TNCC 9th exam Questions and Answers
(Top Grade Assured) 2026 Update
An adult patient who sustained a severe head trauma has
been intubated and is being manually ventilated via a bag-
mask device at a rate of 18 breaths/minute. The patient has
received one intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg.
What is the most important intervention to manage the
cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered. - Correct
Answers ✅A.Decrease the rate of manual ventilation.
An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The patient
was involved in a motor vehicle collision 10 days ago. There
was no loss of consciousness and a hematoma is noted to the
forehead. The patient is currently on anticoagulant therapy.
What is most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - Correct Answers ✅post-
concussive syndrome
,TNCC 9th exam Questions and Answers
(Top Grade Assured) 2026 Update
A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, minimally relieved by pain
medications. Which of the following is the priority nursing
intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - Correct
Answers ✅C.Elevating the leg to the level of the heart
A patient involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating
wound to the sixth intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the
diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - Correct
Answers ✅Bowel sounds heard in the left lower chest
A patient has been in the emergency department for several
hours waiting to be admitted. They sustained multiple rib
fractures and a femur fracture after a fall. The patient has
, TNCC 9th exam Questions and Answers
(Top Grade Assured) 2026 Update
been awake, alert, and complaining of leg pain. Their spouse
reported that the patient suddenly became anxious and
confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is
exhibiting signs and symptoms most commonly associated
with which of the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - Correct Answers ✅fat embolism
Three adults present at different times during a one-hour
period with a high fever, fatigue, and headache. All three
patients have a rash which started on their mouth, face, and
arms with progression to the chest and abdomen. They all
visited the same grocery store within the last week. What is
the most appropriate intervention from triage for these
patients?
A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - Correct
Answers ✅Immediately initiate isolation precautions
(Top Grade Assured) 2026 Update
An adult patient who sustained a severe head trauma has
been intubated and is being manually ventilated via a bag-
mask device at a rate of 18 breaths/minute. The patient has
received one intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg.
What is the most important intervention to manage the
cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered. - Correct
Answers ✅A.Decrease the rate of manual ventilation.
An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The patient
was involved in a motor vehicle collision 10 days ago. There
was no loss of consciousness and a hematoma is noted to the
forehead. The patient is currently on anticoagulant therapy.
What is most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - Correct Answers ✅post-
concussive syndrome
,TNCC 9th exam Questions and Answers
(Top Grade Assured) 2026 Update
A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, minimally relieved by pain
medications. Which of the following is the priority nursing
intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - Correct
Answers ✅C.Elevating the leg to the level of the heart
A patient involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating
wound to the sixth intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the
diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - Correct
Answers ✅Bowel sounds heard in the left lower chest
A patient has been in the emergency department for several
hours waiting to be admitted. They sustained multiple rib
fractures and a femur fracture after a fall. The patient has
, TNCC 9th exam Questions and Answers
(Top Grade Assured) 2026 Update
been awake, alert, and complaining of leg pain. Their spouse
reported that the patient suddenly became anxious and
confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is
exhibiting signs and symptoms most commonly associated
with which of the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - Correct Answers ✅fat embolism
Three adults present at different times during a one-hour
period with a high fever, fatigue, and headache. All three
patients have a rash which started on their mouth, face, and
arms with progression to the chest and abdomen. They all
visited the same grocery store within the last week. What is
the most appropriate intervention from triage for these
patients?
A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - Correct
Answers ✅Immediately initiate isolation precautions
