TNCC TEST 2025 ACTUAL FINAL EXAM TEST BANK WITH
300 QUESTIONS AND CORRET DETAILED
ANSWERS AND RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What are signs of Compensated shock? - CORRECT ANS✔✔ Anxiety as blood is shunted from areas
responsible for higher brain function, normal systolic BP, elevated diastolic BP, increased RR,
bounding pulse, decreased urinary output.
What are signs of Decompensated or Progressive shock? - CORRECT ANS✔✔ Decreased LOC,
decreased systolic BP, narrowing pulse pressure, tachycardia, weak pulses, rapid shallow
respirations, cool and cyanotic skin, increased lactic acid levels
When is the KB test appropriate and what does it determine? - CORRECT ANS✔✔ Pregnant patient.
Detects fetal RBC in maternal circulation.
What is the pH of amniotic fluid? - CORRECT ANS✔✔ 7.5
What is the pH of urine? - CORRECT ANS✔✔ 4.6 - 6
What is FAST and what does it detect? - CORRECT ANS✔✔ Focused assessment with sonography for
trauma, a screening test for blood around the heart (pericardial effusion) or abdominal organs
(hemoperitoneum) after trauma.
What is the first "assessment"? - CORRECT ANS✔✔ Across the room assessment.
When dosing analgesic meds for a bariatric do you use the actual or ideal weight? - CORRECT ANS✔✔ Ideal
Serosanguinous fluid drainage from the nose and ears could be what and be indicative of what injury? -
CORRECT ANS✔✔ CSF, basilar skull fracture.
What are 2 rapid ways of testing if fluid is CSF? - CORRECT ANS✔✔ Drop some on gauze and look for
halo or check for glucose presence.
The primary survey includes which steps? - CORRECT ANS✔✔ A B C D E
,G - CORRECT ANS✔✔ Get resuscitation adjuncts (LMNOP), Give comfort measures
What is the purpose of the reevaluation step? - CORRECT ANS✔✔ To determine if any findings from the
primary survey raise suspicion for uncontrolled internal hemorrhage, the need for emergency surgical
intervention, or transport to a trauma center.
H - CORRECT ANS✔✔ History and Head to toe assessment
I - CORRECT ANS✔✔ Inspect posterior surfaces, palpate spine, check rectum for blood and tone.
L - CORRECT ANS✔✔ Lab studies
, M - CORRECT ANS✔✔ Monitor for continuous cardiac rhythm and rate assessment
N - CORRECT ANS✔✔ Naso or orogastric tube consideration
O - CORRECT ANS✔✔ Oxygenation and ventilation analysis (pulse ox or capnography)
P - CORRECT ANS✔✔ Pain assessment and management
What alteration to ABC can exist, what is that alteration and when is it identified? - CORRECT ANS✔✔
<C>ABC,
<C> signifies catastrophic hemorrhage, identified during across the room assessment.
What is MARCH - CORRECT ANS✔✔ M Massive
Hemorrhage A Airway
R Respiration- decompress suspected tension pneumo, seal open chest wounds
C Circulation
H Head injury/ Hypothermia
What is the A in AVPU? - CORRECT ANS✔✔ Alert
What is the V in AVPU and what intervention may it indicate? - CORRECT ANS✔✔ Responds to verbal
stimuli, an airway adjunct may be needed to keep the tongue from obstructing the airway.
What is the P in AVPU and what intervention may it indicate? - CORRECT ANS✔✔ Responds to pain,
patient may not be able to maintain his or her airway and airway adjunct may be needed while further
assessment is made to determine intubation necessity.
What is the U in AVPU and what must occur if this is the case? - CORRECT ANS✔✔ Unresponsive,
announce loudly and direct someone to check for pulses while assessing if the cause of the problem is
the airway.
300 QUESTIONS AND CORRET DETAILED
ANSWERS AND RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What are signs of Compensated shock? - CORRECT ANS✔✔ Anxiety as blood is shunted from areas
responsible for higher brain function, normal systolic BP, elevated diastolic BP, increased RR,
bounding pulse, decreased urinary output.
What are signs of Decompensated or Progressive shock? - CORRECT ANS✔✔ Decreased LOC,
decreased systolic BP, narrowing pulse pressure, tachycardia, weak pulses, rapid shallow
respirations, cool and cyanotic skin, increased lactic acid levels
When is the KB test appropriate and what does it determine? - CORRECT ANS✔✔ Pregnant patient.
Detects fetal RBC in maternal circulation.
What is the pH of amniotic fluid? - CORRECT ANS✔✔ 7.5
What is the pH of urine? - CORRECT ANS✔✔ 4.6 - 6
What is FAST and what does it detect? - CORRECT ANS✔✔ Focused assessment with sonography for
trauma, a screening test for blood around the heart (pericardial effusion) or abdominal organs
(hemoperitoneum) after trauma.
What is the first "assessment"? - CORRECT ANS✔✔ Across the room assessment.
When dosing analgesic meds for a bariatric do you use the actual or ideal weight? - CORRECT ANS✔✔ Ideal
Serosanguinous fluid drainage from the nose and ears could be what and be indicative of what injury? -
CORRECT ANS✔✔ CSF, basilar skull fracture.
What are 2 rapid ways of testing if fluid is CSF? - CORRECT ANS✔✔ Drop some on gauze and look for
halo or check for glucose presence.
The primary survey includes which steps? - CORRECT ANS✔✔ A B C D E
,G - CORRECT ANS✔✔ Get resuscitation adjuncts (LMNOP), Give comfort measures
What is the purpose of the reevaluation step? - CORRECT ANS✔✔ To determine if any findings from the
primary survey raise suspicion for uncontrolled internal hemorrhage, the need for emergency surgical
intervention, or transport to a trauma center.
H - CORRECT ANS✔✔ History and Head to toe assessment
I - CORRECT ANS✔✔ Inspect posterior surfaces, palpate spine, check rectum for blood and tone.
L - CORRECT ANS✔✔ Lab studies
, M - CORRECT ANS✔✔ Monitor for continuous cardiac rhythm and rate assessment
N - CORRECT ANS✔✔ Naso or orogastric tube consideration
O - CORRECT ANS✔✔ Oxygenation and ventilation analysis (pulse ox or capnography)
P - CORRECT ANS✔✔ Pain assessment and management
What alteration to ABC can exist, what is that alteration and when is it identified? - CORRECT ANS✔✔
<C>ABC,
<C> signifies catastrophic hemorrhage, identified during across the room assessment.
What is MARCH - CORRECT ANS✔✔ M Massive
Hemorrhage A Airway
R Respiration- decompress suspected tension pneumo, seal open chest wounds
C Circulation
H Head injury/ Hypothermia
What is the A in AVPU? - CORRECT ANS✔✔ Alert
What is the V in AVPU and what intervention may it indicate? - CORRECT ANS✔✔ Responds to verbal
stimuli, an airway adjunct may be needed to keep the tongue from obstructing the airway.
What is the P in AVPU and what intervention may it indicate? - CORRECT ANS✔✔ Responds to pain,
patient may not be able to maintain his or her airway and airway adjunct may be needed while further
assessment is made to determine intubation necessity.
What is the U in AVPU and what must occur if this is the case? - CORRECT ANS✔✔ Unresponsive,
announce loudly and direct someone to check for pulses while assessing if the cause of the problem is
the airway.
