TNCC FINAL EXAM 2 2026/27 QUESTIONS AND
CORRECT ANSWERS
A 56-year- male patient involved in a MVC is brought to the ED of a
rural critical access facility. He c/o neck pain, SOB, and diffuse abd
pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - answerA) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
,Why is a measure of serum lactate obtained in the initial assessment
of the trauma patient?
Answer: c - answera) 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
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96
beats/min, and RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and symptoms of
which stage of shock?
Answer: A - answerA) compensated **
B) Progressive
C) irreversible
D) decompensated
,An elderly patient with a history of anticoagulant use presents
after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?
Answer: D - answerA) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - answerA) Alert with no neurologic deficits
, B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - answerA) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant
abdominal and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
Answer: A - answerA) initiate transfer to a trauma center **
CORRECT ANSWERS
A 56-year- male patient involved in a MVC is brought to the ED of a
rural critical access facility. He c/o neck pain, SOB, and diffuse abd
pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - answerA) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
,Why is a measure of serum lactate obtained in the initial assessment
of the trauma patient?
Answer: c - answera) 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
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96
beats/min, and RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and symptoms of
which stage of shock?
Answer: A - answerA) compensated **
B) Progressive
C) irreversible
D) decompensated
,An elderly patient with a history of anticoagulant use presents
after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?
Answer: D - answerA) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - answerA) Alert with no neurologic deficits
, B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - answerA) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant
abdominal and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
Answer: A - answerA) initiate transfer to a trauma center **
