TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
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 communicati - ansA.Report your suspicion of maltreatment in accordance with local
regulations
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left
pupil is noted on exam. What type of injury is suspected?
A.Oculomotor nerve palsy B.Globe
rupture C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's air-bag
failed to deploy. The patient is drowsy but arousable and complaining of chest pain with ecchymosis noted to the
chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor shows
premature ventricular contractions. Which of the following is the most appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ansC.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during a staffing crisis. The
nurse expresses anger stating that the patients did not receive quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition?
A.Compassion fatigue B.Vicarious
trauma C.Secondary traumatic stress
D.Moral injury - ansD.Moral injury
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A patient arrives following prolonged exposure of their left hand to the cold. The patient is awake and alert and
complains of a tingling sensation to the fingers. Assessment reveals swelling and bright red skin to the left hand and
a 1-inch round clear blister to the dorsum of that hand. Which of the following nursing interventions is most
appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30 minutes
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. - ansD.Prepare the patient for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a
nonporous dressing over the chest wound and taped it on three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is the
MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ansC.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate sacral
sparing?
A.Involuntary flexion of the great toe B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
A patient has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib
fractures and a femur fracture after a fall. The
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
patient has been awake, alert, and complaining of leg pain. Their spouse reported that the patient suddenly became
anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly associated with which of the following co - ansfat
embolism
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ansC.Apply direct pressure to the wound
A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small
penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most consistent with an
injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in the left lower chest
A patient is brought to the emergency department following a snowmobile crash with prolonged exposure time prior
to transport. The patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute,
T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-rebreather mask. Other findings include ETCO2
24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
A patient is brought to the emergency department with chest pain and shortness of breath following a high-speed
motor vehicle collision in which they were the unrestrained driver. There is crepitus to the left chest with clear and
equal breath sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute.
Cardiac monitor shows sinus tachycardia with premature ventricular contractions. These findings are most
consistent with which type of shock?
, TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A.Cardiogenic
B.Neuroge - ansA.Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent with spinal
shock?
A.Bradycardia B.Loss of
reflexes
C.Widened pulse pressure
D.Warm skin - ansB.Loss of reflexes
A patient is thrown against a car during a tornado and presents with obvious bilateral femur fractures. The patient is
pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate
for this patient based on the disaster triage principles?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration. B.Administer intravenous
medications for pain.
C.Place the patient in an observation area for care within the n - ansInitiate two large- caliber intravenous lines for
isotonic crystalloid administration.
A patient who sustained severe injuries was brought to the emergency department following a high-speed motor
vehicle collision. Interventions for hypovolemic shock have been initiated. What component of the trauma triad of
death is most likely to have begun at the time of injury?
A.Acidosis B.Hypothermia
C.Hypocalcemia
D.Coagulopathy - ansD.Coagulopathy
A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to both
upper extremities and chest with a total body surface area burned of 27%. How much intravenous fluid should be
administered in the first 8 hours?
A.1620 mL
B.2160 mL
C.3240 mL
D.6480 mL - ansC.3240 mL
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
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 communicati - ansA.Report your suspicion of maltreatment in accordance with local
regulations
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left
pupil is noted on exam. What type of injury is suspected?
A.Oculomotor nerve palsy B.Globe
rupture C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's air-bag
failed to deploy. The patient is drowsy but arousable and complaining of chest pain with ecchymosis noted to the
chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor shows
premature ventricular contractions. Which of the following is the most appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ansC.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during a staffing crisis. The
nurse expresses anger stating that the patients did not receive quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition?
A.Compassion fatigue B.Vicarious
trauma C.Secondary traumatic stress
D.Moral injury - ansD.Moral injury
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A patient arrives following prolonged exposure of their left hand to the cold. The patient is awake and alert and
complains of a tingling sensation to the fingers. Assessment reveals swelling and bright red skin to the left hand and
a 1-inch round clear blister to the dorsum of that hand. Which of the following nursing interventions is most
appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30 minutes
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. - ansD.Prepare the patient for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a
nonporous dressing over the chest wound and taped it on three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is the
MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ansC.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate sacral
sparing?
A.Involuntary flexion of the great toe B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
A patient has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib
fractures and a femur fracture after a fall. The
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
patient has been awake, alert, and complaining of leg pain. Their spouse reported that the patient suddenly became
anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly associated with which of the following co - ansfat
embolism
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ansC.Apply direct pressure to the wound
A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small
penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most consistent with an
injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in the left lower chest
A patient is brought to the emergency department following a snowmobile crash with prolonged exposure time prior
to transport. The patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute,
T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-rebreather mask. Other findings include ETCO2
24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
A patient is brought to the emergency department with chest pain and shortness of breath following a high-speed
motor vehicle collision in which they were the unrestrained driver. There is crepitus to the left chest with clear and
equal breath sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute.
Cardiac monitor shows sinus tachycardia with premature ventricular contractions. These findings are most
consistent with which type of shock?
, TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A.Cardiogenic
B.Neuroge - ansA.Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent with spinal
shock?
A.Bradycardia B.Loss of
reflexes
C.Widened pulse pressure
D.Warm skin - ansB.Loss of reflexes
A patient is thrown against a car during a tornado and presents with obvious bilateral femur fractures. The patient is
pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate
for this patient based on the disaster triage principles?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration. B.Administer intravenous
medications for pain.
C.Place the patient in an observation area for care within the n - ansInitiate two large- caliber intravenous lines for
isotonic crystalloid administration.
A patient who sustained severe injuries was brought to the emergency department following a high-speed motor
vehicle collision. Interventions for hypovolemic shock have been initiated. What component of the trauma triad of
death is most likely to have begun at the time of injury?
A.Acidosis B.Hypothermia
C.Hypocalcemia
D.Coagulopathy - ansD.Coagulopathy
A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to both
upper extremities and chest with a total body surface area burned of 27%. How much intravenous fluid should be
administered in the first 8 hours?
A.1620 mL
B.2160 mL
C.3240 mL
D.6480 mL - ansC.3240 mL
