TNCC 8TH EDITION PROVIDER EXAM QUESTION
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain a�er landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse ques�on?
- ansStraight catheter for urine sample
A 35-year-old male presents with facial trauma a�er being struck in the face with a baseball. A teardrop-
shaped le� pupil is noted on exam. What type of injury is suspected? - ansGlobe rupture
A 36-year-old female has a deformity of the le� wrist a�er a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate interven�on? - ansApply a splint and elevate the
extremity above the level of the heart
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
an�cipate all of these a�er a nega�ve FAST exam EXCEPT which of the following? - ansDiagnos�c
peritoneal lavage
A 5-year-old child presents to the ED with bruises to the upper arms and butocks in various stages of
healing and mul�ple small, clean, round burns to the back. There are no abnormali�es found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
interven�on? - ansReport your suspicion of maltreatment in accordance with local regula�ons
A 56-year-old male pa�ent involved in a motor vehicle crash is brought to the emergency department of
a rural cri�cal access facility. He complains of neck pain, shortness of breath, and diffuse abdominal pain.
His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR
26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the following is
the priority interven�on for this pa�ent? - ansExpedite transfer to the closest trauma center
A pa�ent arrives with a large open chest wound a�er being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate interven�on? - ansDressing
removal
, TNCC 8TH EDITION PROVIDER EXAM QUESTION
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A pa�ent has been in the emergency department for several hours wai�ng to be admited. He sustained
mul�ple rib fractures and a femur fracture a�er a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the pa�ent
is restless, with respiratory distress and petechiae to his neck. The pa�ent is exhibi�ng signs and
symptoms most commonly associated with which of the following condi�ons? - ansFat embolism
A pa�ent is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority interven�on? - ansIni�ate transfer to a trauma center
A pa�ent is found lying on the floor a�er falling 13 hours ago. Which of the following laboratory values is
expected with a musculoskeletal complica�on associated with this presenta�on? - ansElevated crea�ne
kinase
A pa�ent is thrown against a car during a tornado and presents with obvious bilateral femoral fractures.
The pa�ent is pale, alert, disoriented, and has delayed capillary refill. Which of the following
interven�ons would be most appropriate for this pa�ent based on the disaster triage principles? -
ansIni�ate two large-caliber intravenous lines for Ringer's lactate solu�on administra�on.
A pa�ent with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ansBradycardia and absent motor func�on below the level of injury
A pa�ent with a lower extremity fracture complains of severe pain and �ghtness in his calf, minimally
relieved by pain medica�ons. Which of the following is the priority nursing interven�on? - ansEleva�ng
the extremity to the level of the heart
A trauma pa�ent is en route to a rural emergency department. Radiology no�fies 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 communica�on? -
ansHuddle
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain a�er landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse ques�on?
- ansStraight catheter for urine sample
A 35-year-old male presents with facial trauma a�er being struck in the face with a baseball. A teardrop-
shaped le� pupil is noted on exam. What type of injury is suspected? - ansGlobe rupture
A 36-year-old female has a deformity of the le� wrist a�er a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate interven�on? - ansApply a splint and elevate the
extremity above the level of the heart
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
an�cipate all of these a�er a nega�ve FAST exam EXCEPT which of the following? - ansDiagnos�c
peritoneal lavage
A 5-year-old child presents to the ED with bruises to the upper arms and butocks in various stages of
healing and mul�ple small, clean, round burns to the back. There are no abnormali�es found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
interven�on? - ansReport your suspicion of maltreatment in accordance with local regula�ons
A 56-year-old male pa�ent involved in a motor vehicle crash is brought to the emergency department of
a rural cri�cal access facility. He complains of neck pain, shortness of breath, and diffuse abdominal pain.
His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR
26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the following is
the priority interven�on for this pa�ent? - ansExpedite transfer to the closest trauma center
A pa�ent arrives with a large open chest wound a�er being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate interven�on? - ansDressing
removal
, TNCC 8TH EDITION PROVIDER EXAM QUESTION
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A pa�ent has been in the emergency department for several hours wai�ng to be admited. He sustained
mul�ple rib fractures and a femur fracture a�er a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the pa�ent
is restless, with respiratory distress and petechiae to his neck. The pa�ent is exhibi�ng signs and
symptoms most commonly associated with which of the following condi�ons? - ansFat embolism
A pa�ent is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority interven�on? - ansIni�ate transfer to a trauma center
A pa�ent is found lying on the floor a�er falling 13 hours ago. Which of the following laboratory values is
expected with a musculoskeletal complica�on associated with this presenta�on? - ansElevated crea�ne
kinase
A pa�ent is thrown against a car during a tornado and presents with obvious bilateral femoral fractures.
The pa�ent is pale, alert, disoriented, and has delayed capillary refill. Which of the following
interven�ons would be most appropriate for this pa�ent based on the disaster triage principles? -
ansIni�ate two large-caliber intravenous lines for Ringer's lactate solu�on administra�on.
A pa�ent with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ansBradycardia and absent motor func�on below the level of injury
A pa�ent with a lower extremity fracture complains of severe pain and �ghtness in his calf, minimally
relieved by pain medica�ons. Which of the following is the priority nursing interven�on? - ansEleva�ng
the extremity to the level of the heart
A trauma pa�ent is en route to a rural emergency department. Radiology no�fies 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 communica�on? -
ansHuddle
