TNCC 9th Edition Final Exam (Latest
2026/2027 Update) Actual Questions
with Verified Answers & Detailed
Rationale | 100% Correct | Graded A.
Question:
1.An adult patient is brought to the emergency department following a
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vehicle "roll-over" with prolonged extrication. Assessment reveals swelling
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and bruising to the right proximal thigh and a weak pedal pulse. Skin is
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pale, cool, and moist. What is the most appropriate initial intervention?
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A. Application of a tourniquet to the affected extremity
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B. Application of a pelvic binder
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C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
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D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)?
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Answer:
B. Application of a pelvic binder
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Question:
2. Which of the following situations could cause functional grief?
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,A. Inability to live at home
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B. Amputation of a limb
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C. Loss of one's self-image
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D. Destruction of the patient's car?
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Answer:
B. Amputation of a limb
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Rationale: Preparation and Ongoing Care\Psychosocial Aspects
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Functional grief relates to the loss of body function or body parts such as
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amputation of a limb, paralysis, or loss of sight.
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Question:
3. What is the most important consideration during the initial assessment
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when caring for an older adult who has sustained serious injuries?
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A. They are likely to be fearful in the emergency department
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B. Medical history including current medications
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C. Availability of support systems after discharge
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D. Accessibility to a primary care physician?
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Answer:
B. Medical history including current medications
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,Question:
4. You are caring for a patient who was thrown from a bike and was not
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wearing a helmet. While performing the head-to-toe assessment, you
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note clear drainage from the right ear. Which of the following is the most
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appropriate next step? i,- i,-
A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.?
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Answer:
C. Notify the physician
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Question:
5. When should the definitive calculation for intravenous fluid
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resuscitation rate be performed for a patient with burns? i,- i,- i,- i,- i,- i,- i,- i,-
A. As soon as the patient arrives
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B. After removal of clothing
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C. Only at a burn center
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D. During the circulation assessment?
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Answer:
B. After removal of clothing
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Rationale: Musculoskeletal and Wounds\Burns
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, Some fluid will be given initially, but an accurate fluid total is based on
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percentage of total body surface area which requires a good skin
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assessment and is calculated after clothing is removed.
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Question:
6. In a motor vehicle collision, which injury pathway is most likely to
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increase the patient's morbidity and mortality?
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A. Rotational
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B. Ejection
i,-
C. Lateral
i,-
D. Rollover?
i,-
Answer:
B. Ejection
i,-
Question:
7. A patient with a lower extremity fracture complains of severe pain and
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tightness in his calf, minimally relieved by pain medications. Which of the
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following is the priority nursing intervention?
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A. Elevating the leg above the level of the heart
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B. Repositioning the leg and applying ice
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C. Elevating the leg to the level of the heart
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D. Preparing the patient for ultrasound of the leg?
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2026/2027 Update) Actual Questions
with Verified Answers & Detailed
Rationale | 100% Correct | Graded A.
Question:
1.An adult patient is brought to the emergency department following a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vehicle "roll-over" with prolonged extrication. Assessment reveals swelling
i,- i,- i,- i,- i,- i,- i,- i,-
and bruising to the right proximal thigh and a weak pedal pulse. Skin is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pale, cool, and moist. What is the most appropriate initial intervention?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A. Application of a tourniquet to the affected extremity
i,- i,- i,- i,- i,- i,- i,- i,-
B. Application of a pelvic binder
i,- i,- i,- i,- i,-
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
B. Application of a pelvic binder
i,- i,- i,- i,- i,-
Question:
2. Which of the following situations could cause functional grief?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
,A. Inability to live at home
i,- i,- i,- i,- i,-
B. Amputation of a limb
i,- i,- i,- i,-
C. Loss of one's self-image
i,- i,- i,- i,-
D. Destruction of the patient's car?
i,- i,- i,- i,- i,-
Answer:
B. Amputation of a limb
i,- i,- i,- i,-
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
i,- i,- i,- i,- i,-
Functional grief relates to the loss of body function or body parts such as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
amputation of a limb, paralysis, or loss of sight.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
3. What is the most important consideration during the initial assessment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
when caring for an older adult who has sustained serious injuries?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A. They are likely to be fearful in the emergency department
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
B. Medical history including current medications
i,- i,- i,- i,- i,-
C. Availability of support systems after discharge
i,- i,- i,- i,- i,- i,-
D. Accessibility to a primary care physician?
i,- i,- i,- i,- i,- i,-
Answer:
B. Medical history including current medications
i,- i,- i,- i,- i,-
,Question:
4. You are caring for a patient who was thrown from a bike and was not
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
wearing a helmet. While performing the head-to-toe assessment, you
i,- i,- i,- i,- i,- i,- i,- i,- i,-
note clear drainage from the right ear. Which of the following is the most
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
appropriate next step? i,- i,-
A. Clean the ear with a cotton-tipped applicator.
i,- i,- i,- i,- i,- i,- i,-
B. Pack the ear with gauze.
i,- i,- i,- i,- i,-
C. Notify the physician
i,- i,- i,-
D. Document and continue the exam.?
i,- i,- i,- i,- i,-
Answer:
C. Notify the physician
i,- i,- i,-
Question:
5. When should the definitive calculation for intravenous fluid
i,- i,- i,- i,- i,- i,- i,- i,- i,-
resuscitation rate be performed for a patient with burns? i,- i,- i,- i,- i,- i,- i,- i,-
A. As soon as the patient arrives
i,- i,- i,- i,- i,- i,-
B. After removal of clothing
i,- i,- i,- i,-
C. Only at a burn center
i,- i,- i,- i,- i,-
D. During the circulation assessment?
i,- i,- i,- i,-
Answer:
B. After removal of clothing
i,- i,- i,- i,-
Rationale: Musculoskeletal and Wounds\Burns
i,- i,- i,-
, Some fluid will be given initially, but an accurate fluid total is based on
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
percentage of total body surface area which requires a good skin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
assessment and is calculated after clothing is removed.
i,- i,- i,- i,- i,- i,- i,-
Question:
6. In a motor vehicle collision, which injury pathway is most likely to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
increase the patient's morbidity and mortality?
i,- i,- i,- i,- i,-
A. Rotational
i,-
B. Ejection
i,-
C. Lateral
i,-
D. Rollover?
i,-
Answer:
B. Ejection
i,-
Question:
7. A patient with a lower extremity fracture complains of severe pain and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
tightness in his calf, minimally relieved by pain medications. Which of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
following is the priority nursing intervention?
i,- i,- i,- i,- i,-
A. Elevating the leg above the level of the heart
i,- i,- i,- i,- i,- i,- i,- i,- i,-
B. Repositioning the leg and applying ice
i,- i,- i,- i,- i,- i,-
C. Elevating the leg to the level of the heart
i,- i,- i,- i,- i,- i,- i,- i,- i,-
D. Preparing the patient for ultrasound of the leg?
i,- i,- i,- i,- i,- i,- i,- i,-
