TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition with correct answers
2025/2026
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access
facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71,
HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient? - correct answersExpedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma
pt? - correct answersa pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified deficiencies
and is taking steps to minimize the impact of a future disaster . Which phase of the disaster life
cycle does this describe? - correct answersMitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeobs
screening guidelines, which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance? - correct answersMultiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - correct
answershemoglobin does not readily release O2 for use by the tissues
,Which of the following is a component of the trauma triad of death? - correct answersacidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits
urinary incontinence and priapism. These assessment findings are most consistent with which
of the following types of spinal cord injury? - correct answersComplete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system? - correct answersflucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse notes
snoring respirations. What priority nursing interventions should be preformed next? - correct
answersinsert an oropharyngeal airway if there is no gag reflex
A 35 y/o M 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? - correct answersglobe
rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60, HR96,
RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
demonstrating s/sx of which stage of shock? - correct answerscompensated
An unresponsive trauma pt has an oropharygeal 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? - correct answersventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - correct answerswithin 24 hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential for
causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? - correct answerspressure
,Which of the following is possible complication of positive-pressure ventilation? - correct
answersworsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? -
correct answerspelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - correct
answersnarrowed
Patients with a crush injury should be monitored for which of the following conditions? - correct
answersdysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? - correct
answerssubdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the
bicycle cross bars while preforming an aerial BMX maneuver. Secondary assessment reveals
lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN
question? - correct answersstraight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings of your
secondary survey include abd pain on palpation, fundal ht at the costal margin, and some dark
bloody show. Varying accelerations and decelerations are noted on cariocgraphy. These findings
are most consistent with which of the following? - correct answersplacental abruption
Which of the following is true about the log-roll? - correct answersit can worsen cord damage
from an unstable spinal injury
, All of these are considered a critical communication point in trauma care EXCEPT which of the
following? - correct answersdefusings
What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness
of ventilation? - correct answerspulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake
and crying with increased work of breathing and pale skin. Which of the following interventions
has the highest priority? - correct answerspadding the upper back while stabilizing the cervical
spine
Which of the following injuries is LEAST likely to be promptly identified? - correct answersbowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When significant abd
and pelvic injuries are noted in the primary survey, which of the following is the priority
interventions? - correct answersInitiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - correct answersbardycardia and absent motor function below the
level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand due to
pain. Which of the following is the most appropriate intervention? - correct answersapply splint
and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? - correct
answersthe aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm 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
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition with correct answers
2025/2026
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access
facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71,
HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient? - correct answersExpedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma
pt? - correct answersa pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified deficiencies
and is taking steps to minimize the impact of a future disaster . Which phase of the disaster life
cycle does this describe? - correct answersMitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeobs
screening guidelines, which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance? - correct answersMultiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - correct
answershemoglobin does not readily release O2 for use by the tissues
,Which of the following is a component of the trauma triad of death? - correct answersacidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits
urinary incontinence and priapism. These assessment findings are most consistent with which
of the following types of spinal cord injury? - correct answersComplete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system? - correct answersflucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse notes
snoring respirations. What priority nursing interventions should be preformed next? - correct
answersinsert an oropharyngeal airway if there is no gag reflex
A 35 y/o M 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? - correct answersglobe
rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60, HR96,
RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
demonstrating s/sx of which stage of shock? - correct answerscompensated
An unresponsive trauma pt has an oropharygeal 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? - correct answersventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - correct answerswithin 24 hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential for
causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? - correct answerspressure
,Which of the following is possible complication of positive-pressure ventilation? - correct
answersworsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? -
correct answerspelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - correct
answersnarrowed
Patients with a crush injury should be monitored for which of the following conditions? - correct
answersdysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? - correct
answerssubdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the
bicycle cross bars while preforming an aerial BMX maneuver. Secondary assessment reveals
lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN
question? - correct answersstraight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings of your
secondary survey include abd pain on palpation, fundal ht at the costal margin, and some dark
bloody show. Varying accelerations and decelerations are noted on cariocgraphy. These findings
are most consistent with which of the following? - correct answersplacental abruption
Which of the following is true about the log-roll? - correct answersit can worsen cord damage
from an unstable spinal injury
, All of these are considered a critical communication point in trauma care EXCEPT which of the
following? - correct answersdefusings
What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness
of ventilation? - correct answerspulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake
and crying with increased work of breathing and pale skin. Which of the following interventions
has the highest priority? - correct answerspadding the upper back while stabilizing the cervical
spine
Which of the following injuries is LEAST likely to be promptly identified? - correct answersbowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When significant abd
and pelvic injuries are noted in the primary survey, which of the following is the priority
interventions? - correct answersInitiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - correct answersbardycardia and absent motor function below the
level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand due to
pain. Which of the following is the most appropriate intervention? - correct answersapply splint
and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? - correct
answersthe aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm 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
