TNCC Final Exam Test 2024
Question and Answers – Open
Book
:
Question 1:
A 24-year-old patient is brought to the emergency department after a motor vehicle crash. The
patient has an open femur fracture and is hypotensive. What is the priority nursing action?
A. Administer IV antibiotics.
B. Immobilize the fracture.
C. Begin fluid resuscitation.
D. Apply a tourniquet to the affected limb.
Answer: C. Begin fluid resuscitation.
Rationale: In trauma, addressing hypotension and restoring perfusion through fluid resuscitation
is a priority over antibiotics or immobilization.
Question 2:
During the primary survey of a trauma patient, you identify stridor and accessory muscle use.
What is the best immediate intervention?
A. Start supplemental oxygen at 2 L/min via nasal cannula.
B. Prepare for a surgical airway.
C. Administer a sedative to calm the patient.
D. Perform a jaw-thrust maneuver to open the airway.
Answer: D. Perform a jaw-thrust maneuver to open the airway.
Rationale: In airway compromise with potential cervical spine injury, the jaw-thrust maneuver is
used to open the airway without manipulating the spine.
,Question 3:
A patient is unresponsive after a fall from a height. The primary survey reveals absent breath
sounds on the left side, hypotension, and distended neck veins. What is the most likely
diagnosis?
A. Cardiac tamponade.
B. Tension pneumothorax.
C. Hemothorax.
D. Pulmonary contusion.
Answer: B. Tension pneumothorax.
Rationale: The combination of absent breath sounds, hypotension, and distended neck veins is
consistent with a tension pneumothorax, a life-threatening condition requiring immediate
decompression.
Question 4:
What is the most appropriate intervention for a patient with a flail chest and respiratory distress?
A. Chest tube placement.
B. Needle decompression.
C. Positive pressure ventilation.
D. Administration of bronchodilators.
Answer: C. Positive pressure ventilation.
Rationale: Positive pressure ventilation stabilizes the chest wall and improves oxygenation in
patients with flail chest.
Question 5:
Which of the following signs suggests early hypovolemic shock in a trauma patient?
A. Bounding pulses.
B. Decreased urine output.
C. Warm, flushed skin.
D. Bradypnea.
Answer: B. Decreased urine output.
Rationale: Decreased urine output is an early sign of hypovolemia as the body prioritizes blood
flow to vital or
Primary Survey
Question 6:
, Which component is part of the primary survey in trauma care?
A. Assess for fractures.
B. Check airway patency.
C. Obtain a detailed patient history.
D. Measure urine output.
Answer: B. Check airway patency.
Question 7:
A patient with severe facial trauma has blood in the airway. What is the best method to secure
the airway?
A. Nasal intubation.
B. Oral intubation.
C. Tracheostomy.
D. Cricothyroidotomy.
Answer: D. Cricothyroidotomy.
Question 8:
What is the most immediate action for an unconscious trauma patient with snoring respirations?
A. Prepare for endotracheal intubation.
B. Administer supplemental oxygen.
C. Perform a jaw-thrust maneuver.
D. Suction the airway.
Answer: C. Perform a jaw-thrust maneuver.
Question 9:
During the primary survey, which intervention addresses circulation?
A. Applying direct pressure to control bleeding.
B. Establishing a patent airway.
C. Placing the patient in the recovery position.
D. Checking for pupillary response.
Answer: A. Applying direct pressure to control bleeding.
Question and Answers – Open
Book
:
Question 1:
A 24-year-old patient is brought to the emergency department after a motor vehicle crash. The
patient has an open femur fracture and is hypotensive. What is the priority nursing action?
A. Administer IV antibiotics.
B. Immobilize the fracture.
C. Begin fluid resuscitation.
D. Apply a tourniquet to the affected limb.
Answer: C. Begin fluid resuscitation.
Rationale: In trauma, addressing hypotension and restoring perfusion through fluid resuscitation
is a priority over antibiotics or immobilization.
Question 2:
During the primary survey of a trauma patient, you identify stridor and accessory muscle use.
What is the best immediate intervention?
A. Start supplemental oxygen at 2 L/min via nasal cannula.
B. Prepare for a surgical airway.
C. Administer a sedative to calm the patient.
D. Perform a jaw-thrust maneuver to open the airway.
Answer: D. Perform a jaw-thrust maneuver to open the airway.
Rationale: In airway compromise with potential cervical spine injury, the jaw-thrust maneuver is
used to open the airway without manipulating the spine.
,Question 3:
A patient is unresponsive after a fall from a height. The primary survey reveals absent breath
sounds on the left side, hypotension, and distended neck veins. What is the most likely
diagnosis?
A. Cardiac tamponade.
B. Tension pneumothorax.
C. Hemothorax.
D. Pulmonary contusion.
Answer: B. Tension pneumothorax.
Rationale: The combination of absent breath sounds, hypotension, and distended neck veins is
consistent with a tension pneumothorax, a life-threatening condition requiring immediate
decompression.
Question 4:
What is the most appropriate intervention for a patient with a flail chest and respiratory distress?
A. Chest tube placement.
B. Needle decompression.
C. Positive pressure ventilation.
D. Administration of bronchodilators.
Answer: C. Positive pressure ventilation.
Rationale: Positive pressure ventilation stabilizes the chest wall and improves oxygenation in
patients with flail chest.
Question 5:
Which of the following signs suggests early hypovolemic shock in a trauma patient?
A. Bounding pulses.
B. Decreased urine output.
C. Warm, flushed skin.
D. Bradypnea.
Answer: B. Decreased urine output.
Rationale: Decreased urine output is an early sign of hypovolemia as the body prioritizes blood
flow to vital or
Primary Survey
Question 6:
, Which component is part of the primary survey in trauma care?
A. Assess for fractures.
B. Check airway patency.
C. Obtain a detailed patient history.
D. Measure urine output.
Answer: B. Check airway patency.
Question 7:
A patient with severe facial trauma has blood in the airway. What is the best method to secure
the airway?
A. Nasal intubation.
B. Oral intubation.
C. Tracheostomy.
D. Cricothyroidotomy.
Answer: D. Cricothyroidotomy.
Question 8:
What is the most immediate action for an unconscious trauma patient with snoring respirations?
A. Prepare for endotracheal intubation.
B. Administer supplemental oxygen.
C. Perform a jaw-thrust maneuver.
D. Suction the airway.
Answer: C. Perform a jaw-thrust maneuver.
Question 9:
During the primary survey, which intervention addresses circulation?
A. Applying direct pressure to control bleeding.
B. Establishing a patent airway.
C. Placing the patient in the recovery position.
D. Checking for pupillary response.
Answer: A. Applying direct pressure to control bleeding.
