TNCC 9TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2026) TEST
BANK
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 general impression step in the initial assessment provides the opportunity to do
which of the following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ansc. Reprioritize circulation before airway or breathing.
The nurse is obtaining a history for a patient who presents following sexual assault. This
history is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport. - ansb. Use direct quotes to record
information.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
a. Decompensated shock
,b. NormalXvitalXsignsXinXpregnancy
c.XCompensatedXshock
d.XSupineXhypotensionXsyndromeX-Xansb.XNormalXvitalXsignsXinXpregnancy
TreatmentXforXfrostbiteXcanXincludeXwhichXofXtheXfollowingXinterventions?
a.XwarmXtheXaffectedXpartXoverX30-60Xminutes
b.XuseXgentleXfrictionXtoXimproveXcirculation
c.XadministerXtissueXplasminogenXactivator
d.XleaveXallXofXtheXblistersXintactX-Xansc.XadministerXtissueXplasminogenXactivator
UnderstandingXtheXkinematicXconceptsXassociatedXwithXtheXmechanismXofXinjuryXandX
energyXtransferXcanXinitiallyXassistXtheXtraumaXcareXproviderXinXwhichXofXtheXfollowing
?
a.XAnticipatingXtheXtypesXofXinjuriesXthatXmayXbeXpresent
b.XDecidingXwhetherXlawXenforcementXshouldXbeXnotified
c.XDeterminingXneededXlaboratoryXtests
d.XPredictingXtheXneedXforXaXsurgicalXprocedureX-
Xansa.XAnticipatingXtheXtypesXofXinjuriesXthatXmayXbeXpresent
WhatXisXtheXappropriateXtechniqueXforXpalpatingXtheXpelvisXforXstability?
a.XApplyXgentleXpressureXoverXtheXiliacXcrests,XdownwardXandXlaterally.
b.XApplyXgentleXpressureXoverXtheXiliacXcrests,XdownwardXandXmedially.
c.XApplyXfirmXpressureXoverXtheXiliacXcrests,XdownwardXandXlaterally.
d.XApplyXfirmXpressureXoverXtheXiliacXcrests,XdownwardXandXmedially.X-
Xansb.XApplyXgentleXpressureXoverXtheXiliacXcrests,XdownwardXandXmedially.
WhatXisXtheXbestXmeasureXofXtheXadequacyXofXcellularXperfusionXandXcanXhelpXtoXpr
edictXtheXoutcomeXofXresuscitation?
a.XEnd-tidalXcarbonXdioxide
b.XHematocritXlevel
c.XBaseXdeficit
d.XOxygenXsaturationX-Xansc.XBaseXdeficit
WhatXisXtheXbestXpositionXforXmaintainingXanXopenXairwayXinXtheXobeseXpatient?
a.XProne
b.XSupine
c.XReverseXTrendelenburg
d.XRightXlateralXrecumbentX-Xansc.XReverseXTrendelenburg
WhatXisXtheXleadingXcauseXofXpreventableXdeathXforXtheXtraumaXpatientXinXtheXpreho
spitalXenvironment?
a.XAirwayXcompromise
b.XIneffectiveXventilation
c.XSecondaryXheadXinjury
d.XUncontrolledXexternalXhemorrhageX-Xansd.XUncontrolledXexternalXhemorrhage
, WhichXofXtheXfollowingXaccuratelyXdescribesXventilationXprinciplesXassociatedXwithXus
eXofXaXbag-maskXdeviceXforXanXadult?
a.XCompressXtheXbag-maskXdeviceXatXaXrateXofXoneXbreathXeveryX6Xseconds.
b.XDeliversX100%Xoxygen.
c.XSqueezeXtheXbag-maskXdeviceXcompletelyXforXeachXbreath.
d.XMaintainXtheXoxygenXsaturationXlevelsXbetweenX92%XandX94%.X-
Xansa.XCompressXtheXbag-maskXdeviceXatXaXrateXofXoneXbreathXeveryX6Xseconds.
WhichXofXtheXfollowingXisXconsideredXaXcornerstoneXofXaXhigh-
performanceXtraumaXteam?
a.XIndividualXgoals
b.XUseXofXTeamSTEPPS
c.XIdentificationXofXaXsingleXdecisionXmaker
d.XEffectiveXcommunicationX-Xansd.XEffectiveXcommunication
WhileXperformingXanXassessmentXonXaX13-month-
oldXinvolvedXinXaXmotorXvehicleXcollision,XtheXnurseXidentifiesXwhichXofXtheXfollowingXf
indingsXfromXtheXpatientXasXaXsignXofXpossibleXalteredXmentalXstatus?
a.XSunkenXfontanel
b.XCrying,XbutXconsolable
c.XSpontaneousXmovementXofXarmsXandXlegs
d.XCooperationXwithXtheXassessmentX-Xansd.XCooperationXwithXtheXassessment
AX(AVPU)X-XansAlert.XWillXbeXableXtoXmaintainXairwayXonceXclear.
AX(PrimaryXSurvey)X-
XansAirwayXandXalertnessXwithXsimultaneousXcervicalXspinalXstabilization.
AirwayXAssessmentX-
XansInspect:XtongueXobstruction,Xloose/missingXteeth,XforeignXobjects,Xblood,Xvomitus,
Xsecretions,Xedema,XburnsXorXevidenceXofXinhalationXinjury
Auscultate:XlistenXforXobstructiveXairwayXsoundsX(ie.Xsnoring,Xgurgling,Xstridor)
Palpate:XpalpateXforXpossibleXocclusiveXmaxillofacialXbonyXdeformity,XsubcutaneousXe
mphysema
AirwayXInterventions:X-XansSuction
RemoveXforeignXbodyXifXnoted
JawXthrustXmaneuverX(maintainXcspine)
NasopharyngealXairwayX(canXbeXconscious)XOropharyngealXairwayX(noXgag)
ConsiderXdefinitiveXairway
AlertnessXAssessmentX-XansA-Alert
V-Verbal
P-Painful
U-Unresponsive
GRADED A+ 100% COMPLETE (SOLVED 2026) TEST
BANK
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 general impression step in the initial assessment provides the opportunity to do
which of the following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ansc. Reprioritize circulation before airway or breathing.
The nurse is obtaining a history for a patient who presents following sexual assault. This
history is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport. - ansb. Use direct quotes to record
information.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
a. Decompensated shock
,b. NormalXvitalXsignsXinXpregnancy
c.XCompensatedXshock
d.XSupineXhypotensionXsyndromeX-Xansb.XNormalXvitalXsignsXinXpregnancy
TreatmentXforXfrostbiteXcanXincludeXwhichXofXtheXfollowingXinterventions?
a.XwarmXtheXaffectedXpartXoverX30-60Xminutes
b.XuseXgentleXfrictionXtoXimproveXcirculation
c.XadministerXtissueXplasminogenXactivator
d.XleaveXallXofXtheXblistersXintactX-Xansc.XadministerXtissueXplasminogenXactivator
UnderstandingXtheXkinematicXconceptsXassociatedXwithXtheXmechanismXofXinjuryXandX
energyXtransferXcanXinitiallyXassistXtheXtraumaXcareXproviderXinXwhichXofXtheXfollowing
?
a.XAnticipatingXtheXtypesXofXinjuriesXthatXmayXbeXpresent
b.XDecidingXwhetherXlawXenforcementXshouldXbeXnotified
c.XDeterminingXneededXlaboratoryXtests
d.XPredictingXtheXneedXforXaXsurgicalXprocedureX-
Xansa.XAnticipatingXtheXtypesXofXinjuriesXthatXmayXbeXpresent
WhatXisXtheXappropriateXtechniqueXforXpalpatingXtheXpelvisXforXstability?
a.XApplyXgentleXpressureXoverXtheXiliacXcrests,XdownwardXandXlaterally.
b.XApplyXgentleXpressureXoverXtheXiliacXcrests,XdownwardXandXmedially.
c.XApplyXfirmXpressureXoverXtheXiliacXcrests,XdownwardXandXlaterally.
d.XApplyXfirmXpressureXoverXtheXiliacXcrests,XdownwardXandXmedially.X-
Xansb.XApplyXgentleXpressureXoverXtheXiliacXcrests,XdownwardXandXmedially.
WhatXisXtheXbestXmeasureXofXtheXadequacyXofXcellularXperfusionXandXcanXhelpXtoXpr
edictXtheXoutcomeXofXresuscitation?
a.XEnd-tidalXcarbonXdioxide
b.XHematocritXlevel
c.XBaseXdeficit
d.XOxygenXsaturationX-Xansc.XBaseXdeficit
WhatXisXtheXbestXpositionXforXmaintainingXanXopenXairwayXinXtheXobeseXpatient?
a.XProne
b.XSupine
c.XReverseXTrendelenburg
d.XRightXlateralXrecumbentX-Xansc.XReverseXTrendelenburg
WhatXisXtheXleadingXcauseXofXpreventableXdeathXforXtheXtraumaXpatientXinXtheXpreho
spitalXenvironment?
a.XAirwayXcompromise
b.XIneffectiveXventilation
c.XSecondaryXheadXinjury
d.XUncontrolledXexternalXhemorrhageX-Xansd.XUncontrolledXexternalXhemorrhage
, WhichXofXtheXfollowingXaccuratelyXdescribesXventilationXprinciplesXassociatedXwithXus
eXofXaXbag-maskXdeviceXforXanXadult?
a.XCompressXtheXbag-maskXdeviceXatXaXrateXofXoneXbreathXeveryX6Xseconds.
b.XDeliversX100%Xoxygen.
c.XSqueezeXtheXbag-maskXdeviceXcompletelyXforXeachXbreath.
d.XMaintainXtheXoxygenXsaturationXlevelsXbetweenX92%XandX94%.X-
Xansa.XCompressXtheXbag-maskXdeviceXatXaXrateXofXoneXbreathXeveryX6Xseconds.
WhichXofXtheXfollowingXisXconsideredXaXcornerstoneXofXaXhigh-
performanceXtraumaXteam?
a.XIndividualXgoals
b.XUseXofXTeamSTEPPS
c.XIdentificationXofXaXsingleXdecisionXmaker
d.XEffectiveXcommunicationX-Xansd.XEffectiveXcommunication
WhileXperformingXanXassessmentXonXaX13-month-
oldXinvolvedXinXaXmotorXvehicleXcollision,XtheXnurseXidentifiesXwhichXofXtheXfollowingXf
indingsXfromXtheXpatientXasXaXsignXofXpossibleXalteredXmentalXstatus?
a.XSunkenXfontanel
b.XCrying,XbutXconsolable
c.XSpontaneousXmovementXofXarmsXandXlegs
d.XCooperationXwithXtheXassessmentX-Xansd.XCooperationXwithXtheXassessment
AX(AVPU)X-XansAlert.XWillXbeXableXtoXmaintainXairwayXonceXclear.
AX(PrimaryXSurvey)X-
XansAirwayXandXalertnessXwithXsimultaneousXcervicalXspinalXstabilization.
AirwayXAssessmentX-
XansInspect:XtongueXobstruction,Xloose/missingXteeth,XforeignXobjects,Xblood,Xvomitus,
Xsecretions,Xedema,XburnsXorXevidenceXofXinhalationXinjury
Auscultate:XlistenXforXobstructiveXairwayXsoundsX(ie.Xsnoring,Xgurgling,Xstridor)
Palpate:XpalpateXforXpossibleXocclusiveXmaxillofacialXbonyXdeformity,XsubcutaneousXe
mphysema
AirwayXInterventions:X-XansSuction
RemoveXforeignXbodyXifXnoted
JawXthrustXmaneuverX(maintainXcspine)
NasopharyngealXairwayX(canXbeXconscious)XOropharyngealXairwayX(noXgag)
ConsiderXdefinitiveXairway
AlertnessXAssessmentX-XansA-Alert
V-Verbal
P-Painful
U-Unresponsive
