TNCC (Trauma Nursing Core Course)
Exam 150 Questions with Answers and
Rationales PRACTICE EXAM REVIEWS
WITH COMPLETE ACTUAL EXAM2025-
2026 QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
1. What is the first priority in the TNCC primary survey?
A. Disability
B. Exposure
C. Airway with cervical spine protection
D. Circulation
Answer: C. Airway with cervical spine protection
Rationale: Airway management while maintaining cervical spine
protection is the highest priority because hypoxia can rapidly become
fatal.
2. Which intervention is appropriate for a trauma patient with
snoring respirations?
A. Chest tube insertion
B. Jaw-thrust maneuver
C. Nasogastric tube insertion
D. Foley catheter insertion
,Answer: B. Jaw-thrust maneuver
Rationale: Snoring suggests upper airway obstruction. The jaw-thrust
maneuver opens the airway while minimizing cervical spine
movement.
3. Which finding indicates an airway is patent?
A. Gurgling sounds
B. Stridor
C. Snoring
D. Patient speaks clearly
Answer: D. Patient speaks clearly
Rationale: Clear speech indicates adequate airflow through the upper
airway.
4. Which injury should be suspected in a patient with facial trauma
and hoarseness?
A. Femur fracture
B. Splenic injury
C. Laryngeal injury
D. Pelvic fracture
Answer: C. Laryngeal injury
Rationale: Hoarseness after trauma may indicate injury to the larynx
or upper airway.
5. Which oxygen delivery device provides the highest oxygen
concentration for a spontaneously breathing trauma patient?
,A. Nasal cannula
B. Venturi mask
C. Simple face mask
D. Non-rebreather mask
Answer: D. Non-rebreather mask
Rationale: A non-rebreather mask delivers approximately 90–95%
oxygen when used correctly.
6. During the primary survey, absent breath sounds on one side
suggest:
A. Stroke
B. Pneumothorax
C. Myocardial infarction
D. Appendicitis
Answer: B. Pneumothorax
Rationale: Unilateral absent breath sounds are highly suggestive of a
pneumothorax.
7. What is the most immediate treatment for a tension
pneumothorax?
A. Antibiotics
B. Chest X-ray
C. Needle decompression
D. CT scan
Answer: C. Needle decompression
Rationale: Tension pneumothorax is immediately life-threatening and
requires rapid decompression.
, 8. Beck's triad is associated with:
A. Pulmonary embolism
B. Stroke
C. Cardiac tamponade
D. Myocardial infarction
Answer: C. Cardiac tamponade
Rationale: Beck's triad consists of hypotension, muffled heart sounds,
and jugular venous distention.
9. Which assessment finding is most consistent with hypovolemic
shock?
A. Bradycardia
B. Hypertension
C. Warm, flushed skin
D. Cool, clammy skin
Answer: D. Cool, clammy skin
Rationale: Vasoconstriction in shock results in cool, pale, clammy
skin.
10. The preferred IV access for a major trauma patient is:
A. One 22-gauge IV
B. Central line first
C. Two large-bore peripheral IVs
D. PICC line
Answer: C. Two large-bore peripheral IVs
Rationale: Two large-bore IVs allow rapid fluid and blood
administration.
Exam 150 Questions with Answers and
Rationales PRACTICE EXAM REVIEWS
WITH COMPLETE ACTUAL EXAM2025-
2026 QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
1. What is the first priority in the TNCC primary survey?
A. Disability
B. Exposure
C. Airway with cervical spine protection
D. Circulation
Answer: C. Airway with cervical spine protection
Rationale: Airway management while maintaining cervical spine
protection is the highest priority because hypoxia can rapidly become
fatal.
2. Which intervention is appropriate for a trauma patient with
snoring respirations?
A. Chest tube insertion
B. Jaw-thrust maneuver
C. Nasogastric tube insertion
D. Foley catheter insertion
,Answer: B. Jaw-thrust maneuver
Rationale: Snoring suggests upper airway obstruction. The jaw-thrust
maneuver opens the airway while minimizing cervical spine
movement.
3. Which finding indicates an airway is patent?
A. Gurgling sounds
B. Stridor
C. Snoring
D. Patient speaks clearly
Answer: D. Patient speaks clearly
Rationale: Clear speech indicates adequate airflow through the upper
airway.
4. Which injury should be suspected in a patient with facial trauma
and hoarseness?
A. Femur fracture
B. Splenic injury
C. Laryngeal injury
D. Pelvic fracture
Answer: C. Laryngeal injury
Rationale: Hoarseness after trauma may indicate injury to the larynx
or upper airway.
5. Which oxygen delivery device provides the highest oxygen
concentration for a spontaneously breathing trauma patient?
,A. Nasal cannula
B. Venturi mask
C. Simple face mask
D. Non-rebreather mask
Answer: D. Non-rebreather mask
Rationale: A non-rebreather mask delivers approximately 90–95%
oxygen when used correctly.
6. During the primary survey, absent breath sounds on one side
suggest:
A. Stroke
B. Pneumothorax
C. Myocardial infarction
D. Appendicitis
Answer: B. Pneumothorax
Rationale: Unilateral absent breath sounds are highly suggestive of a
pneumothorax.
7. What is the most immediate treatment for a tension
pneumothorax?
A. Antibiotics
B. Chest X-ray
C. Needle decompression
D. CT scan
Answer: C. Needle decompression
Rationale: Tension pneumothorax is immediately life-threatening and
requires rapid decompression.
, 8. Beck's triad is associated with:
A. Pulmonary embolism
B. Stroke
C. Cardiac tamponade
D. Myocardial infarction
Answer: C. Cardiac tamponade
Rationale: Beck's triad consists of hypotension, muffled heart sounds,
and jugular venous distention.
9. Which assessment finding is most consistent with hypovolemic
shock?
A. Bradycardia
B. Hypertension
C. Warm, flushed skin
D. Cool, clammy skin
Answer: D. Cool, clammy skin
Rationale: Vasoconstriction in shock results in cool, pale, clammy
skin.
10. The preferred IV access for a major trauma patient is:
A. One 22-gauge IV
B. Central line first
C. Two large-bore peripheral IVs
D. PICC line
Answer: C. Two large-bore peripheral IVs
Rationale: Two large-bore IVs allow rapid fluid and blood
administration.
