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VERSION 1
TNCC 9th Edition Exam
1. 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. The patient has receive one
intravenous fluid bolus 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.
2. A patient with complete spinal cord injury who is in neurogenic shock will demonstrate
hypotension and which other clinical signs?
A. Bradycardia and ipsilateral a sense of motor function.
B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury.***
3. You are caring for a patient who was shot multiple times in the chest and abdomen. The patient
is unresponsive with snoring, shallow respirations. Assessment reveals absent radial pulses,
weak and rapid carotid pulse, and cool, diaphoretic skin. Which management strategy should
the nurse anticipate?
A. Autotransfusion
B. Massive transfusion
C. Controlled fluid boluses***
D. Inotropic medications
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4. Three adults present at different times during a one-hour with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last
week. What is the most appropriate intervention from triage for these patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C. Immediately initiate isolation precautions***
D. Send them to the waiting room without a mask
5. Which of the following characteristics is found in high performing teams?
A. Interdisciplinary collaboration***
B. Provide on-the-job training
C. Work individually
D. Minimal feedback to decrease confusion
6. An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2
hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hr. The urine
output over the last hour was 15mL. What intervention should the nurse anticipate?
A. Add blood products to the resuscitation
B. Increase isotonic crystalloid infusion rate***
C. Administer an intravenous diuretic
D. Switch to a hypertonic saline solution
7. An adult pedestrian was struck on the right side by a sport utility vehicle traveling 40 mph. The
patient is awake and alert and the right leg is shortened. Following initial resuscitation with
fluids, the patient remains hypotensive. What would the priority intervention be?
A. Send blood for type and crossmatch
B. Apply a pelvic binder***
C. Prepare the patient for surgery
D. Insert a urinary catheter
8. You are speaking with the family of a critically injured patient. The spouse is crying loudly and
the daughter is angry and yelling at staff. Which of the following nursing interventions is most
appropriate?
, ©TUTOR3570@GMAIL
A. Have the family escorted out of the department
B. Ask if the family would like spiritual support***
C. Allow only the spouse to see the patient
D. Do not include the family in decision-making at this time
9. A severely injured patient has been intubated and is being mechanically ventilated. The patient
has received a balanced resuscitation including multiple blood products. Under which
circumstance will it be harder for hemoglobin to release oxygen to the tissues?
A. Decreased pH
B. Elevated carbon dioxide level
C. Decreased body temperature***
D. Increased metabolic demand
10. An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored
respirations, and dusky skin. Medications for drug-assisted intubation have been administered
but intubation was unsuccessful. What is the most appropriate next step?
A. Ventilate with a bag-mask device***
B. Prepare for a cricothyroidotomy
C. Administer reversal medications
D. Contact anesthesia for assistance
11. A restrained driver involved in a motor vehicle collision is brought to the emergency department
with abdominal, pelvic, and bilateral lower extremity pain. Vital signs are BP 114/78 mm Hg, HR
98 beats/minute, RR 22 breaths/minute. A FAST exam is negative for fluid in the abdominal and
peritoneal cavities. Which of the following should the nurse anticipate?
A. Diagnostic peritoneal lavage
B. Angiography
C. Non-contrast abdominal CT scan
D. Serial abdominal assessments***
12. A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the
priority intervention
Kindly Note: Reselling or redistribution of my files is illegal. I reply instantly feel free to DM me with any
questions. Good luck on your exam.
,©TUTOR3570@GMAIL
VERSION 1
TNCC 9th Edition Exam
1. 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. The patient has receive one
intravenous fluid bolus 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.
2. A patient with complete spinal cord injury who is in neurogenic shock will demonstrate
hypotension and which other clinical signs?
A. Bradycardia and ipsilateral a sense of motor function.
B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury.***
3. You are caring for a patient who was shot multiple times in the chest and abdomen. The patient
is unresponsive with snoring, shallow respirations. Assessment reveals absent radial pulses,
weak and rapid carotid pulse, and cool, diaphoretic skin. Which management strategy should
the nurse anticipate?
A. Autotransfusion
B. Massive transfusion
C. Controlled fluid boluses***
D. Inotropic medications
,©TUTOR3570@GMAIL
4. Three adults present at different times during a one-hour with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last
week. What is the most appropriate intervention from triage for these patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C. Immediately initiate isolation precautions***
D. Send them to the waiting room without a mask
5. Which of the following characteristics is found in high performing teams?
A. Interdisciplinary collaboration***
B. Provide on-the-job training
C. Work individually
D. Minimal feedback to decrease confusion
6. An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2
hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hr. The urine
output over the last hour was 15mL. What intervention should the nurse anticipate?
A. Add blood products to the resuscitation
B. Increase isotonic crystalloid infusion rate***
C. Administer an intravenous diuretic
D. Switch to a hypertonic saline solution
7. An adult pedestrian was struck on the right side by a sport utility vehicle traveling 40 mph. The
patient is awake and alert and the right leg is shortened. Following initial resuscitation with
fluids, the patient remains hypotensive. What would the priority intervention be?
A. Send blood for type and crossmatch
B. Apply a pelvic binder***
C. Prepare the patient for surgery
D. Insert a urinary catheter
8. You are speaking with the family of a critically injured patient. The spouse is crying loudly and
the daughter is angry and yelling at staff. Which of the following nursing interventions is most
appropriate?
, ©TUTOR3570@GMAIL
A. Have the family escorted out of the department
B. Ask if the family would like spiritual support***
C. Allow only the spouse to see the patient
D. Do not include the family in decision-making at this time
9. A severely injured patient has been intubated and is being mechanically ventilated. The patient
has received a balanced resuscitation including multiple blood products. Under which
circumstance will it be harder for hemoglobin to release oxygen to the tissues?
A. Decreased pH
B. Elevated carbon dioxide level
C. Decreased body temperature***
D. Increased metabolic demand
10. An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored
respirations, and dusky skin. Medications for drug-assisted intubation have been administered
but intubation was unsuccessful. What is the most appropriate next step?
A. Ventilate with a bag-mask device***
B. Prepare for a cricothyroidotomy
C. Administer reversal medications
D. Contact anesthesia for assistance
11. A restrained driver involved in a motor vehicle collision is brought to the emergency department
with abdominal, pelvic, and bilateral lower extremity pain. Vital signs are BP 114/78 mm Hg, HR
98 beats/minute, RR 22 breaths/minute. A FAST exam is negative for fluid in the abdominal and
peritoneal cavities. Which of the following should the nurse anticipate?
A. Diagnostic peritoneal lavage
B. Angiography
C. Non-contrast abdominal CT scan
D. Serial abdominal assessments***
12. A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the
priority intervention
