TNCC 8th Edition Provider Exam
TNCC 8th Edition Provider Exam
Containing 50 Questions with Definitive
Solutions 2024-2025
EMS brings a patient who fell while riding his bicycle. Using the American College
of Surgeons screening guidelines, which assessment finding would prompt the
nurse to prepare the patient for radiologic spine clearance? - Answer: Alert with
no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position"
provides better visualization during the insertion of which device? - Answer:
Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with
a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - Answer: Globe rupture
1
, TNCC 8th Edition Provider Exam
Caregivers carry a 2-year-old into the emergency department who fell out of a
second-story window. The patient is awake and crying with increased work of
breathing and pale skin. Which of the following interventions has the highest
priority? - Answer: Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - Answer:
Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to
the trauma center complaining of abdominal, pelvic, and bilateral lower extremity
pain. Vital signs are stable. The nurse can anticipate all of these after a negative
FAST exam EXCEPT which of the following? - Answer: Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - Answer: To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma,
the nurse notes snoring respirations. Which priority nursing intervention should
be performed next? - Answer: Insert an oropharyngeal airway if there is no gag
reflex
Which of the following assessment findings differentiates a tension pneumothorax
from a simple pneumothorax? - Answer: Hypotension that worsens with
inspiration (pulsus paradoxus)
2
TNCC 8th Edition Provider Exam
Containing 50 Questions with Definitive
Solutions 2024-2025
EMS brings a patient who fell while riding his bicycle. Using the American College
of Surgeons screening guidelines, which assessment finding would prompt the
nurse to prepare the patient for radiologic spine clearance? - Answer: Alert with
no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position"
provides better visualization during the insertion of which device? - Answer:
Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with
a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - Answer: Globe rupture
1
, TNCC 8th Edition Provider Exam
Caregivers carry a 2-year-old into the emergency department who fell out of a
second-story window. The patient is awake and crying with increased work of
breathing and pale skin. Which of the following interventions has the highest
priority? - Answer: Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - Answer:
Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to
the trauma center complaining of abdominal, pelvic, and bilateral lower extremity
pain. Vital signs are stable. The nurse can anticipate all of these after a negative
FAST exam EXCEPT which of the following? - Answer: Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - Answer: To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma,
the nurse notes snoring respirations. Which priority nursing intervention should
be performed next? - Answer: Insert an oropharyngeal airway if there is no gag
reflex
Which of the following assessment findings differentiates a tension pneumothorax
from a simple pneumothorax? - Answer: Hypotension that worsens with
inspiration (pulsus paradoxus)
2
