TNCC 14TH EDITION – QUESTIONS AND
ANSWERS GRADED A+ 100%
COMPLETE (SOLVED 2025/2026) TEST
BANK VERIFIED latest
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
assessment is indicated next for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after sustaining an injury to the
right lower extremity while using a saw. There is a large gaping wound to the right thigh area
with significant bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been
in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has
been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't
sleep because a young child kept coming into the room. What is the most likely cause for these
signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
,d. pulmonary embolus - ansb. alcohol withdrawal
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ansb. Brachial plexus injury
A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ansa. maintain adequate respiratory status
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
for a couple of days and is now back working on the team. Which of the following behaviors
would indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ansa. They are talking
about taking the emergency nursing certification examination.
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
,d. quaternary - ansb. secondary
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction
The fgeneral fimpression fstep fin fthe finitial fassessment fprovides fthe fopportunity fto fdo fwhich
fof fthe ffollowing?
a. fAssess ffor funcontrolled finternal fhemorrhage
b. fAccurately ftriage fthe fpatient
c. fReprioritize fcirculation fbefore fairway for fbreathing.
d. fActivate fthe ftrauma fteam f- fansc. fReprioritize fcirculation fbefore fairway for fbreathing.
The fnurse fis fobtaining fa fhistory ffor fa fpatient fwho fpresents ffollowing fsexual fassault. fThis
fhistory fis fcompleted fusing fwhich fof fthe ffollowing ftechniques?
a. fBring fthe ffamily fin fto fthe finterview froom.
b. fUse fdirect fquotes fto frecord finformation.
c. fObtain finformation fspecific fonly fto fthe fassault.
d. fProvide ffood fand fdrink fto fhelp fcreate frapport. f- fansb. fUse fdirect fquotes fto frecord
finformation.
The fvital fsigns fof fa fpregnant ftrauma fpatient fat f30 fweeks finclude fa fblood fpressure fof f94/62
fmm fHg fand fa fheart frate fof f108 fbeats/minute. fFetal fheart ftones fare f124 fbeats/minute. fThe
femergency fnurse finterprets fthe fpatient's fhemodynamic ffindings fas fan findication fof fwhich fof
fthe ffollowing?
a. fDecompensated fshock
b. fNormal fvital fsigns fin fpregnancy
c. fCompensated fshock
, d. fSupine fhypotension fsyndrome f- fansb. fNormal fvital fsigns fin fpregnancy
Treatment ffor ffrostbite fcan finclude fwhich fof fthe ffollowing finterventions?
a. fwarm fthe faffected fpart fover f30-60 fminutes
b. fuse fgentle ffriction fto fimprove fcirculation
c. fadminister ftissue fplasminogen factivator
d. fleave fall fof fthe fblisters fintact f- fansc. fadminister ftissue fplasminogen factivator
Understanding fthe fkinematic fconcepts fassociated fwith fthe fmechanism fof finjury fand fenergy
ftransfer fcan finitially fassist fthe ftrauma fcare fprovider fin fwhich fof fthe ffollowing?
a. fAnticipating fthe ftypes fof finjuries fthat fmay fbe fpresent
b. fDeciding fwhether flaw fenforcement fshould fbe fnotified
c. fDetermining fneeded flaboratory ftests
d. fPredicting fthe fneed ffor fa fsurgical fprocedure f- fansa. fAnticipating fthe ftypes fof finjuries fthat
fmay fbe fpresent
What fis fthe fappropriate ftechnique ffor fpalpating fthe fpelvis ffor fstability?
a. fApply fgentle fpressure fover fthe filiac fcrests, fdownward fand flaterally.
b. fApply fgentle fpressure fover fthe filiac fcrests, fdownward fand fmedially.
c. fApply ffirm fpressure fover fthe filiac fcrests, fdownward fand flaterally.
d. fApply ffirm fpressure fover fthe filiac fcrests, fdownward fand fmedially. f- fansb. fApply fgentle
fpressure fover fthe filiac fcrests, fdownward fand fmedially.
What fis fthe fbest fmeasure fof fthe fadequacy fof fcellular fperfusion fand fcan fhelp fto fpredict fthe
foutcome fof fresuscitation?
a. fEnd-tidal fcarbon fdioxide
b. fHematocrit flevel
c. fBase fdeficit
d. fOxygen fsaturation f- fansc. fBase fdeficit
ANSWERS GRADED A+ 100%
COMPLETE (SOLVED 2025/2026) TEST
BANK VERIFIED latest
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
assessment is indicated next for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after sustaining an injury to the
right lower extremity while using a saw. There is a large gaping wound to the right thigh area
with significant bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been
in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has
been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't
sleep because a young child kept coming into the room. What is the most likely cause for these
signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
,d. pulmonary embolus - ansb. alcohol withdrawal
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ansb. Brachial plexus injury
A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ansa. maintain adequate respiratory status
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
for a couple of days and is now back working on the team. Which of the following behaviors
would indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ansa. They are talking
about taking the emergency nursing certification examination.
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
,d. quaternary - ansb. secondary
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction
The fgeneral fimpression fstep fin fthe finitial fassessment fprovides fthe fopportunity fto fdo fwhich
fof fthe ffollowing?
a. fAssess ffor funcontrolled finternal fhemorrhage
b. fAccurately ftriage fthe fpatient
c. fReprioritize fcirculation fbefore fairway for fbreathing.
d. fActivate fthe ftrauma fteam f- fansc. fReprioritize fcirculation fbefore fairway for fbreathing.
The fnurse fis fobtaining fa fhistory ffor fa fpatient fwho fpresents ffollowing fsexual fassault. fThis
fhistory fis fcompleted fusing fwhich fof fthe ffollowing ftechniques?
a. fBring fthe ffamily fin fto fthe finterview froom.
b. fUse fdirect fquotes fto frecord finformation.
c. fObtain finformation fspecific fonly fto fthe fassault.
d. fProvide ffood fand fdrink fto fhelp fcreate frapport. f- fansb. fUse fdirect fquotes fto frecord
finformation.
The fvital fsigns fof fa fpregnant ftrauma fpatient fat f30 fweeks finclude fa fblood fpressure fof f94/62
fmm fHg fand fa fheart frate fof f108 fbeats/minute. fFetal fheart ftones fare f124 fbeats/minute. fThe
femergency fnurse finterprets fthe fpatient's fhemodynamic ffindings fas fan findication fof fwhich fof
fthe ffollowing?
a. fDecompensated fshock
b. fNormal fvital fsigns fin fpregnancy
c. fCompensated fshock
, d. fSupine fhypotension fsyndrome f- fansb. fNormal fvital fsigns fin fpregnancy
Treatment ffor ffrostbite fcan finclude fwhich fof fthe ffollowing finterventions?
a. fwarm fthe faffected fpart fover f30-60 fminutes
b. fuse fgentle ffriction fto fimprove fcirculation
c. fadminister ftissue fplasminogen factivator
d. fleave fall fof fthe fblisters fintact f- fansc. fadminister ftissue fplasminogen factivator
Understanding fthe fkinematic fconcepts fassociated fwith fthe fmechanism fof finjury fand fenergy
ftransfer fcan finitially fassist fthe ftrauma fcare fprovider fin fwhich fof fthe ffollowing?
a. fAnticipating fthe ftypes fof finjuries fthat fmay fbe fpresent
b. fDeciding fwhether flaw fenforcement fshould fbe fnotified
c. fDetermining fneeded flaboratory ftests
d. fPredicting fthe fneed ffor fa fsurgical fprocedure f- fansa. fAnticipating fthe ftypes fof finjuries fthat
fmay fbe fpresent
What fis fthe fappropriate ftechnique ffor fpalpating fthe fpelvis ffor fstability?
a. fApply fgentle fpressure fover fthe filiac fcrests, fdownward fand flaterally.
b. fApply fgentle fpressure fover fthe filiac fcrests, fdownward fand fmedially.
c. fApply ffirm fpressure fover fthe filiac fcrests, fdownward fand flaterally.
d. fApply ffirm fpressure fover fthe filiac fcrests, fdownward fand fmedially. f- fansb. fApply fgentle
fpressure fover fthe filiac fcrests, fdownward fand fmedially.
What fis fthe fbest fmeasure fof fthe fadequacy fof fcellular fperfusion fand fcan fhelp fto fpredict fthe
foutcome fof fresuscitation?
a. fEnd-tidal fcarbon fdioxide
b. fHematocrit flevel
c. fBase fdeficit
d. fOxygen fsaturation f- fansc. fBase fdeficit
