TNCC FINAL EXAM TEST 2026/2027
OPEN BOOK GRADED A+
You are treating a 27-year old male in respiratory distress who was involved in a
house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - ANSWER-B) 500 mL/hr
A patient has been in the ED for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been
awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. the patient is exhibiting signs of symptoms commonly
associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - ANSWER-B) fat embolism
,Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - ANSWER-B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - ANSWER-B) medical history
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) pleuritic chest pain
D) hypotension that worsens with inspiration - ANSWER-D) hypotension that
worsens with inspiration.
, Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on the
injured side. Hypotension due to compression of the heart and great vessels is
consistent with obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended neck veins, tracheal
deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering to
the entire surface of both upper extremities and superficial burns to the anterior
chest. Using the modified Lund and Browder chart to calculate the total BSA
burned, how much IV fluids would be administered in the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - ANSWER-A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
OPEN BOOK GRADED A+
You are treating a 27-year old male in respiratory distress who was involved in a
house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - ANSWER-B) 500 mL/hr
A patient has been in the ED for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been
awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. the patient is exhibiting signs of symptoms commonly
associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - ANSWER-B) fat embolism
,Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - ANSWER-B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - ANSWER-B) medical history
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) pleuritic chest pain
D) hypotension that worsens with inspiration - ANSWER-D) hypotension that
worsens with inspiration.
, Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on the
injured side. Hypotension due to compression of the heart and great vessels is
consistent with obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended neck veins, tracheal
deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering to
the entire surface of both upper extremities and superficial burns to the anterior
chest. Using the modified Lund and Browder chart to calculate the total BSA
burned, how much IV fluids would be administered in the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - ANSWER-A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
