TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition (2025/2026)
Expedite |transfer |to |the |closest |trauma |center |– |ANS |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?
a |pertinent |medical |hx |is |crucial |– |ANS |Which |of |the |following |considerations |is |the |most |
important |when |caring |for |a |geriatric |trauma |pt?
Mitigation |– |ANS |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?
Multiple |requests |for |water |– |ANS |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?
hemoglobin |does |not |readily |release |O2 |for |use |by |the |tissues |– |ANS |What |is |the |effect |of |
hypothermia |on |the |oxyhemoglobin |dissociation |curve?
,acidosis |– |ANS |Which |of |the |following |is |a |component |of |the |trauma |triad |of |death?
Complete |– |ANS |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?
flucuation |in |the |water |seal |chamber |– |ANS |Which |of |the |following |is |an |expected |finding |in |a |
pt |with |a |tube |thoracstomy |connected |to |a |chest |drainage |system?
insert |an |oropharyngeal |airway |if |there |is |no |gag |reflex |– |ANS |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?
globe |rupture |– |ANS |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?
compensated |– |ANS |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?
ventilate |with |a |bag |mask |device |- |ANSAn |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?
within |24 |hrs |of |trauma |- |ANSWhen |is |the |tertiary |survey |completed |fora |trauma |pt?
pressure |- |ANSAn |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?
,worsening |pneumothorax |- |ANSWhich |of |the |following |is |possible |complication |of |positive-
pressure |ventilation?
pelvic |stability |- |ANSthe |most |reassuring |finding |for |a |male |pt |with |hip |pain |after |a |fall |is |
which |of |the |following?
narrowed |- |ANSWhich |of |the |following |pulse |pressures |indicate |early |hypovolemic |shock?
dysrhythmias |- |ANSPatients |with |a |crush |injury |should |be |monitored |for |which |of |the |
following |conditions?
subdural |hematoma |- |ANSTearing |of |the |bridging |veins |is |most |frequently |associated |with |
which |brain |injury?
straight |cath |for |urine |sample |- |ANSA |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?
placental |abruption |- |ANSYou |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?
it |can |worsen |cord |damage |from |an |unstable |spinal |injury |- |ANSWhich |of |the |following |is |true |
about |the |log-roll?
defusings |- |ANSAll |of |these |are |considered |a |critical |communication |point |in |trauma |care |
EXCEPT |which |of |the |following?
, pulse |oximetry |and |capnography |- |ANSWhat |bedside |monitoring |parameters |are |used |to |
assess |for |adequacy |of |O2 |and |effectiveness |of |ventilation?
padding |the |upper |back |while |stabilizing |the |cervical |spine |- |ANSCaregivers |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?
bowel |- |ANSWhich |of |the |following |injuries |is |LEAST |likely |to |be |promptly |identified?
Initiate |transfer |to |a |trauma |center |- |ANSA |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?
bardycardia |and |absent |motor |function |below |the |level |of |injury |- |ANSA |pt |with |a |complete |
spinal |cord |injury |in |neurogenic |shock |will |demonstrate |hypotension |and |which |other |clinical |
signs?
apply |splint |and |elevate |above |the |level |of |the |heart |- |ANSa |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?
the |aorta |is |torn |at |its |attachment |with |the |ligamentum |arteriosum |- |ANSwhich |of |the |
following |occurs |during |the |third |impact |of |a |motor |vehicle |crash?
Report |your |suspicion |of |maltreatment |in |accordance |with |local |regulations |- |ANSa |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 |priority |
survey. |Which |of |the |following |is |the |priority |nursing |intervention?
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition (2025/2026)
Expedite |transfer |to |the |closest |trauma |center |– |ANS |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?
a |pertinent |medical |hx |is |crucial |– |ANS |Which |of |the |following |considerations |is |the |most |
important |when |caring |for |a |geriatric |trauma |pt?
Mitigation |– |ANS |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?
Multiple |requests |for |water |– |ANS |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?
hemoglobin |does |not |readily |release |O2 |for |use |by |the |tissues |– |ANS |What |is |the |effect |of |
hypothermia |on |the |oxyhemoglobin |dissociation |curve?
,acidosis |– |ANS |Which |of |the |following |is |a |component |of |the |trauma |triad |of |death?
Complete |– |ANS |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?
flucuation |in |the |water |seal |chamber |– |ANS |Which |of |the |following |is |an |expected |finding |in |a |
pt |with |a |tube |thoracstomy |connected |to |a |chest |drainage |system?
insert |an |oropharyngeal |airway |if |there |is |no |gag |reflex |– |ANS |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?
globe |rupture |– |ANS |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?
compensated |– |ANS |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?
ventilate |with |a |bag |mask |device |- |ANSAn |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?
within |24 |hrs |of |trauma |- |ANSWhen |is |the |tertiary |survey |completed |fora |trauma |pt?
pressure |- |ANSAn |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?
,worsening |pneumothorax |- |ANSWhich |of |the |following |is |possible |complication |of |positive-
pressure |ventilation?
pelvic |stability |- |ANSthe |most |reassuring |finding |for |a |male |pt |with |hip |pain |after |a |fall |is |
which |of |the |following?
narrowed |- |ANSWhich |of |the |following |pulse |pressures |indicate |early |hypovolemic |shock?
dysrhythmias |- |ANSPatients |with |a |crush |injury |should |be |monitored |for |which |of |the |
following |conditions?
subdural |hematoma |- |ANSTearing |of |the |bridging |veins |is |most |frequently |associated |with |
which |brain |injury?
straight |cath |for |urine |sample |- |ANSA |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?
placental |abruption |- |ANSYou |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?
it |can |worsen |cord |damage |from |an |unstable |spinal |injury |- |ANSWhich |of |the |following |is |true |
about |the |log-roll?
defusings |- |ANSAll |of |these |are |considered |a |critical |communication |point |in |trauma |care |
EXCEPT |which |of |the |following?
, pulse |oximetry |and |capnography |- |ANSWhat |bedside |monitoring |parameters |are |used |to |
assess |for |adequacy |of |O2 |and |effectiveness |of |ventilation?
padding |the |upper |back |while |stabilizing |the |cervical |spine |- |ANSCaregivers |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?
bowel |- |ANSWhich |of |the |following |injuries |is |LEAST |likely |to |be |promptly |identified?
Initiate |transfer |to |a |trauma |center |- |ANSA |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?
bardycardia |and |absent |motor |function |below |the |level |of |injury |- |ANSA |pt |with |a |complete |
spinal |cord |injury |in |neurogenic |shock |will |demonstrate |hypotension |and |which |other |clinical |
signs?
apply |splint |and |elevate |above |the |level |of |the |heart |- |ANSa |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?
the |aorta |is |torn |at |its |attachment |with |the |ligamentum |arteriosum |- |ANSwhich |of |the |
following |occurs |during |the |third |impact |of |a |motor |vehicle |crash?
Report |your |suspicion |of |maltreatment |in |accordance |with |local |regulations |- |ANSa |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 |priority |
survey. |Which |of |the |following |is |the |priority |nursing |intervention?
