TNCC EXAM +t
Exam Solution
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TNCC 9th Edition Exam 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (99DC9)
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QUESTION 1 +t
Which intervention is recommended regarding the use of drug-
+t +t +t +t +t +t +t +t
assisted intubation and rapid sequence intubation?
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ANSWER
Pre-oxygenate to prolong the time to hypoxia +t +t +t +t +t +t
QUESTION 2 +t
Which normal anatomic or physiologic change in an older adult places them at a higher
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risk for aspiration?
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ANSWER
Relaxed muscles of the oropharynx
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QUESTION 3 +t
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
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would indicate sacral sparing?
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ANSWER
Voluntary anal sphincter tone +t +t +t
QUESTION 4 +t
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of the
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ir body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400
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mL/hour. The urine output over the last hour was 15mL. What intervention should the n
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
urse anticipate?
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ANSWER
, Increase isotonic crystalloid infusion rate +t +t +t +t
QUESTION 5 +t
A patient is diagnosed with a T12 spinal cord injury following a 20-
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foot fall. Which finding is consistent with spinal shock?
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ANSWER
Loss of reflexes +t +t
QUESTION 6 +t
A patient is brought to the emergency department following a motor vehicle rollover an
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d is complaining of left upper abdominal pain and left shoulder pain. This presentation i
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s most consistent with an injury to which organ?
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ANSWER
Spleen
QUESTION 7 +t
An adult patient is brought to the emergency department following a motor vehicle colli
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sion with complaints of neck pain. They have identified as a person in the process of tra
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nsitioning from male to female. What effect of hormone therapy should be considered w
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hen planning care for this patient?
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ANSWER
Testosterone therapy may decrease blood pressure Correct rationale: A person who is in the process of
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
transitioning from male to female will usually be taking female hormones such as estrogen/estradiol to
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
assist with the transition. This can cause a decrease in muscle mass, increased risk of thromboembolis
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
m, and possibly increased bone density. These patients would not be taking testosterone.
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QUESTION 8 +t
An adult patient presents to the emergency department after sustaining severe facial inj
+t +t +t +t +t +t +t +t +t +t +t +t
uries during an altercation. The patient is awake, confused, and smells heavily of alcohol
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. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated based
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on which clinical indicator?
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ANSWER
Severe facial injuries +t +t
QUESTION 9 +t
Exam Solution
+t
TNCC 9th Edition Exam 2026 A+ GRADE ASSURED COMP
+t +t +t +t +t +t +t +t
LETE SOLUTIONS AND VERIFIED ANSWERS (99DC9)
+t +t +t +t +t
QUESTION 1 +t
Which intervention is recommended regarding the use of drug-
+t +t +t +t +t +t +t +t
assisted intubation and rapid sequence intubation?
+t +t +t +t +t
ANSWER
Pre-oxygenate to prolong the time to hypoxia +t +t +t +t +t +t
QUESTION 2 +t
Which normal anatomic or physiologic change in an older adult places them at a higher
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
risk for aspiration?
+t +t
ANSWER
Relaxed muscles of the oropharynx
+t +t +t +t
QUESTION 3 +t
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
would indicate sacral sparing?
+t +t +t
ANSWER
Voluntary anal sphincter tone +t +t +t
QUESTION 4 +t
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of the
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ir body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
mL/hour. The urine output over the last hour was 15mL. What intervention should the n
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
urse anticipate?
+t
ANSWER
, Increase isotonic crystalloid infusion rate +t +t +t +t
QUESTION 5 +t
A patient is diagnosed with a T12 spinal cord injury following a 20-
+t +t +t +t +t +t +t +t +t +t +t +t
foot fall. Which finding is consistent with spinal shock?
+t +t +t +t +t +t +t +t
ANSWER
Loss of reflexes +t +t
QUESTION 6 +t
A patient is brought to the emergency department following a motor vehicle rollover an
+t +t +t +t +t +t +t +t +t +t +t +t +t
d is complaining of left upper abdominal pain and left shoulder pain. This presentation i
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
s most consistent with an injury to which organ?
+t +t +t +t +t +t +t +t
ANSWER
Spleen
QUESTION 7 +t
An adult patient is brought to the emergency department following a motor vehicle colli
+t +t +t +t +t +t +t +t +t +t +t +t +t
sion with complaints of neck pain. They have identified as a person in the process of tra
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
nsitioning from male to female. What effect of hormone therapy should be considered w
+t +t +t +t +t +t +t +t +t +t +t +t +t
hen planning care for this patient?
+t +t +t +t +t
ANSWER
Testosterone therapy may decrease blood pressure Correct rationale: A person who is in the process of
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
transitioning from male to female will usually be taking female hormones such as estrogen/estradiol to
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
assist with the transition. This can cause a decrease in muscle mass, increased risk of thromboembolis
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
m, and possibly increased bone density. These patients would not be taking testosterone.
+t +t +t +t +t +t +t +t +t +t +t +t
QUESTION 8 +t
An adult patient presents to the emergency department after sustaining severe facial inj
+t +t +t +t +t +t +t +t +t +t +t +t
uries during an altercation. The patient is awake, confused, and smells heavily of alcohol
+t +t +t +t +t +t +t +t +t +t +t +t +t
. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated based
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
on which clinical indicator?
+t +t +t
ANSWER
Severe facial injuries +t +t
QUESTION 9 +t