TNCC 9TH EDITION PRACTICE SOLUTION
SET 2026 QUESTIONS WITH ANSWERS
GRADED A+
⩥ During the primary survey of an uncurious patient with multi-system
trauma, the nurse notes snoring respirations. Which priority nursing
interventions should be preformed next?
A. Open the airway with head-tilt/chin-lift maneuver
B. Auscultate bilateral breath sounds
C. Assist Respirations using a bag-mask device
D. Insert an oropharyngeal airway if there is no gag reflex. Answer: A.
Open the airway with head-tilt/chin-lift maneuver
⩥ Your patient is a pedestrian struck by a car and thrown 35 feet. They
were unconscious at the scene but became responsive with initial and
subsequent Glasgow-Coma scores of 13 (E-3, V-4, M-6). The patient has
bilateral subdural hematomas and is awaiting transfer to the ICU. Your
next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority
nursing intervention?
A. Hold all pain medications
B. Notify the provider of the change
C. Repeat the GCS in 30 minutes
D. Place the patient in trendelenburg position. Answer: B. Notify the
provider of the change
,⩥ What is the priority intervention for a child who had been diagnosed
with an atlanto-occipital dislocation following a high-speed motor
vehicle collision?
A. Initiating second large caliber IV
B. Maintaining spinal motion restriction
C. Placing the patient on pulse oximetry
D. Turning the patient to remove the backboard. Answer: B. Maintaining
spinal motion restriction
⩥ Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A. Increased work of breathing
B. Unilaterally diminished breath sounds
C. Tachycardia
D. Hypotension. Answer: D. Hypotension (?)
⩥ A Patient is brought to the emergency department following a MVA
rollover and is complaining of left upper abdominal pain and left
shoulder pain. This presentation is most consistent with an injury to
which organ?
A. Kidney
B. Liver
C. Spleen
, D. Pancreas. Answer: C. Spleen
⩥ A patient arrives with a 3-inch laceration to their forearm from a tree
branch. Which of the following methods will the nurse use to remove
small pieces of debris from the wound?
A. Low-pressure irrigation
B. High-pressure irrigation
C. Scrubbing with NaCl
D. Scrubbing with tap water.. Answer: A. Low-pressure irrigation
⩥ 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/minute with clear breath sounds bilaterally. The
patient has received one IVF bolus of 500mL of warmed isotonic
crystalloid solution. The PaCO2 is 30mmHg and the pulse ox is 96%.
BP is 142/70. What's the most important intervention to manage 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. Answer: A. Decrease the
rate of manual ventilation.
⩥ A restrained driver involved in a MVA collision is brought to the ED
with abdominal, pelvic, and bilateral lower extremity pain. Vital signs
SET 2026 QUESTIONS WITH ANSWERS
GRADED A+
⩥ During the primary survey of an uncurious patient with multi-system
trauma, the nurse notes snoring respirations. Which priority nursing
interventions should be preformed next?
A. Open the airway with head-tilt/chin-lift maneuver
B. Auscultate bilateral breath sounds
C. Assist Respirations using a bag-mask device
D. Insert an oropharyngeal airway if there is no gag reflex. Answer: A.
Open the airway with head-tilt/chin-lift maneuver
⩥ Your patient is a pedestrian struck by a car and thrown 35 feet. They
were unconscious at the scene but became responsive with initial and
subsequent Glasgow-Coma scores of 13 (E-3, V-4, M-6). The patient has
bilateral subdural hematomas and is awaiting transfer to the ICU. Your
next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority
nursing intervention?
A. Hold all pain medications
B. Notify the provider of the change
C. Repeat the GCS in 30 minutes
D. Place the patient in trendelenburg position. Answer: B. Notify the
provider of the change
,⩥ What is the priority intervention for a child who had been diagnosed
with an atlanto-occipital dislocation following a high-speed motor
vehicle collision?
A. Initiating second large caliber IV
B. Maintaining spinal motion restriction
C. Placing the patient on pulse oximetry
D. Turning the patient to remove the backboard. Answer: B. Maintaining
spinal motion restriction
⩥ Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A. Increased work of breathing
B. Unilaterally diminished breath sounds
C. Tachycardia
D. Hypotension. Answer: D. Hypotension (?)
⩥ A Patient is brought to the emergency department following a MVA
rollover and is complaining of left upper abdominal pain and left
shoulder pain. This presentation is most consistent with an injury to
which organ?
A. Kidney
B. Liver
C. Spleen
, D. Pancreas. Answer: C. Spleen
⩥ A patient arrives with a 3-inch laceration to their forearm from a tree
branch. Which of the following methods will the nurse use to remove
small pieces of debris from the wound?
A. Low-pressure irrigation
B. High-pressure irrigation
C. Scrubbing with NaCl
D. Scrubbing with tap water.. Answer: A. Low-pressure irrigation
⩥ 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/minute with clear breath sounds bilaterally. The
patient has received one IVF bolus of 500mL of warmed isotonic
crystalloid solution. The PaCO2 is 30mmHg and the pulse ox is 96%.
BP is 142/70. What's the most important intervention to manage 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. Answer: A. Decrease the
rate of manual ventilation.
⩥ A restrained driver involved in a MVA collision is brought to the ED
with abdominal, pelvic, and bilateral lower extremity pain. Vital signs
