TNCC 8th Edition Provider Exam 2024 Questions
with complete solutions graded A+
QUIZ :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
QUIZ :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
QUIZ :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
QUIZ :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
QUIZ :Which of the following injuries is LEAST likely to be promptly identified?
- ANSWER :Bowel
QUIZ :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
QUIZ :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
QUIZ :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
, QUIZ :Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER :Hypotension that
worsens with inspiration (pulsus paradoxus)
QUIZ :What is the effect of hypothermia on the oxyhemoglobin dissociation
curve? - ANSWER :Hemoglobin does not readily release oxygen for use by the
tissues (Left shift)
QUIZ :A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computed tomography (CT)
scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma team's
communication? - ANSWER :Huddle
QUIZ :What finding raises suspicion of a complete spinal cord injury? -
ANSWER :Priapism
QUIZ :A patient is thrown against a car during a tornado and presents with
obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and
has delayed capillary refill. Which of the following interventions would be most
appropriate for this patient based on the disaster triage principles? -
ANSWER :Initiate two large-caliber intravenous lines for Ringer's lactate
solution administration.
QUIZ :A 36-year-old female has a deformity of the left wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention? - ANSWER :Apply a splint and elevate the extremity
above the level of the heart
QUIZ :Which of the following is a late sign of increased intracranial pressure? -
ANSWER :Decreased respiratory effort
QUIZ :Tearing of the bridging veins is most frequently associated with which
brain injury? - ANSWER :Subdural hematoma
QUIZ :You are caring for a patient who was involved in a motor vehicle crash
and is 32 weeks pregnant. Findings of your secondary survey include
abdominal pain on palpation, fundal height at the costal margin, and some
dark bloody show. Varying accelerations and decelerations are noted on
with complete solutions graded A+
QUIZ :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
QUIZ :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
QUIZ :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
QUIZ :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
QUIZ :Which of the following injuries is LEAST likely to be promptly identified?
- ANSWER :Bowel
QUIZ :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
QUIZ :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
QUIZ :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
, QUIZ :Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER :Hypotension that
worsens with inspiration (pulsus paradoxus)
QUIZ :What is the effect of hypothermia on the oxyhemoglobin dissociation
curve? - ANSWER :Hemoglobin does not readily release oxygen for use by the
tissues (Left shift)
QUIZ :A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computed tomography (CT)
scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma team's
communication? - ANSWER :Huddle
QUIZ :What finding raises suspicion of a complete spinal cord injury? -
ANSWER :Priapism
QUIZ :A patient is thrown against a car during a tornado and presents with
obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and
has delayed capillary refill. Which of the following interventions would be most
appropriate for this patient based on the disaster triage principles? -
ANSWER :Initiate two large-caliber intravenous lines for Ringer's lactate
solution administration.
QUIZ :A 36-year-old female has a deformity of the left wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention? - ANSWER :Apply a splint and elevate the extremity
above the level of the heart
QUIZ :Which of the following is a late sign of increased intracranial pressure? -
ANSWER :Decreased respiratory effort
QUIZ :Tearing of the bridging veins is most frequently associated with which
brain injury? - ANSWER :Subdural hematoma
QUIZ :You are caring for a patient who was involved in a motor vehicle crash
and is 32 weeks pregnant. Findings of your secondary survey include
abdominal pain on palpation, fundal height at the costal margin, and some
dark bloody show. Varying accelerations and decelerations are noted on
