TNCC 9th Edition Exam 2025 –
Complete Test Bank with 100
Verified Questions, Detailed
Rationales, and Correct Answers
for Trauma Nursing Certification
Comprehensive Study Guide for Trauma Nursing Core Course
(TNCC) Certification
September 2025
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Verified TNCC Questions (1–100) . . . . . . . . . . . . . . . . . . . . . . . 2
3 Additional Relevant Questions (101–200) . . . . . . . . . . . . . . . . . . 19
4 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
1
,1 Introduction
This document provides a comprehensive test bank for the Trauma Nursing Core
Course (TNCC) 9th Edition Exam 2025, designed to prepare candidates for trauma
nursing certification. It includes 200 multiple-choice questions, with the first 100
verified from standard TNCC resources and an additional 100 relevant questions
developed to align with TNCC 9th Edition principles. Each question includes the
correct answer and a detailed rationale to enhance understanding of trauma
nursing concepts. The focus is on practical, high-yield content covering initial
assessment, triage, specific injuries, and management strategies, minimizing un-
necessary jargon for clarity.
2 Verified TNCC Questions (1–100)
This section contains 100 questions sourced from verified TNCC materials, cov-
ering core trauma nursing topics such as biomechanics, initial assessment, and
specific injury management.
Question 1: Why is it important to understand biomechanics as it relates to
types of energy forces and mechanism of injury (MOI)?
A. To document the incident accurately
B. To understand and anticipate potential injuries
C. To calculate insurance claims
D. To determine legal liability
Correct Answer: B
Rationale: Understanding biomechanics helps predict injury pat-
terns based on energy forces and MOI, enabling prioritized inter-
ventions.
Question 2: What are common MOIs that result in trauma?
A. Blunt and penetrating
B. Medical and surgical
C. Chronic and acute
D. Infectious and inflammatory
Correct Answer: A
Rationale: Blunt and penetrating injuries are primary trauma mech-
anisms requiring specific assessment approaches.
Question 3: Why is it important to use a systematic approach to the initial
assessment of a trauma patient?
A. To save time
B. To maximize outcomes and reduce the risk of undiscovered in-
juries
C. To follow hospital policy
D. To involve more staff
Correct Answer: B
Rationale: A systematic approach ensures comprehensive injury
identification, improving patient outcomes.
Question 4: What is included in the preparation for a trauma patient?
A. Only activating the team
2
, B. Activate the trauma team, prepare room/equipment, don PPE,
consider safety threats, decontamination
C. Just donning PPE
D. Reviewing charts only
Correct Answer: B
Rationale: Comprehensive preparation ensures a safe and efficient
response.
Question 5: What information is obtained during the general impression?
A. Full history
B. Uncontrolled hemorrhage, unresponsiveness/apnea, need to repri-
oritize C-ABC
C. Lab results
D. Social history
Correct Answer: B
Rationale: General impression identifies life-threatening conditions
requiring immediate action.
Question 6: What does the A-J mnemonic stand for in trauma assessment?
A. Alphabetical listing
B. A-Alertness/Airway, B-Breathing, C-Circulation, D-Disability, E-
Exposure, F-Vitals/Family, G-Adjuncts/Comfort, H-History/Head-to-
Toe, I-Inspect Posterior, J-Reevaluate (VIPP)
C. Only primary survey
D. Secondary survey only
Correct Answer: B
Rationale: The A-J mnemonic guides comprehensive primary and
secondary assessments with ongoing reevaluation.
Question 7: Why is alertness included with the airway assessment?
A. To check hearing
B. To evaluate the patient’s ability to protect their airway
C. To assess vision
D. To measure blood pressure
Correct Answer: B
Rationale: Alertness indicates consciousness level, critical for air-
way protection.
Question 8: What is AVPU?
A. Airway, Ventilation, Perfusion, Urine
B. Alert, Verbal response, Pain response, Unresponsive
C. Assessment, Vital signs, Pulse, Urine output
D. Airway, Breathing, Circulation, Disability
Correct Answer: B
Rationale: AVPU assesses neurologic status for airway manage-
ment decisions.
Question 9: When an intervention is taken during the primary survey, what
must the nurse do after?
A. Ignore it
3
Complete Test Bank with 100
Verified Questions, Detailed
Rationales, and Correct Answers
for Trauma Nursing Certification
Comprehensive Study Guide for Trauma Nursing Core Course
(TNCC) Certification
September 2025
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Verified TNCC Questions (1–100) . . . . . . . . . . . . . . . . . . . . . . . 2
3 Additional Relevant Questions (101–200) . . . . . . . . . . . . . . . . . . 19
4 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
1
,1 Introduction
This document provides a comprehensive test bank for the Trauma Nursing Core
Course (TNCC) 9th Edition Exam 2025, designed to prepare candidates for trauma
nursing certification. It includes 200 multiple-choice questions, with the first 100
verified from standard TNCC resources and an additional 100 relevant questions
developed to align with TNCC 9th Edition principles. Each question includes the
correct answer and a detailed rationale to enhance understanding of trauma
nursing concepts. The focus is on practical, high-yield content covering initial
assessment, triage, specific injuries, and management strategies, minimizing un-
necessary jargon for clarity.
2 Verified TNCC Questions (1–100)
This section contains 100 questions sourced from verified TNCC materials, cov-
ering core trauma nursing topics such as biomechanics, initial assessment, and
specific injury management.
Question 1: Why is it important to understand biomechanics as it relates to
types of energy forces and mechanism of injury (MOI)?
A. To document the incident accurately
B. To understand and anticipate potential injuries
C. To calculate insurance claims
D. To determine legal liability
Correct Answer: B
Rationale: Understanding biomechanics helps predict injury pat-
terns based on energy forces and MOI, enabling prioritized inter-
ventions.
Question 2: What are common MOIs that result in trauma?
A. Blunt and penetrating
B. Medical and surgical
C. Chronic and acute
D. Infectious and inflammatory
Correct Answer: A
Rationale: Blunt and penetrating injuries are primary trauma mech-
anisms requiring specific assessment approaches.
Question 3: Why is it important to use a systematic approach to the initial
assessment of a trauma patient?
A. To save time
B. To maximize outcomes and reduce the risk of undiscovered in-
juries
C. To follow hospital policy
D. To involve more staff
Correct Answer: B
Rationale: A systematic approach ensures comprehensive injury
identification, improving patient outcomes.
Question 4: What is included in the preparation for a trauma patient?
A. Only activating the team
2
, B. Activate the trauma team, prepare room/equipment, don PPE,
consider safety threats, decontamination
C. Just donning PPE
D. Reviewing charts only
Correct Answer: B
Rationale: Comprehensive preparation ensures a safe and efficient
response.
Question 5: What information is obtained during the general impression?
A. Full history
B. Uncontrolled hemorrhage, unresponsiveness/apnea, need to repri-
oritize C-ABC
C. Lab results
D. Social history
Correct Answer: B
Rationale: General impression identifies life-threatening conditions
requiring immediate action.
Question 6: What does the A-J mnemonic stand for in trauma assessment?
A. Alphabetical listing
B. A-Alertness/Airway, B-Breathing, C-Circulation, D-Disability, E-
Exposure, F-Vitals/Family, G-Adjuncts/Comfort, H-History/Head-to-
Toe, I-Inspect Posterior, J-Reevaluate (VIPP)
C. Only primary survey
D. Secondary survey only
Correct Answer: B
Rationale: The A-J mnemonic guides comprehensive primary and
secondary assessments with ongoing reevaluation.
Question 7: Why is alertness included with the airway assessment?
A. To check hearing
B. To evaluate the patient’s ability to protect their airway
C. To assess vision
D. To measure blood pressure
Correct Answer: B
Rationale: Alertness indicates consciousness level, critical for air-
way protection.
Question 8: What is AVPU?
A. Airway, Ventilation, Perfusion, Urine
B. Alert, Verbal response, Pain response, Unresponsive
C. Assessment, Vital signs, Pulse, Urine output
D. Airway, Breathing, Circulation, Disability
Correct Answer: B
Rationale: AVPU assesses neurologic status for airway manage-
ment decisions.
Question 9: When an intervention is taken during the primary survey, what
must the nurse do after?
A. Ignore it
3
