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TRAUMA NURSING CORE COURSE (TNCC)
PRACTICE EXAM – INJURY MANAGEMENT
2026 JUST RELEASED VERSION
SECTION I: TRIAGE & PRIMARY SURVEY (1–20)
1. The primary purpose of the primary survey is to:
A. Obtain a full history
B. Identify and treat life-threatening conditions
C. Perform detailed neurological assessment
D. Complete documentation
Answer: B
Rationale: The primary survey (ABCDE) rapidly identifies threats
to airway, breathing, circulation, disability, and exposure.
2. In TNCC, triage color coding for a patient with airway
compromise is:
A. Green
B. Yellow
C. Red
D. Black
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Answer: C
Rationale: Red indicates emergent care needed; airway
compromise is life-threatening.
3. During the primary survey, airway assessment includes:
A. Breathing pattern and oxygenation
B. Cervical spine control and patency
C. Circulation and pulse
D. Blood pressure
Answer: B
Rationale: Airway assessment includes checking patency and
protecting the cervical spine in trauma.
4. Breathing assessment should include:
A. Respiratory rate, effort, oxygen saturation, lung sounds
B. BP and pulse only
C. ECG only
D. Skin color only
Answer: A
5. Circulation assessment in trauma includes:
A. BP, pulse, capillary refill, skin color, hemorrhage control
B. ECG only
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C. Pulse only
D. None of the above
Answer: A
6. “Disability” in the ABCDE survey refers to:
A. Blood pressure
B. Level of consciousness and neurologic status
C. Pain assessment only
D. Skin color
Answer: B
7. Exposure during the primary survey means:
A. Full body assessment while preventing hypothermia
B. Removing all clothing regardless of environment
C. Only assessing injured limb
D. Observing the patient
Answer: A
8. Signs of airway obstruction include:
A. Stridor, gurgling, inability to speak
B. Normal speech
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C. Pink skin
D. Regular respirations
Answer: A
9. Priority intervention for airway obstruction in trauma:
A. Clear obstruction, provide oxygen, consider advanced airway
B. Observation only
C. Oral hydration
D. IV antibiotics
Answer: A
10. During rapid trauma assessment, cervical spine precautions
include:
A. Manual in-line stabilization and cervical collar
B. Turning head freely
C. Observing only
D. No precautions needed
Answer: A
11. A patient with hypotension, tachycardia, and cool, clammy
skin likely has:
A. Hypovolemic shock
TRAUMA NURSING CORE COURSE (TNCC)
PRACTICE EXAM – INJURY MANAGEMENT
2026 JUST RELEASED VERSION
SECTION I: TRIAGE & PRIMARY SURVEY (1–20)
1. The primary purpose of the primary survey is to:
A. Obtain a full history
B. Identify and treat life-threatening conditions
C. Perform detailed neurological assessment
D. Complete documentation
Answer: B
Rationale: The primary survey (ABCDE) rapidly identifies threats
to airway, breathing, circulation, disability, and exposure.
2. In TNCC, triage color coding for a patient with airway
compromise is:
A. Green
B. Yellow
C. Red
D. Black
,2
Answer: C
Rationale: Red indicates emergent care needed; airway
compromise is life-threatening.
3. During the primary survey, airway assessment includes:
A. Breathing pattern and oxygenation
B. Cervical spine control and patency
C. Circulation and pulse
D. Blood pressure
Answer: B
Rationale: Airway assessment includes checking patency and
protecting the cervical spine in trauma.
4. Breathing assessment should include:
A. Respiratory rate, effort, oxygen saturation, lung sounds
B. BP and pulse only
C. ECG only
D. Skin color only
Answer: A
5. Circulation assessment in trauma includes:
A. BP, pulse, capillary refill, skin color, hemorrhage control
B. ECG only
,3
C. Pulse only
D. None of the above
Answer: A
6. “Disability” in the ABCDE survey refers to:
A. Blood pressure
B. Level of consciousness and neurologic status
C. Pain assessment only
D. Skin color
Answer: B
7. Exposure during the primary survey means:
A. Full body assessment while preventing hypothermia
B. Removing all clothing regardless of environment
C. Only assessing injured limb
D. Observing the patient
Answer: A
8. Signs of airway obstruction include:
A. Stridor, gurgling, inability to speak
B. Normal speech
, 4
C. Pink skin
D. Regular respirations
Answer: A
9. Priority intervention for airway obstruction in trauma:
A. Clear obstruction, provide oxygen, consider advanced airway
B. Observation only
C. Oral hydration
D. IV antibiotics
Answer: A
10. During rapid trauma assessment, cervical spine precautions
include:
A. Manual in-line stabilization and cervical collar
B. Turning head freely
C. Observing only
D. No precautions needed
Answer: A
11. A patient with hypotension, tachycardia, and cool, clammy
skin likely has:
A. Hypovolemic shock
