1
TNCC (TRAUMA NURSING CORE COURSE) EXAM ACCURATE
REAL EXAM WITH QUESTIONS AND VERIFIED CORRECT
ANSWERS 2026 JUST RELEASED
What are intracerebral hematoma's? - answer>>>Occur
deep within brain tissue, may be single or multiple and
commonly associated with contusions (frontal & temporal
lobes). They result in significant mass effect, leading to
increased ICP and neurologic deterioration.
What are the S/S of a intracerebral hematoma? -
answer>>>- Progressive and often rapid decline in LOC
- H/A
- Signs of increasing ICP
- Pupil abnormalities
- Contralateral hemiplegia
What are the S/S of a linear skull fx? - answer>>>- H/A
,2
- Possible decreased LOC
What is Cerebral Perfusion Pressure? - answer>>>Pressure
gradient across the brain tissue, or the difference between
the pressures of the cerebral artery and venous vessels.
CPP = MAP - ICP
Normal is 60 to 100 mm Hg
What are the three layers of the Meninges? -
answer>>>Pia mater Arachnoid membrane
Dura mater
What are the S/S of a depressed skull fx? - answer>>>- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What is Cushing response? - answer>>>- Widening pulse
pressure
- Reflex bradycardia
- Diminished respiratory effort
What are the S/S of a basilar skull fx? - answer>>>- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid
ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
,3
What three types of primary brain injuries? - answer>>>- Skull
& craniofacial fractures
- Intracranial lesions (contusions)
- Lacerations, tearing, and shearing/bleeding (hematomas)
What are five types of secondary brain injuries? - answer>>>-
Hypotension
- Increased ICP or Decreased CPP
- Cerebral ischemia
- Hypercarbia
- Cerebral edema
, 4
What are signs of a serious eye injury? - answer>>>- Visual
disturbances
- Pain
- Redness and ecchymosis of the eye
- Periorbital ecchymosis
- Increased intraocular pressure
What are the S/S of a corneal abrasion? - answer>>>-
Photophobia and tearing
- Pain
- Injected conjuctiva or redness of the eye
- Lid swelling
-Complaint of a something in eye (sensation)
What is hyphema and its S/S? - answer>>>Accumulation of
blood, mainly RBC's that disperse and layer within the
anterior chamber. A severe hymphema obscures entire
anterior chamber + will diminish visual acuity severely or
completely. Injuries are graded on amount of blood in
chamber (Grades I-IV).
What are the S/S of hyphema? - answer>>>- Blood in anterior
chamber
- Deep, aching pain
- Mild to severe diminished visual acuity
- Increased intraocular pressure
Describe a Grade I Hyphema. - answer>>>Blood occupying
less than one third of the anterior eye chamber.
TNCC (TRAUMA NURSING CORE COURSE) EXAM ACCURATE
REAL EXAM WITH QUESTIONS AND VERIFIED CORRECT
ANSWERS 2026 JUST RELEASED
What are intracerebral hematoma's? - answer>>>Occur
deep within brain tissue, may be single or multiple and
commonly associated with contusions (frontal & temporal
lobes). They result in significant mass effect, leading to
increased ICP and neurologic deterioration.
What are the S/S of a intracerebral hematoma? -
answer>>>- Progressive and often rapid decline in LOC
- H/A
- Signs of increasing ICP
- Pupil abnormalities
- Contralateral hemiplegia
What are the S/S of a linear skull fx? - answer>>>- H/A
,2
- Possible decreased LOC
What is Cerebral Perfusion Pressure? - answer>>>Pressure
gradient across the brain tissue, or the difference between
the pressures of the cerebral artery and venous vessels.
CPP = MAP - ICP
Normal is 60 to 100 mm Hg
What are the three layers of the Meninges? -
answer>>>Pia mater Arachnoid membrane
Dura mater
What are the S/S of a depressed skull fx? - answer>>>- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What is Cushing response? - answer>>>- Widening pulse
pressure
- Reflex bradycardia
- Diminished respiratory effort
What are the S/S of a basilar skull fx? - answer>>>- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid
ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
,3
What three types of primary brain injuries? - answer>>>- Skull
& craniofacial fractures
- Intracranial lesions (contusions)
- Lacerations, tearing, and shearing/bleeding (hematomas)
What are five types of secondary brain injuries? - answer>>>-
Hypotension
- Increased ICP or Decreased CPP
- Cerebral ischemia
- Hypercarbia
- Cerebral edema
, 4
What are signs of a serious eye injury? - answer>>>- Visual
disturbances
- Pain
- Redness and ecchymosis of the eye
- Periorbital ecchymosis
- Increased intraocular pressure
What are the S/S of a corneal abrasion? - answer>>>-
Photophobia and tearing
- Pain
- Injected conjuctiva or redness of the eye
- Lid swelling
-Complaint of a something in eye (sensation)
What is hyphema and its S/S? - answer>>>Accumulation of
blood, mainly RBC's that disperse and layer within the
anterior chamber. A severe hymphema obscures entire
anterior chamber + will diminish visual acuity severely or
completely. Injuries are graded on amount of blood in
chamber (Grades I-IV).
What are the S/S of hyphema? - answer>>>- Blood in anterior
chamber
- Deep, aching pain
- Mild to severe diminished visual acuity
- Increased intraocular pressure
Describe a Grade I Hyphema. - answer>>>Blood occupying
less than one third of the anterior eye chamber.
