TNCC 8th Edition Provider
Course Exam – Questions &
Answers 2025
The most reassuring finding for a male patient with hip pain after a fall is which of the following?
a. A normal prostate exam
b. Absence of abdominal distention
c. A normal FAST exam
d. Pelvic stability -ANSWER ✨✔---Pelvic Stability
You are treating a 27-year-old male in respiratory distress who was involved in a house fire. Calculating
total body surface area (TBSA) burned is deferred due to the need for emergent intubation. At what rate
should you begin fluid resuscitation?
a. 1000 ml/hr
b. 500 ml/hr
c. 250 ml/hr
d. 125 ml/hr -ANSWER ✨✔---500 ml/hr
,Which of the following pulse pressures indicate early hypovolemic shock?
a. Widened
b. Narrowed
c. Greater than 50
d. Increased -ANSWER ✨✔---Narrowed
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient?
a. To measure oxygenation and ventilation
b. To quantify the base deficit for the adequacy of cellular perfusion
c. To gauge end-organ perfusion and tissue hypoxia
d. To determine the underlying cause of shock -ANSWER ✨✔---To gauge end-organ perfusion and
tissue hypoxia
A 35-year-old male 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?
a. Oculomotor nerve palsy
b. Globe rupture
c. Uncal herniation
d. Retinal detachment -ANSWER ✨✔---Globe rupture
A trauma patient is restless and repeatedly asking "Where am I?". Vital signs upon arrival were BP
110/60 mmHg, HR 96 beats/min and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are
BP 104/84 mmHg, HR 108 beats/min, and RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
a. Compensated
, b. Progressive
c. Irreversible
d. Decompensated -ANSWER ✨✔---Compensated
If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte
is most likely to drop and require supplementation?
a. Potassium
b. Magnesium
c. Sodium
d. Calcium -ANSWER ✨✔---Calcium
The nurse caring for a 120-kg male brought in after a warehouse fire is calculating the patient's fluid
resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and
superficial burns to the anterior chest.. Using the modified Lund and Browder chart to calculate the total
body surface area burned, how much IV fluid would be administered in the first 8 hours?
a. 2280 mL
b. 3840 mL
c. 4560 mL
d. 7680 mL -ANSWER ✨✔---2280 mL
Upper arm 4 + 4 / Lower arm 3 + 3 / Hand 2.5 + 2.5 = 19% TBSA
120 kg x (2 mL) x (19% TBSA) = 4560 mL
4560 mL / 2 (half of fluids given in first 8 hours) = 2280 mL
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Course Exam – Questions &
Answers 2025
The most reassuring finding for a male patient with hip pain after a fall is which of the following?
a. A normal prostate exam
b. Absence of abdominal distention
c. A normal FAST exam
d. Pelvic stability -ANSWER ✨✔---Pelvic Stability
You are treating a 27-year-old male in respiratory distress who was involved in a house fire. Calculating
total body surface area (TBSA) burned is deferred due to the need for emergent intubation. At what rate
should you begin fluid resuscitation?
a. 1000 ml/hr
b. 500 ml/hr
c. 250 ml/hr
d. 125 ml/hr -ANSWER ✨✔---500 ml/hr
,Which of the following pulse pressures indicate early hypovolemic shock?
a. Widened
b. Narrowed
c. Greater than 50
d. Increased -ANSWER ✨✔---Narrowed
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient?
a. To measure oxygenation and ventilation
b. To quantify the base deficit for the adequacy of cellular perfusion
c. To gauge end-organ perfusion and tissue hypoxia
d. To determine the underlying cause of shock -ANSWER ✨✔---To gauge end-organ perfusion and
tissue hypoxia
A 35-year-old male 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?
a. Oculomotor nerve palsy
b. Globe rupture
c. Uncal herniation
d. Retinal detachment -ANSWER ✨✔---Globe rupture
A trauma patient is restless and repeatedly asking "Where am I?". Vital signs upon arrival were BP
110/60 mmHg, HR 96 beats/min and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are
BP 104/84 mmHg, HR 108 beats/min, and RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
a. Compensated
, b. Progressive
c. Irreversible
d. Decompensated -ANSWER ✨✔---Compensated
If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte
is most likely to drop and require supplementation?
a. Potassium
b. Magnesium
c. Sodium
d. Calcium -ANSWER ✨✔---Calcium
The nurse caring for a 120-kg male brought in after a warehouse fire is calculating the patient's fluid
resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and
superficial burns to the anterior chest.. Using the modified Lund and Browder chart to calculate the total
body surface area burned, how much IV fluid would be administered in the first 8 hours?
a. 2280 mL
b. 3840 mL
c. 4560 mL
d. 7680 mL -ANSWER ✨✔---2280 mL
Upper arm 4 + 4 / Lower arm 3 + 3 / Hand 2.5 + 2.5 = 19% TBSA
120 kg x (2 mL) x (19% TBSA) = 4560 mL
4560 mL / 2 (half of fluids given in first 8 hours) = 2280 mL
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
