TNCC 2025 Exam Questions and Answers
(Latest 2026)
You are caring for a patient who was thrown from a bike and
was not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear.
Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - Correct Answers
✅C. Notify the physician
A patient is brought to the emergency department of a rural
hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the
primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - Correct Answers
✅A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is
confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in proximity to
,TNCC 2025 Exam Questions and Answers
(Latest 2026)
an obvious deformity of the left lower extremity. What is the
priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - Correct Answers
✅A. Initiate cervical spine stabilization
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 adult patient is brought to the emergency department
following a vehicle "roll-over" with prolonged extrication.
,TNCC 2025 Exam Questions and Answers
(Latest 2026)
Assessment reveals swelling and bruising to the right
proximal thigh and a weak pedal pulse. Skin is pale, cool, and
moist. What is the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5
mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg
(3.9-4.6 kPa) - Correct Answers ✅B. Application of a pelvic
binder
An adult arrives at the emergency department with
superficial burns to the extremities following a house fire. The
patient is reporting a headache with nausea and is drowsy
and confused. What is the most likely cause of these
symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia - Correct Answers ✅C. Carbon monoxide
poisoning
Using the American College of Surgeons Guidelines for
Screening Patients with Suspected Spine Injury, what
, TNCC 2025 Exam Questions and Answers
(Latest 2026)
assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU - Correct
Answers ✅D. Responds to verbal stimulation using AVPU
A 5-month pregnant patient arrives in the emergency
department stating she tripped and fell, landing on her
abdomen. Assessment reveals bruising to the abdomen, both
arms, and her neck. She states she does not take any
medications and has not had any prenatal care. The nurse
suspects the findings are most likely related to which of the
following?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - Correct Answers ✅A. Intentional
violence
During the primary survey of an unconscious patient with
multi-system trauma, the nurse notes snoring respirations.
Which priority nursing intervention should be performed
next?
(Latest 2026)
You are caring for a patient who was thrown from a bike and
was not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear.
Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - Correct Answers
✅C. Notify the physician
A patient is brought to the emergency department of a rural
hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the
primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - Correct Answers
✅A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is
confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in proximity to
,TNCC 2025 Exam Questions and Answers
(Latest 2026)
an obvious deformity of the left lower extremity. What is the
priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - Correct Answers
✅A. Initiate cervical spine stabilization
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 adult patient is brought to the emergency department
following a vehicle "roll-over" with prolonged extrication.
,TNCC 2025 Exam Questions and Answers
(Latest 2026)
Assessment reveals swelling and bruising to the right
proximal thigh and a weak pedal pulse. Skin is pale, cool, and
moist. What is the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5
mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg
(3.9-4.6 kPa) - Correct Answers ✅B. Application of a pelvic
binder
An adult arrives at the emergency department with
superficial burns to the extremities following a house fire. The
patient is reporting a headache with nausea and is drowsy
and confused. What is the most likely cause of these
symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia - Correct Answers ✅C. Carbon monoxide
poisoning
Using the American College of Surgeons Guidelines for
Screening Patients with Suspected Spine Injury, what
, TNCC 2025 Exam Questions and Answers
(Latest 2026)
assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU - Correct
Answers ✅D. Responds to verbal stimulation using AVPU
A 5-month pregnant patient arrives in the emergency
department stating she tripped and fell, landing on her
abdomen. Assessment reveals bruising to the abdomen, both
arms, and her neck. She states she does not take any
medications and has not had any prenatal care. The nurse
suspects the findings are most likely related to which of the
following?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - Correct Answers ✅A. Intentional
violence
During the primary survey of an unconscious patient with
multi-system trauma, the nurse notes snoring respirations.
Which priority nursing intervention should be performed
next?
