TNCC 9TH
EXAM
TRAUMA NURSING CORE COURSE
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: Trauma Nursing Core Course (TNCC), 9th Edition
COURSE NAME: Emergency Nurses Association (ENA)
TRAUMA NURSING CORE COURSE
(TNCC)
,Managing Cerebral Blood Flow After Severe Head Trauma
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths per minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. Assessment findings reveal a PaCO₂ of 30 mm Hg (4.0 kPa),
pulse oximetry of 92%, and blood pressure of 142/70 mm Hg. The healthcare team
is concerned about maintaining adequate cerebral blood flow while preventing
secondary brain injury. Which intervention is most important at this time?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
Correct Answer: A. Decrease the rate of manual ventilation.
Delayed Neurological Symptoms Following a Motor Vehicle Collision
An older adult presents to the emergency department complaining of dizziness,
headache, and nausea. The patient reports involvement in a motor vehicle collision
approximately 10 days ago and sustained a forehead hematoma at that time. There
was no loss of consciousness reported during the incident. The patient currently
takes anticoagulant medication and is concerned that symptoms have gradually
worsened over the past several days. What is the most likely cause of these
symptoms?
A. Intracerebral hemorrhage
B. Epidural hematoma
C. Diffuse axonal injury
D. Post-concussive syndrome
Correct Answer: D. Post-concussive syndrome
,Priority Intervention for Suspected Compartment Syndrome
A patient with a lower extremity fracture reports severe pain and increasing tightness
in the affected calf. Despite receiving prescribed pain medication, the discomfort
remains intense and minimally relieved. The nurse notes increasing anxiety and
worsening pain with passive movement of the extremity. Which nursing intervention
should be performed immediately?
A. Elevate the leg above the level of the heart.
B. Reposition the leg and apply ice.
C. Elevate the leg to the level of the heart.
D. Prepare the patient for ultrasound of the leg.
Correct Answer: C. Elevate the leg to the level of the heart.
Identifying a Diaphragmatic Injury
A patient involved in a high-speed rollover motor vehicle collision arrives at the
emergency department complaining of worsening shortness of breath. During
assessment, a small penetrating wound is identified in the sixth intercostal space of
the left lateral chest. The trauma team suspects a diaphragmatic injury and performs
a thorough examination. Which finding is most consistent with this diagnosis?
A. Severe left-sided abdominal pain
B. Bowel sounds heard in the left lower chest
C. Pain radiating to the left shoulder
D. Decreased breath sounds on the left side
Correct Answer: B. Bowel sounds heard in the left lower chest
Recognizing Fat Embolism Syndrome
A patient has been in the emergency department for several hours awaiting
admission following multiple traumatic injuries, including several rib fractures and a
, fractured femur. Initially, the patient was alert, oriented, and primarily complained of
leg pain. Suddenly, the spouse reports that the patient has become anxious,
confused, and increasingly restless. Upon reassessment, the nurse observes
respiratory distress and petechiae on the patient's neck. Which condition is most
likely responsible for these findings?
A. Acute lung injury
B. Fat embolism
C. Pneumothorax
D. Pulmonary contusion
Correct Answer: B. Fat embolism
Triage Management of Patients With a Potential Communicable Disease
Three adults arrive separately to the emergency department within a one-hour
period. Each patient reports fever, fatigue, and headache accompanied by a rash
that began on the face, mouth, and arms before spreading to the trunk. During
triage, it is discovered that all three patients visited the same grocery store within the
past week. The nurse recognizes the potential for a highly contagious illness. What is
the most appropriate intervention?
A. Move them to a decontamination area.
B. Mask the patients and send them to the waiting room.
C. Immediately initiate isolation precautions.
D. Send them to the waiting room without a mask.
Correct Answer: C. Immediately initiate isolation precautions.
Identifying a Globe Rupture
A 35-year-old male presents to the emergency department after being struck directly
in the face by a baseball. During the ocular examination, the nurse notes that the
EXAM
TRAUMA NURSING CORE COURSE
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: Trauma Nursing Core Course (TNCC), 9th Edition
COURSE NAME: Emergency Nurses Association (ENA)
TRAUMA NURSING CORE COURSE
(TNCC)
,Managing Cerebral Blood Flow After Severe Head Trauma
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths per minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. Assessment findings reveal a PaCO₂ of 30 mm Hg (4.0 kPa),
pulse oximetry of 92%, and blood pressure of 142/70 mm Hg. The healthcare team
is concerned about maintaining adequate cerebral blood flow while preventing
secondary brain injury. Which intervention is most important at this time?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
Correct Answer: A. Decrease the rate of manual ventilation.
Delayed Neurological Symptoms Following a Motor Vehicle Collision
An older adult presents to the emergency department complaining of dizziness,
headache, and nausea. The patient reports involvement in a motor vehicle collision
approximately 10 days ago and sustained a forehead hematoma at that time. There
was no loss of consciousness reported during the incident. The patient currently
takes anticoagulant medication and is concerned that symptoms have gradually
worsened over the past several days. What is the most likely cause of these
symptoms?
A. Intracerebral hemorrhage
B. Epidural hematoma
C. Diffuse axonal injury
D. Post-concussive syndrome
Correct Answer: D. Post-concussive syndrome
,Priority Intervention for Suspected Compartment Syndrome
A patient with a lower extremity fracture reports severe pain and increasing tightness
in the affected calf. Despite receiving prescribed pain medication, the discomfort
remains intense and minimally relieved. The nurse notes increasing anxiety and
worsening pain with passive movement of the extremity. Which nursing intervention
should be performed immediately?
A. Elevate the leg above the level of the heart.
B. Reposition the leg and apply ice.
C. Elevate the leg to the level of the heart.
D. Prepare the patient for ultrasound of the leg.
Correct Answer: C. Elevate the leg to the level of the heart.
Identifying a Diaphragmatic Injury
A patient involved in a high-speed rollover motor vehicle collision arrives at the
emergency department complaining of worsening shortness of breath. During
assessment, a small penetrating wound is identified in the sixth intercostal space of
the left lateral chest. The trauma team suspects a diaphragmatic injury and performs
a thorough examination. Which finding is most consistent with this diagnosis?
A. Severe left-sided abdominal pain
B. Bowel sounds heard in the left lower chest
C. Pain radiating to the left shoulder
D. Decreased breath sounds on the left side
Correct Answer: B. Bowel sounds heard in the left lower chest
Recognizing Fat Embolism Syndrome
A patient has been in the emergency department for several hours awaiting
admission following multiple traumatic injuries, including several rib fractures and a
, fractured femur. Initially, the patient was alert, oriented, and primarily complained of
leg pain. Suddenly, the spouse reports that the patient has become anxious,
confused, and increasingly restless. Upon reassessment, the nurse observes
respiratory distress and petechiae on the patient's neck. Which condition is most
likely responsible for these findings?
A. Acute lung injury
B. Fat embolism
C. Pneumothorax
D. Pulmonary contusion
Correct Answer: B. Fat embolism
Triage Management of Patients With a Potential Communicable Disease
Three adults arrive separately to the emergency department within a one-hour
period. Each patient reports fever, fatigue, and headache accompanied by a rash
that began on the face, mouth, and arms before spreading to the trunk. During
triage, it is discovered that all three patients visited the same grocery store within the
past week. The nurse recognizes the potential for a highly contagious illness. What is
the most appropriate intervention?
A. Move them to a decontamination area.
B. Mask the patients and send them to the waiting room.
C. Immediately initiate isolation precautions.
D. Send them to the waiting room without a mask.
Correct Answer: C. Immediately initiate isolation precautions.
Identifying a Globe Rupture
A 35-year-old male presents to the emergency department after being struck directly
in the face by a baseball. During the ocular examination, the nurse notes that the
