TNCC 8TH QUESTIONS AND ANSWERS 2025
endotracheal tube - Answer -The trauma nurse knows that placing a bariatric patient in
a "ramped position" provides better visualization during the insertion of which device?
subdural hematoma - Answer -Tearing of the bridging veins is most frequently
associated with which brain injury?
Elevated creatine kinase - Answer -A patient is found lying on the floor after falling 13
hours ago. Which of the following laboratory values is expected with a musculoskeletal
complication associated with this presentation?
Initiate transfer to a trauma center - Answer -A patient is brought to the emergency
department of a rural hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the primary survey, which of the
following is the priority intervention?
bowel - Answer -Which of the following injuries is LEAST likely to be promptly
identified?
A 52-year-old diabetic male with a partial-thickness burn to the left lower leg - Answer -
Which of the following patients warrants referral to a burn center?
Straight catheter for urine sample - Answer -A 20-year-old male presents to the ED
complaining of severe lower abdominal pain after landing hard on the bicycle cross bars
while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the
nurse question?
placental abruption - Answer -You are caring for a patient who was involved in a motor
vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include
abdominal pain on palpation, fundal height at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are note don cardiotocography. These
findings are most consistent with which of the following?
The aorta is torn at its attachment with the ligmentum arteriosum - Answer -Which of
the following occurs during the third impact of a motor vehicle crash?
narrowed - Answer -Which pulse pressure description is an indication of early
hypovolemic shock?
Ventilate with a bag-mask device - Answer -An unresponsive trauma patient has an
oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The
trauma team has administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate next step?
, Hypotension that worsens with inspiration - Answer -Which of the following assessment
findings differentiates a tension pneumothorax from a simple pneumothorax?
Elevating the extremity TO the level of the heart - Answer -A patient with a lower
extremity fracture complains of severe pain and tightness in his calf, minimally relieved
by pain medications. Which of the following is the priority nursing intervention?
diagnostic peritoneal lavage - Answer -A 49-year-old restrained driver involved in a
motor vehicle collision present to the trauma center complaining of abdominal, pelvis,
and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of
these after a negative FAST exam EXCEPT which of the following?
priapism - Answer -What finding raises suspicion of a complete spinal cord injury?
After a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan - Answer -EMS arrives with the intoxicated driver of a car
involved in a motor vehicle crash. EMS reports significant damage to the driver's side of
the car. The patient is asking to have the cervical collar removed. When is it appropriate
to remove the cervical collar?
Insert an oropharyngeal airway if there is no gag reflex - Answer -During the primary
survey of an unconscious patient with multi-system trauma, the nurse notes snoring
respirations. Which priority nursing intervention should be performed next?
To gauge end-organ perfusion and tissue hypoxia - Answer -Why is a measure of
serum lactate obtained in the initial assessment of a trauma patient?
fat embolism - Answer -A patient has been in the emergency department for several
hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture
after a fall. He has been awake, alert, and complaining of leg pain. His wife reported
that he 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 follow conditions?
Apply a splint and elevate the extremity ABOVE the level of the heart - Answer -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?
Expedite transfer to the closest trauma center - Answer -A 56-year-old male patient
involved in a motor vehicle crash is brought to the emergency department of a rural
critical assess facility. He complaints of neck pain, shortness of breath, and diffuse
abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71
mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen
via non-rebreather mask. Which of the follow is the priority intervention for this patient?
endotracheal tube - Answer -The trauma nurse knows that placing a bariatric patient in
a "ramped position" provides better visualization during the insertion of which device?
subdural hematoma - Answer -Tearing of the bridging veins is most frequently
associated with which brain injury?
Elevated creatine kinase - Answer -A patient is found lying on the floor after falling 13
hours ago. Which of the following laboratory values is expected with a musculoskeletal
complication associated with this presentation?
Initiate transfer to a trauma center - Answer -A patient is brought to the emergency
department of a rural hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the primary survey, which of the
following is the priority intervention?
bowel - Answer -Which of the following injuries is LEAST likely to be promptly
identified?
A 52-year-old diabetic male with a partial-thickness burn to the left lower leg - Answer -
Which of the following patients warrants referral to a burn center?
Straight catheter for urine sample - Answer -A 20-year-old male presents to the ED
complaining of severe lower abdominal pain after landing hard on the bicycle cross bars
while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the
nurse question?
placental abruption - Answer -You are caring for a patient who was involved in a motor
vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include
abdominal pain on palpation, fundal height at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are note don cardiotocography. These
findings are most consistent with which of the following?
The aorta is torn at its attachment with the ligmentum arteriosum - Answer -Which of
the following occurs during the third impact of a motor vehicle crash?
narrowed - Answer -Which pulse pressure description is an indication of early
hypovolemic shock?
Ventilate with a bag-mask device - Answer -An unresponsive trauma patient has an
oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The
trauma team has administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate next step?
, Hypotension that worsens with inspiration - Answer -Which of the following assessment
findings differentiates a tension pneumothorax from a simple pneumothorax?
Elevating the extremity TO the level of the heart - Answer -A patient with a lower
extremity fracture complains of severe pain and tightness in his calf, minimally relieved
by pain medications. Which of the following is the priority nursing intervention?
diagnostic peritoneal lavage - Answer -A 49-year-old restrained driver involved in a
motor vehicle collision present to the trauma center complaining of abdominal, pelvis,
and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of
these after a negative FAST exam EXCEPT which of the following?
priapism - Answer -What finding raises suspicion of a complete spinal cord injury?
After a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan - Answer -EMS arrives with the intoxicated driver of a car
involved in a motor vehicle crash. EMS reports significant damage to the driver's side of
the car. The patient is asking to have the cervical collar removed. When is it appropriate
to remove the cervical collar?
Insert an oropharyngeal airway if there is no gag reflex - Answer -During the primary
survey of an unconscious patient with multi-system trauma, the nurse notes snoring
respirations. Which priority nursing intervention should be performed next?
To gauge end-organ perfusion and tissue hypoxia - Answer -Why is a measure of
serum lactate obtained in the initial assessment of a trauma patient?
fat embolism - Answer -A patient has been in the emergency department for several
hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture
after a fall. He has been awake, alert, and complaining of leg pain. His wife reported
that he 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 follow conditions?
Apply a splint and elevate the extremity ABOVE the level of the heart - Answer -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?
Expedite transfer to the closest trauma center - Answer -A 56-year-old male patient
involved in a motor vehicle crash is brought to the emergency department of a rural
critical assess facility. He complaints of neck pain, shortness of breath, and diffuse
abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71
mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen
via non-rebreather mask. Which of the follow is the priority intervention for this patient?
