TNCC 9TH EDITION EXAM LATEST 2027
COMPLETE 50 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES
A 35-year old male presents with facial trauma after bring struck
inthe face with a baseball. a tear-drop shaped left pupil is noted
on exam. What type of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve
palsy B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall.
She is reluctant to move her hand due to pain. Which of the
following is the most appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity
to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART
*** C) Apply a sling and elevate the extremity above the level of
the heart D) apply a splint and elevate the extremity to the level
of the heart.
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - ANSWER-a) 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 **
, TNCC 9TH EDITION EXAM LATEST 2027
COMPLETE 50 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES
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 - ANSWER-A) 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 - ANSWER-A) 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
COMPLETE 50 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES
A 35-year old male presents with facial trauma after bring struck
inthe face with a baseball. a tear-drop shaped left pupil is noted
on exam. What type of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve
palsy B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall.
She is reluctant to move her hand due to pain. Which of the
following is the most appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity
to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART
*** C) Apply a sling and elevate the extremity above the level of
the heart D) apply a splint and elevate the extremity to the level
of the heart.
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - ANSWER-a) 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 **
, TNCC 9TH EDITION EXAM LATEST 2027
COMPLETE 50 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES
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 - ANSWER-A) 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 - ANSWER-A) 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
