TNCC ENA 9th Edition Pre-Test Study Guide 2026 | Trauma Nursing Core Course Review &
Exam Prep
B. Initiate direct pressure
Rationale: The first step inn controlling any bleeding is application of direct pressure. - ANS
✔✔A patient arrives at the emergency department by private vehicle after sustaining an injury
to the right lower extremity while using a saw. There is a large gaping wound to the right thigh
area with significant bleeding. What is the priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings
D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction. - ANS ✔✔What technique is most appropriate
when obtaining a history from a patient who has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening
B. Apply gentle pressure over the iliac crests, downward and medially
, Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac crests,
downward and medially. - ANS ✔✔What is the appropriate technique for palpating the pelvis
for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially
A. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their own practice, a
sign of resilience. B indicates the nurse is still not ready to return to their previous level of
engagement in their job. C shows signs of burnout, irritability and frustration. D shows
decreased satisfaction with the job, a sign of burnout. - ANS ✔✔A trauma nurse cared for a
child with devastating burns two weeks ago. The nurse called in sick for a couple of days and is
now back working on the team. Which of the following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department
B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also a
small decrease in systolic blood pressure and a larger decrease in diastolic blood pressure due
to a decrease in peripheral resistance. Normal fetal heart rate is between 120 and 160
beats/minute. - ANS ✔✔The vital signs of a pregnant trauma patient at 30 weeks include a
blood pressure of 94/62 mmHg and a heart rate of 108 beats/minute. Fetal heart tones are 124
Exam Prep
B. Initiate direct pressure
Rationale: The first step inn controlling any bleeding is application of direct pressure. - ANS
✔✔A patient arrives at the emergency department by private vehicle after sustaining an injury
to the right lower extremity while using a saw. There is a large gaping wound to the right thigh
area with significant bleeding. What is the priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings
D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction. - ANS ✔✔What technique is most appropriate
when obtaining a history from a patient who has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening
B. Apply gentle pressure over the iliac crests, downward and medially
, Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac crests,
downward and medially. - ANS ✔✔What is the appropriate technique for palpating the pelvis
for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially
A. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance their own practice, a
sign of resilience. B indicates the nurse is still not ready to return to their previous level of
engagement in their job. C shows signs of burnout, irritability and frustration. D shows
decreased satisfaction with the job, a sign of burnout. - ANS ✔✔A trauma nurse cared for a
child with devastating burns two weeks ago. The nurse called in sick for a couple of days and is
now back working on the team. Which of the following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department
B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also a
small decrease in systolic blood pressure and a larger decrease in diastolic blood pressure due
to a decrease in peripheral resistance. Normal fetal heart rate is between 120 and 160
beats/minute. - ANS ✔✔The vital signs of a pregnant trauma patient at 30 weeks include a
blood pressure of 94/62 mmHg and a heart rate of 108 beats/minute. Fetal heart tones are 124
