TNCC 9th Exam (2026) Questions & Answers |
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An older adult presents to the post-concussive syndrome
emergency department with
complaints of dizziness, headache,
and nausea. The patient was involved
in a motor vehicle collision 10 days
ago. There was no loss of
consciousness and a hematoma is
noted to the forehead. The patient is
currently on anticoagulant therapy.
What is most likely the cause of their
symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome
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An adult patient who sustained a A.Decrease the rate of manual ventilation.
severe head trauma has been
intubated and is being manually
ventilated via a bag-mask device at a
rate of 18 breaths/minute. The patient
has received one intravenous fluid
bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30
mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg.
What is the most important
intervention to manage the cerebral
blood flow?
A.Decrease the rate of manual
ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube
placement.
D.Increase the amount of oxygen
delivered.
A patient with a lower extremity C.Elevating the leg to the level of the heart
fracture complains of severe pain
and tightness in his calf, minimally
relieved by pain medications. Which
of the following is the priority
nursing intervention?
A.Elevating the leg above the level
of the heart
B.Repositioning the leg and applying
ice
C.Elevating the leg to the level of the
heart
D.Preparing the patient for
ultrasound of the leg
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A patient involved in a high-speed Bowel sounds heard in the left lower chest
rollover is complaining of increased
difficulty breathing. There is a small
penetrating wound to the sixth
intercostal space in the left lateral
chest. Which finding is most
consistent with an injury to the
diaphragm?
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
A patient has been in the emergency fat embolism
department for several hours waiting
to be admitted. They sustained
multiple rib fractures and a femur
fracture after a fall. The patient has
been awake, alert, and complaining
of leg pain. Their spouse reported
that the patient suddenly became
anxious and confused. Upon
reassessment, the patient is restless,
with respiratory distress and
petechiae to his neck. The patient is
exhibiting signs and symptoms most
commonly associated with which of
the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion
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