(TNCC) 9TH EDITION 2025 STUDY GUIDE FOR TNCC 9TH EDITION
2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,
,1. An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at a rate
of 18 breaths/minute. The patient has received one intravenous fluid bolus
of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg
(4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the
most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
A. Decrease the rate of manual ventilation
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as
amputation of a limb, paralysis, or loss of sight.
3. What is the most important consideration during the initial assessment
when caring for an older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
B. Medical history including current medications
, 4. You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing the head-to-toe assessment, you note
clear drainage from the right ear. Which of the following is the most
appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
5. When should the definitive calculation for intravenous fluid resuscitation
rate be performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment
B. After removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is based on
percentage of total body surface area which requires a good skin
assessment and is calculated after clothing is removed.
6. In a motor vehicle collision, which injury pathway is most likely to
increase the patient's morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
B. Ejection
2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,
,1. An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at a rate
of 18 breaths/minute. The patient has received one intravenous fluid bolus
of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg
(4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the
most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
A. Decrease the rate of manual ventilation
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as
amputation of a limb, paralysis, or loss of sight.
3. What is the most important consideration during the initial assessment
when caring for an older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
B. Medical history including current medications
, 4. You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing the head-to-toe assessment, you note
clear drainage from the right ear. Which of the following is the most
appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
5. When should the definitive calculation for intravenous fluid resuscitation
rate be performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment
B. After removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is based on
percentage of total body surface area which requires a good skin
assessment and is calculated after clothing is removed.
6. In a motor vehicle collision, which injury pathway is most likely to
increase the patient's morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
B. Ejection
