TNCC Final Exam Test 2026
Comprehensive Questions And Answers
100%Accuracy (Graded A+).
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports
significant damage to the drivers side of the car. The patient is asking to have the
cervical color removed. when is it appropriate to remove the cervical collar?
Answer: A
A) after a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on exam
C) after palpation of the spine if the patient has no point tenderness the the vertebral
column
D) after physical examination if the patient has not neck pain with movement
Tearing of the bridging veins is most frequently associated with which brain
injury?
Page 1 of 23
,Answer: B
A) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
If a patient has received multiple transfusions of banked blood preserved with
citrate, which electrolyte is most likely to drop and require supplementation?
Answer: D
A) potassium
B) magnesium
C) sodium
D) calcium ***
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse
that the CT scanner will be out of service for several of hours. The team gathers
to plan accordingly. Which of the following terms best describes this trauma
teams communication?
Answer: D
A) Brief
B) loop
Page 2 of 23
, C) debrief
D) huddle ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and 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 BSA
burned, how much IV fluids would be administered in the first 8 hours?
(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
(half of fluids given in first 8 hours) = 2280 mL
Answer: A
A) 2280 mL ***
B) 3840 mL
C) 4560 mL
D) 7680 mL
Page 3 of 23
Comprehensive Questions And Answers
100%Accuracy (Graded A+).
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports
significant damage to the drivers side of the car. The patient is asking to have the
cervical color removed. when is it appropriate to remove the cervical collar?
Answer: A
A) after a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on exam
C) after palpation of the spine if the patient has no point tenderness the the vertebral
column
D) after physical examination if the patient has not neck pain with movement
Tearing of the bridging veins is most frequently associated with which brain
injury?
Page 1 of 23
,Answer: B
A) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
If a patient has received multiple transfusions of banked blood preserved with
citrate, which electrolyte is most likely to drop and require supplementation?
Answer: D
A) potassium
B) magnesium
C) sodium
D) calcium ***
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse
that the CT scanner will be out of service for several of hours. The team gathers
to plan accordingly. Which of the following terms best describes this trauma
teams communication?
Answer: D
A) Brief
B) loop
Page 2 of 23
, C) debrief
D) huddle ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and 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 BSA
burned, how much IV fluids would be administered in the first 8 hours?
(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
(half of fluids given in first 8 hours) = 2280 mL
Answer: A
A) 2280 mL ***
B) 3840 mL
C) 4560 mL
D) 7680 mL
Page 3 of 23
