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TNCC Conceptual
PracticeTNCC Exam
Questions with 100%
Correct Answers
**1. What is the correct sequence of the primary survey in the Trauma Nursing
Process (TNP)?**
A) Airway, Breathing, Circulation, Disability, Exposure
B) Airway, Cervical Spine, Breathing, Circulation, Disability
C) Airway with cervical spine protection, Breathing, Circulation, Disability,
Exposure
D) Breathing, Airway, Circulation, Exposure, Disability
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**Correct Answer: C**
**Rationale:** The TNCC emphasizes simultaneous cervical spine protection
with airway management as the first priority.
**2. A trauma patient presents with agitation, cyanosis, jugular venous
distention, and diminished breath sounds on the right side. What is the most
likely immediate life threat?**
A) Cardiac tamponade
B) Tension pneumothorax
C) Hemothorax
D) Simple pneumothorax
**Correct Answer: B**
**Rationale:** This describes Beck's triad for cardiac tamponade PLUS
unilateral diminished breath sounds and cyanosis, making tension
pneumothorax the more comprehensive diagnosis requiring immediate needle
decompression.
**3. During the primary survey, you note a patient has absent breath sounds
on the left side with hyperresonance to percussion. Your immediate action
should be:**
A) Prepare for chest tube insertion
B) Administer 100% oxygen via non-rebreather mask
C) Perform needle decompression in the 2nd intercostal space, midclavicular
line
D) Perform needle decompression in the 5th intercostal space, anterior axillary
line
**Correct Answer: C**
TNCC Conceptual
PracticeTNCC Exam
Questions with 100%
Correct Answers
**1. What is the correct sequence of the primary survey in the Trauma Nursing
Process (TNP)?**
A) Airway, Breathing, Circulation, Disability, Exposure
B) Airway, Cervical Spine, Breathing, Circulation, Disability
C) Airway with cervical spine protection, Breathing, Circulation, Disability,
Exposure
D) Breathing, Airway, Circulation, Exposure, Disability
, 2|Page
**Correct Answer: C**
**Rationale:** The TNCC emphasizes simultaneous cervical spine protection
with airway management as the first priority.
**2. A trauma patient presents with agitation, cyanosis, jugular venous
distention, and diminished breath sounds on the right side. What is the most
likely immediate life threat?**
A) Cardiac tamponade
B) Tension pneumothorax
C) Hemothorax
D) Simple pneumothorax
**Correct Answer: B**
**Rationale:** This describes Beck's triad for cardiac tamponade PLUS
unilateral diminished breath sounds and cyanosis, making tension
pneumothorax the more comprehensive diagnosis requiring immediate needle
decompression.
**3. During the primary survey, you note a patient has absent breath sounds
on the left side with hyperresonance to percussion. Your immediate action
should be:**
A) Prepare for chest tube insertion
B) Administer 100% oxygen via non-rebreather mask
C) Perform needle decompression in the 2nd intercostal space, midclavicular
line
D) Perform needle decompression in the 5th intercostal space, anterior axillary
line
**Correct Answer: C**
