TNCC 9TH EDITION FINAL EXAM (2025/2026)
Actual Exam with Complete Questions | Trauma Nursing Core Course | Emergency
Nurses Association
Overview
This 2025/2026 validated resource contains the complete TNCC 9th Edition Final Exam
with actual questions and verified answers, directly aligned with current Emergency Nurses
Association standards. Essential for emergency and trauma nurses preparing for certification
and demonstrating comprehensive competency in trauma nursing care and systematic
patient assessment.
Key Features
✓ 50-Question Comprehensive Exam matching ENA testing format
✓ Systematic Trauma Assessment with primary/secondary survey applications
✓ Trauma Nursing Interventions with evidence-based protocols
✓ Updated 2025/2026 ENA trauma care guidelines
✓ Critical Thinking Scenarios with trauma patient management
Content Domains
• Initial Assessment & Primary Survey (12 Questions)
• Shock & Fluid Resuscitation (10 Questions)
• Thoracic & Abdominal Trauma (9 Questions)
• Head & Spinal Cord Trauma (8 Questions)
• Pediatric & Geriatric Trauma (6 Questions)
• Trauma Team Coordination (5 Questions)
Answer Format
Verified correct answers in bold green with:
• Trauma assessment rationales
• Intervention prioritization justifications
• Physiological response explanations
• Team communication applications
Critical Updates 2025/2026
NEW - Massive transfusion protocol updates
UPDATED - Spinal motion restriction guidelines
REVISED - Trauma triage decision schemes
MODIFIED - Pediatric trauma scoring systems
INITIAL ASSESSMENT & PRIMARY SURVEY (Questions 1–12)
1. The first priority in the primary survey is?
a) Circulation
b) Airway with cervical-spine protection
c) Disability
, d) Exposure
Rationale: Without a patent airway, oxygenation and ventilation cannot occur;
spine protection prevents secondary injury.
2. The mnemonic "MARCH" stands for?
a) Medication, Airway, Respiration, Circulation, Head
b) Massive hemorrhage, Airway, Respiration, Circulation,
Head/Hypothermia
c) Monitor, Assess, Record, Circulate, Head
d) Movement, Airway, Rate, Circulation, Hemoglobin
Rationale: MARCH prioritizes life-threatening conditions in tactical/pre-hospital
and trauma settings.
3. Cervical-spine motion restriction is indicated when?
a) All trauma patients
b) Clinical clearance impossible and high-energy mechanism
c) Only if pain present
d) Never in 2025 guidelines
Rationale: Selective application based on validated decision rules reduces
unnecessary immobilization.
4. The "LEMON" law evaluates?
a) Limb perfusion
b) Difficult airway predictors
c) Eye injury
d) Legal issues
Rationale: Look, Evaluate, Mallampati, Obstruction, Neck mobility predicts
intubation difficulty.
5. GCS verbal score of 2 indicates?
a) Oriented
b) Incomprehensible words
c) No response
d) Confused conversation
Rationale: GCS verbal scale: 2 = incomprehensible sounds/words.
6. SBP <90 mmHg in adults suggests?
a) Normal variant
b) Hemorrhagic shock until proven otherwise
c) Neurogenic shock only
d) No concern
Rationale: Hypotension in trauma is hemorrhage until proven otherwise.
7. FAST exam evaluates for?
a) Fractures
b) Free fluid in pericardial, hepato-renal, spleno-renal, and pelvic
pouches
c) Airway status
d) Neurology
Rationale: Focused Assessment with Sonography in Trauma detects
hemoperitoneum/pericardium.
8. The "6 Ps" of acute limb ischemia are?
a) Pain, Position, Pulse, Pink, Pressure, Pupils
Actual Exam with Complete Questions | Trauma Nursing Core Course | Emergency
Nurses Association
Overview
This 2025/2026 validated resource contains the complete TNCC 9th Edition Final Exam
with actual questions and verified answers, directly aligned with current Emergency Nurses
Association standards. Essential for emergency and trauma nurses preparing for certification
and demonstrating comprehensive competency in trauma nursing care and systematic
patient assessment.
Key Features
✓ 50-Question Comprehensive Exam matching ENA testing format
✓ Systematic Trauma Assessment with primary/secondary survey applications
✓ Trauma Nursing Interventions with evidence-based protocols
✓ Updated 2025/2026 ENA trauma care guidelines
✓ Critical Thinking Scenarios with trauma patient management
Content Domains
• Initial Assessment & Primary Survey (12 Questions)
• Shock & Fluid Resuscitation (10 Questions)
• Thoracic & Abdominal Trauma (9 Questions)
• Head & Spinal Cord Trauma (8 Questions)
• Pediatric & Geriatric Trauma (6 Questions)
• Trauma Team Coordination (5 Questions)
Answer Format
Verified correct answers in bold green with:
• Trauma assessment rationales
• Intervention prioritization justifications
• Physiological response explanations
• Team communication applications
Critical Updates 2025/2026
NEW - Massive transfusion protocol updates
UPDATED - Spinal motion restriction guidelines
REVISED - Trauma triage decision schemes
MODIFIED - Pediatric trauma scoring systems
INITIAL ASSESSMENT & PRIMARY SURVEY (Questions 1–12)
1. The first priority in the primary survey is?
a) Circulation
b) Airway with cervical-spine protection
c) Disability
, d) Exposure
Rationale: Without a patent airway, oxygenation and ventilation cannot occur;
spine protection prevents secondary injury.
2. The mnemonic "MARCH" stands for?
a) Medication, Airway, Respiration, Circulation, Head
b) Massive hemorrhage, Airway, Respiration, Circulation,
Head/Hypothermia
c) Monitor, Assess, Record, Circulate, Head
d) Movement, Airway, Rate, Circulation, Hemoglobin
Rationale: MARCH prioritizes life-threatening conditions in tactical/pre-hospital
and trauma settings.
3. Cervical-spine motion restriction is indicated when?
a) All trauma patients
b) Clinical clearance impossible and high-energy mechanism
c) Only if pain present
d) Never in 2025 guidelines
Rationale: Selective application based on validated decision rules reduces
unnecessary immobilization.
4. The "LEMON" law evaluates?
a) Limb perfusion
b) Difficult airway predictors
c) Eye injury
d) Legal issues
Rationale: Look, Evaluate, Mallampati, Obstruction, Neck mobility predicts
intubation difficulty.
5. GCS verbal score of 2 indicates?
a) Oriented
b) Incomprehensible words
c) No response
d) Confused conversation
Rationale: GCS verbal scale: 2 = incomprehensible sounds/words.
6. SBP <90 mmHg in adults suggests?
a) Normal variant
b) Hemorrhagic shock until proven otherwise
c) Neurogenic shock only
d) No concern
Rationale: Hypotension in trauma is hemorrhage until proven otherwise.
7. FAST exam evaluates for?
a) Fractures
b) Free fluid in pericardial, hepato-renal, spleno-renal, and pelvic
pouches
c) Airway status
d) Neurology
Rationale: Focused Assessment with Sonography in Trauma detects
hemoperitoneum/pericardium.
8. The "6 Ps" of acute limb ischemia are?
a) Pain, Position, Pulse, Pink, Pressure, Pupils
