EXAM TNCC: TNCC 9TH, 2025/2026
WITH CORRECT/ACCURATE
ANSWERS
Your patient was the unrestrained driver involved in a moderate
speed motor vehicle collision. Assessment reveals tenderness in
the upper right quadrant, crepitus in the lower right ribs, and
ecchymosis around the umbilicus. The nurse is concerned about
injury to which organ?
A.Transverse colon
B.Pancreas
C.Liver
D.Spleen - CORRECT ANSWERS- C.Liver
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. - CORRECT
ANSWERS- A.Decrease the rate of manual ventilation.
A 5-year-old child presents to the emergency department with
bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment
triangle or primary survey. Which of the following is the priority
nursing intervention?
A.Report your suspicion of maltreatment in accordance with local
regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the
mechanism of injury
D.Provide the family with injury prevention resources - CORRECT
ANSWERS- A.Report your suspicion of maltreatment in
accordance with local regulations
A patient arrives with a large metal rod embedded in their left
thigh and no active bleeding. Which intervention is most
appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
, D.Prepare the patient for surgery to remove the rod. - CORRECT
ANSWERS- D.Prepare the patient for surgery to remove the rod.
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.During the secondary survey
C.Should only be done at a burn center
D.During the primary survey - CORRECT ANSWERS- B.During the
secondary surveyt
Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
A.It has a higher sensitivity than diagnostic peritoneal lavage for
fluid detection
B.It can be used in hypotensive patients too unstable for
computed tomography scan
C.It can detect as little as 30 mL of fluid in the abdominal cavity
D.It has high sensitivity in pediatric patients for identifying fluid in
the peritoneum - CORRECT ANSWERS- B.It can be used in
hypotensive patients too unstable for computed tomography scan
WITH CORRECT/ACCURATE
ANSWERS
Your patient was the unrestrained driver involved in a moderate
speed motor vehicle collision. Assessment reveals tenderness in
the upper right quadrant, crepitus in the lower right ribs, and
ecchymosis around the umbilicus. The nurse is concerned about
injury to which organ?
A.Transverse colon
B.Pancreas
C.Liver
D.Spleen - CORRECT ANSWERS- C.Liver
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. - CORRECT
ANSWERS- A.Decrease the rate of manual ventilation.
A 5-year-old child presents to the emergency department with
bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment
triangle or primary survey. Which of the following is the priority
nursing intervention?
A.Report your suspicion of maltreatment in accordance with local
regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the
mechanism of injury
D.Provide the family with injury prevention resources - CORRECT
ANSWERS- A.Report your suspicion of maltreatment in
accordance with local regulations
A patient arrives with a large metal rod embedded in their left
thigh and no active bleeding. Which intervention is most
appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
, D.Prepare the patient for surgery to remove the rod. - CORRECT
ANSWERS- D.Prepare the patient for surgery to remove the rod.
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.During the secondary survey
C.Should only be done at a burn center
D.During the primary survey - CORRECT ANSWERS- B.During the
secondary surveyt
Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
A.It has a higher sensitivity than diagnostic peritoneal lavage for
fluid detection
B.It can be used in hypotensive patients too unstable for
computed tomography scan
C.It can detect as little as 30 mL of fluid in the abdominal cavity
D.It has high sensitivity in pediatric patients for identifying fluid in
the peritoneum - CORRECT ANSWERS- B.It can be used in
hypotensive patients too unstable for computed tomography scan
