TNCC Test Prep 2025 – Questions,
Answers & Rationales
Expedite transfer to the closest trauma center -ANSWER ✨✔---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 -ANSWER ✨✔---Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation -ANSWER ✨✔---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?
Smell of ETOH on breath -ANSWER ✨✔---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 -ANSWER ✨✔---What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
, acidosis -ANSWER ✨✔---Which of the following is a component of the trauma triad of death?
Complete -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---When is the tertiary survey completed fora trauma pt?
pressure -ANSWER ✨✔---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?
worsening pneumothorax -ANSWER ✨✔---Which of the following is possible complication of
positive-pressure ventilation?
Answers & Rationales
Expedite transfer to the closest trauma center -ANSWER ✨✔---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 -ANSWER ✨✔---Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation -ANSWER ✨✔---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?
Smell of ETOH on breath -ANSWER ✨✔---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 -ANSWER ✨✔---What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
, acidosis -ANSWER ✨✔---Which of the following is a component of the trauma triad of death?
Complete -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---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 -ANSWER ✨✔---When is the tertiary survey completed fora trauma pt?
pressure -ANSWER ✨✔---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?
worsening pneumothorax -ANSWER ✨✔---Which of the following is possible complication of
positive-pressure ventilation?
