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TNCC Pre-Course Practice Exam (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS)- GUARANTEED PASS A+ UPDATED 2026
PRIMARY SURVEY & TRAUMA ASSESSMENT (1–10)
1. In the primary survey, the first action for any trauma patient is:
A. Establish airway with cervical spine protection
B. Check blood pressure
C. Assess for fractures
D. Assess pupils
Answer: A
Rationale: Airway management with spinal precautions is the highest priority in trauma.
2. The “B” in ABCDE stands for:
A. Breathing and ventilation
B. Blood pressure
C. Burns
D. Bradycardia
Answer: A
3. The best indicator of early shock in trauma patients is:
A. Tachycardia
B. Hypotension
C. Cool skin only
D. Cyanosis only
Answer: A
4. The secondary survey is performed:
A. After stabilization of airway, breathing, and circulation
B. Before ABCs
C. Only for minor injuries
D. During resuscitation
Answer: A
2026 2027 GRADED A+
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5. Signs of increased intracranial pressure include:
A. Headache, vomiting, altered consciousness, pupillary changes
B. Tachycardia only
C. Pallor only
D. Hypotension only
Answer: A
6. Glasgow Coma Scale assesses:
A. Eye, verbal, and motor response
B. Pupillary reaction only
C. Vital signs only
D. Reflexes only
Answer: A
7. During trauma assessment, exposure of the patient is necessary to:
A. Identify all injuries and prevent missed injuries
B. Check skin temperature only
C. Perform vitals only
D. Reduce pain only
Answer: A
8. Cushing’s triad (hypertension, bradycardia, irregular respirations) indicates:
A. Late increased intracranial pressure
B. Early shock
C. Spinal injury only
D. Hypothermia only
Answer: A
9. The AMPLE history includes:
A. Allergies, Medications, Past medical history, Last meal, Events leading to injury
B. Airway, Medication, Pulse, Labs, Examination
C. Assessment, Mental status, Pain, Labs, Events
D. Allergies, Muscles, Pressure, Labs, Environment
Answer: A
2026 2027 GRADED A+
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10. The purpose of spinal immobilization in trauma is:
A. Prevent further spinal cord injury
B. Reduce pain only
C. Increase comfort only
D. Prevent shock
Answer: A
AIRWAY & BREATHING (11–20)
11. Stridor in a trauma patient suggests:
A. Upper airway obstruction
B. Hypotension only
C. Hypoxia only
D. Burns only
Answer: A
12. Oxygen delivery in trauma patients is important to:
A. Prevent hypoxia and maintain tissue perfusion
B. Treat hemorrhage
C. Treat hypotension only
D. Increase GCS score
Answer: A
13. A flail chest is identified by:
A. Paradoxical movement of chest wall segment
B. Rib tenderness only
C. Hemothorax only
D. Pneumothorax only
Answer: A
14. Tension pneumothorax is characterized by:
A. Hypotension, absent breath sounds, tracheal deviation
B. Tachycardia only
C. Cyanosis only
D. Fever only
Answer: A
2026 2027 GRADED A+
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15. Needle decompression is performed at:
A. 2nd intercostal space, midclavicular line
B. 5th intercostal space, midaxillary line
C. 4th intercostal space, posterior axillary line
D. Subxiphoid region
Answer: A
16. Chest tube insertion is indicated for:
A. Pneumothorax or hemothorax
B. Minor contusion
C. Rib fracture only
D. Burns only
Answer: A
17. Signs of hypoventilation include:
A. Altered mental status, rising CO₂, cyanosis
B. Hypotension only
C. Bradycardia only
D. Pain only
Answer: A
18. Pediatric airways differ from adults because:
A. Tongue is proportionally larger, airway smaller, more prone to obstruction
B. Airway is identical to adults
C. Lungs are smaller but airway is same
D. Only the trachea differs
Answer: A
19. Positive pressure ventilation in undiagnosed pneumothorax can cause:
A. Tension pneumothorax
B. Bradycardia only
C. Burns only
D. Hypoglycemia
Answer: A
2026 2027 GRADED A+
TNCC Pre-Course Practice Exam (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS)- GUARANTEED PASS A+ UPDATED 2026
PRIMARY SURVEY & TRAUMA ASSESSMENT (1–10)
1. In the primary survey, the first action for any trauma patient is:
A. Establish airway with cervical spine protection
B. Check blood pressure
C. Assess for fractures
D. Assess pupils
Answer: A
Rationale: Airway management with spinal precautions is the highest priority in trauma.
2. The “B” in ABCDE stands for:
A. Breathing and ventilation
B. Blood pressure
C. Burns
D. Bradycardia
Answer: A
3. The best indicator of early shock in trauma patients is:
A. Tachycardia
B. Hypotension
C. Cool skin only
D. Cyanosis only
Answer: A
4. The secondary survey is performed:
A. After stabilization of airway, breathing, and circulation
B. Before ABCs
C. Only for minor injuries
D. During resuscitation
Answer: A
2026 2027 GRADED A+
,2|Page
5. Signs of increased intracranial pressure include:
A. Headache, vomiting, altered consciousness, pupillary changes
B. Tachycardia only
C. Pallor only
D. Hypotension only
Answer: A
6. Glasgow Coma Scale assesses:
A. Eye, verbal, and motor response
B. Pupillary reaction only
C. Vital signs only
D. Reflexes only
Answer: A
7. During trauma assessment, exposure of the patient is necessary to:
A. Identify all injuries and prevent missed injuries
B. Check skin temperature only
C. Perform vitals only
D. Reduce pain only
Answer: A
8. Cushing’s triad (hypertension, bradycardia, irregular respirations) indicates:
A. Late increased intracranial pressure
B. Early shock
C. Spinal injury only
D. Hypothermia only
Answer: A
9. The AMPLE history includes:
A. Allergies, Medications, Past medical history, Last meal, Events leading to injury
B. Airway, Medication, Pulse, Labs, Examination
C. Assessment, Mental status, Pain, Labs, Events
D. Allergies, Muscles, Pressure, Labs, Environment
Answer: A
2026 2027 GRADED A+
,3|Page
10. The purpose of spinal immobilization in trauma is:
A. Prevent further spinal cord injury
B. Reduce pain only
C. Increase comfort only
D. Prevent shock
Answer: A
AIRWAY & BREATHING (11–20)
11. Stridor in a trauma patient suggests:
A. Upper airway obstruction
B. Hypotension only
C. Hypoxia only
D. Burns only
Answer: A
12. Oxygen delivery in trauma patients is important to:
A. Prevent hypoxia and maintain tissue perfusion
B. Treat hemorrhage
C. Treat hypotension only
D. Increase GCS score
Answer: A
13. A flail chest is identified by:
A. Paradoxical movement of chest wall segment
B. Rib tenderness only
C. Hemothorax only
D. Pneumothorax only
Answer: A
14. Tension pneumothorax is characterized by:
A. Hypotension, absent breath sounds, tracheal deviation
B. Tachycardia only
C. Cyanosis only
D. Fever only
Answer: A
2026 2027 GRADED A+
, 4|Page
15. Needle decompression is performed at:
A. 2nd intercostal space, midclavicular line
B. 5th intercostal space, midaxillary line
C. 4th intercostal space, posterior axillary line
D. Subxiphoid region
Answer: A
16. Chest tube insertion is indicated for:
A. Pneumothorax or hemothorax
B. Minor contusion
C. Rib fracture only
D. Burns only
Answer: A
17. Signs of hypoventilation include:
A. Altered mental status, rising CO₂, cyanosis
B. Hypotension only
C. Bradycardia only
D. Pain only
Answer: A
18. Pediatric airways differ from adults because:
A. Tongue is proportionally larger, airway smaller, more prone to obstruction
B. Airway is identical to adults
C. Lungs are smaller but airway is same
D. Only the trachea differs
Answer: A
19. Positive pressure ventilation in undiagnosed pneumothorax can cause:
A. Tension pneumothorax
B. Bradycardia only
C. Burns only
D. Hypoglycemia
Answer: A
2026 2027 GRADED A+
