TNCC FINAL EXAM LATEST VERSIONS 2025 QUESTIONS AND
CORRECT ANSWERS
A |5-year |old |child |presents |to |the |ED |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?
Answer: |A |- |ansA) |report |your |suspicion |of |the |maltreatment |in |accordance |with |local
|regulations |***
B) |apply |ice |to |the |bruises |and |consult |wound |care
C) |engage |in |therapeutic |communication |to |determine |the |MOI
D) |provide |the |family |with |injury |prevention |resourse
A |20-year |old |male |presents |to |the |ED |c/o |severe |lower |abd |pain |after |landing |hard |on |the
|bicycle |cross |bars |which |performing |an |aerial |BMX |maneuver. |Secondary |assessment
|reveals |lower |abd |tenderness |and |scrotal |ecchymosis. |Which |of |the |following |orders
|would |the |nurse |questions?
Answer: |C |- |ansA) |Fast |exam
B) |CT |scan
C) |straight |cath |for |urine |sample |***
D) |ice |and |elevation |of |the |scrotum
A |35-year |old |male |presents |with |facial |trauma |after |bring |struck |inthe |face |with |a
|baseball. |a |tear-drop |shaped |left |pupil |is |noted |on |exam. |What |type |of |injury |is
|suspected?
Answer: |B |- |ansA) |oculomotor |nerve |palsy
B) |globe |rupture |***
C) |uncal |herniation
D) |retinal |detachment
A |36-year |old |female |has |a |deformity |of |the |left |wrist |after |a |fall. |She |is |reluctant |to |move
|her |hand |due |to |pain. |Which |of |the |following |is |the |most |appropriate |intervention?
Answer: |B |- |ansA) |apply |a |sling |and |elevate |the |extremity |to |the |level |of |the |heart.
B) |apply |a |splint |and |ELEVATE |ABOVE |THE |LEVEL |OF |THE |HEART |***
C) |Apply |a |sling |and |elevate |the |extremity |above |the |level |of |the |heart
D) |apply |a |splint |and |elevate |the |extremity |to |the |level |of |the |heart.
A |49-year |old |restrained |driver |involved |in |a |MVC |presents |to |the |trauma |center |c/o |abd,
|pelvic, |and |bil |lower |extremity |pain |Vitals |signs |are |stable. |The |nurse |can |anticipate |all |of
|these |negative |fast |exam |except |which |of |the |following?
, Answer: |A
The |FAST |exam |is |done |at |the |bedside |to |identify |pathological |fluid |in |the |abdominal |and
|pelvic |cavities. |FAST |exams |reduce |the |use |of |more |invasive |diagnostic |peritoneal
|lavage |and |can |be |repeated |if |clinical |changes |or |hemodynamic |changes |occur. |A
|negative |FAST |study |does |not |rule |out |injury |and |may |warrant |a |follow-up |computed
|tomography |scan. |Serial |FAST |exams |can |identify |increasing |abdominal |fluid |collections
|from |hemorrhage. |Diagnostic |peritoneal |lavage/diagnostic |peritoneal |aspiration |is
|performed |by |the |surgical |team |to |rapidly |identify |the |presence |of |hemorrhage |in |patients
|who |are |hemodynamically |unstable |after |trauma. |- |ansA) |diagnostic |peritoneal |lavage |***
B) |serial |fast |exams
C) |abdominal |and |pelvic |CT |scans
D) |serial |abdominal |assessments
A |56-year- |male |patient |involved |in |a |MVC |is |brought |to |the |ED |of |a |rural |critical |access
|facility. |He |c/o |neck |pain, |SOB, |and |diffuse |abd |pain. |His |GCS |is |15. |His |vitals |are |as
|follows:
BP |98/71
HR |125 |beats/min
RR |26 |breaths/min
SpO2 |94% |on |high |flow |O2 |via |NRB |mask
which |of |the |following |is |the |priority |intervention |for |this |patient?
Answer: |C |- |ansA) |Expedite |transport |to |the |CT |scanner
B) |prepare |the |patient |for |spinal |radiographs
C) |expedite |transfer |to |the |closest |trauma |center |***
D) |notify |the |patients |family
A |passenger |is |brought |to |the |emergency |department |of |a |rural |hospital |following |a |high-
speed |MVC. |When |significant |abdominal |and |pelvic |injuries |are |noted |in |the |primary
|survey, |which |of |the |following |is |the |priority |interventions?
Answer: |A |- |ansA) |initiate |transfer |to |a |trauma |center |**
B) |provide |report |to |the |operating |room |nurse
C) |Obtained |imaging |studies
D) |Place |a |gastric |tube
A |patient |arrives |with |a |large |open |chest |wound |after |being |assault |ed |with |a |machete,
|Prehospital |providers |placed |a |nonporous |dressing |over |the |chest |wound |and |tapes |it |on
|3 |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 |interventions?
CORRECT ANSWERS
A |5-year |old |child |presents |to |the |ED |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?
Answer: |A |- |ansA) |report |your |suspicion |of |the |maltreatment |in |accordance |with |local
|regulations |***
B) |apply |ice |to |the |bruises |and |consult |wound |care
C) |engage |in |therapeutic |communication |to |determine |the |MOI
D) |provide |the |family |with |injury |prevention |resourse
A |20-year |old |male |presents |to |the |ED |c/o |severe |lower |abd |pain |after |landing |hard |on |the
|bicycle |cross |bars |which |performing |an |aerial |BMX |maneuver. |Secondary |assessment
|reveals |lower |abd |tenderness |and |scrotal |ecchymosis. |Which |of |the |following |orders
|would |the |nurse |questions?
Answer: |C |- |ansA) |Fast |exam
B) |CT |scan
C) |straight |cath |for |urine |sample |***
D) |ice |and |elevation |of |the |scrotum
A |35-year |old |male |presents |with |facial |trauma |after |bring |struck |inthe |face |with |a
|baseball. |a |tear-drop |shaped |left |pupil |is |noted |on |exam. |What |type |of |injury |is
|suspected?
Answer: |B |- |ansA) |oculomotor |nerve |palsy
B) |globe |rupture |***
C) |uncal |herniation
D) |retinal |detachment
A |36-year |old |female |has |a |deformity |of |the |left |wrist |after |a |fall. |She |is |reluctant |to |move
|her |hand |due |to |pain. |Which |of |the |following |is |the |most |appropriate |intervention?
Answer: |B |- |ansA) |apply |a |sling |and |elevate |the |extremity |to |the |level |of |the |heart.
B) |apply |a |splint |and |ELEVATE |ABOVE |THE |LEVEL |OF |THE |HEART |***
C) |Apply |a |sling |and |elevate |the |extremity |above |the |level |of |the |heart
D) |apply |a |splint |and |elevate |the |extremity |to |the |level |of |the |heart.
A |49-year |old |restrained |driver |involved |in |a |MVC |presents |to |the |trauma |center |c/o |abd,
|pelvic, |and |bil |lower |extremity |pain |Vitals |signs |are |stable. |The |nurse |can |anticipate |all |of
|these |negative |fast |exam |except |which |of |the |following?
, Answer: |A
The |FAST |exam |is |done |at |the |bedside |to |identify |pathological |fluid |in |the |abdominal |and
|pelvic |cavities. |FAST |exams |reduce |the |use |of |more |invasive |diagnostic |peritoneal
|lavage |and |can |be |repeated |if |clinical |changes |or |hemodynamic |changes |occur. |A
|negative |FAST |study |does |not |rule |out |injury |and |may |warrant |a |follow-up |computed
|tomography |scan. |Serial |FAST |exams |can |identify |increasing |abdominal |fluid |collections
|from |hemorrhage. |Diagnostic |peritoneal |lavage/diagnostic |peritoneal |aspiration |is
|performed |by |the |surgical |team |to |rapidly |identify |the |presence |of |hemorrhage |in |patients
|who |are |hemodynamically |unstable |after |trauma. |- |ansA) |diagnostic |peritoneal |lavage |***
B) |serial |fast |exams
C) |abdominal |and |pelvic |CT |scans
D) |serial |abdominal |assessments
A |56-year- |male |patient |involved |in |a |MVC |is |brought |to |the |ED |of |a |rural |critical |access
|facility. |He |c/o |neck |pain, |SOB, |and |diffuse |abd |pain. |His |GCS |is |15. |His |vitals |are |as
|follows:
BP |98/71
HR |125 |beats/min
RR |26 |breaths/min
SpO2 |94% |on |high |flow |O2 |via |NRB |mask
which |of |the |following |is |the |priority |intervention |for |this |patient?
Answer: |C |- |ansA) |Expedite |transport |to |the |CT |scanner
B) |prepare |the |patient |for |spinal |radiographs
C) |expedite |transfer |to |the |closest |trauma |center |***
D) |notify |the |patients |family
A |passenger |is |brought |to |the |emergency |department |of |a |rural |hospital |following |a |high-
speed |MVC. |When |significant |abdominal |and |pelvic |injuries |are |noted |in |the |primary
|survey, |which |of |the |following |is |the |priority |interventions?
Answer: |A |- |ansA) |initiate |transfer |to |a |trauma |center |**
B) |provide |report |to |the |operating |room |nurse
C) |Obtained |imaging |studies
D) |Place |a |gastric |tube
A |patient |arrives |with |a |large |open |chest |wound |after |being |assault |ed |with |a |machete,
|Prehospital |providers |placed |a |nonporous |dressing |over |the |chest |wound |and |tapes |it |on
|3 |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 |interventions?
