TECC Practice Exam — Questions And Answers
With Rationales 2026
1. What is the first step in TECC care?
A) Control hemorrhage
B) Ensure Scene Safety and Personal Protection
C) Apply a tourniquet
D) Begin CPR
Italicized rationale: Ensuring your safety allows you to provide
care without becoming a casualty.
2. In the TECC algorithm, what is the highest priority after
establishing scene safety?
A) Airway management
B) IV access
C) Hemorrhage control
D) Pain management
Italicized rationale: Uncontrolled bleeding can rapidly lead to
death and must be addressed immediately.
3. Which of the following is an acceptable site for tourniquet
application?
A) Over a joint
B) Proximal on a limb, above the wound
C) Directly on the wound
D) Around the torso
Italicized rationale: Tourniquets should be placed high on the
limb to compress main vessels and control bleeding.
,4. What is the minimum pressure required to effectively stop
arterial bleeding with a tourniquet?
A) 50 mmHg
B) 75 mmHg
C) Enough to stop distal pulse and bleeding
D) 120 mmHg
Italicized rationale: The goal is to stop bleeding, not hit a
specific number.
5. Which device is most effective for junctional hemorrhage?
A) Standard tourniquet
B) Junctional tourniquet or wound packing
C) Pressure dressing
D) Ice pack
Italicized rationale: Junctional areas (groin, axilla) require
specialized devices or packing for effective control.
6. How should a penetrating chest wound be initially managed in
TECC?
A) Fully occlusive dressing taped on all sides
B) Occlusive dressing taped on three sides
C) No dressing
D) Tight bandaging circumferentially
Italicized rationale: A three-sided dressing allows air to escape
and prevents tension pneumothorax.
7. What is the purpose of a nasopharyngeal airway (NPA)?
A) To provide suction
B) To maintain airway patency
C) To ventilate
, D) To prevent aspiration
Italicized rationale: An NPA keeps airway open when the patient
cannot maintain it alone.
8. Which of the following patients should receive a
nasopharyngeal airway?
A) Severe facial trauma with skull base fracture
B) Unresponsive patient with intact gag reflex compromised
airway
C) Conscious patient with gag reflex
D) Pediatric patient under one year
Italicized rationale: NPAs are contraindicated in suspected skull
base fractures.
9. When managing a breathing patient with suspected
pneumothorax, you should:
A) Start CPR
B) Apply high-flow oxygen and monitor
C) Rapidly decompress immediately
D) Place a C-collar
Italicized rationale: Stable patients get high-flow oxygen;
decompression if tension physiology develops.
10. Which sign suggests a tension pneumothorax?
A) Equal breath sounds
B) Bradycardia
C) Tracheal deviation away from injury
D) Bilateral chest rise
Italicized rationale: Tracheal deviation indicates pressure
build-up on one side.
With Rationales 2026
1. What is the first step in TECC care?
A) Control hemorrhage
B) Ensure Scene Safety and Personal Protection
C) Apply a tourniquet
D) Begin CPR
Italicized rationale: Ensuring your safety allows you to provide
care without becoming a casualty.
2. In the TECC algorithm, what is the highest priority after
establishing scene safety?
A) Airway management
B) IV access
C) Hemorrhage control
D) Pain management
Italicized rationale: Uncontrolled bleeding can rapidly lead to
death and must be addressed immediately.
3. Which of the following is an acceptable site for tourniquet
application?
A) Over a joint
B) Proximal on a limb, above the wound
C) Directly on the wound
D) Around the torso
Italicized rationale: Tourniquets should be placed high on the
limb to compress main vessels and control bleeding.
,4. What is the minimum pressure required to effectively stop
arterial bleeding with a tourniquet?
A) 50 mmHg
B) 75 mmHg
C) Enough to stop distal pulse and bleeding
D) 120 mmHg
Italicized rationale: The goal is to stop bleeding, not hit a
specific number.
5. Which device is most effective for junctional hemorrhage?
A) Standard tourniquet
B) Junctional tourniquet or wound packing
C) Pressure dressing
D) Ice pack
Italicized rationale: Junctional areas (groin, axilla) require
specialized devices or packing for effective control.
6. How should a penetrating chest wound be initially managed in
TECC?
A) Fully occlusive dressing taped on all sides
B) Occlusive dressing taped on three sides
C) No dressing
D) Tight bandaging circumferentially
Italicized rationale: A three-sided dressing allows air to escape
and prevents tension pneumothorax.
7. What is the purpose of a nasopharyngeal airway (NPA)?
A) To provide suction
B) To maintain airway patency
C) To ventilate
, D) To prevent aspiration
Italicized rationale: An NPA keeps airway open when the patient
cannot maintain it alone.
8. Which of the following patients should receive a
nasopharyngeal airway?
A) Severe facial trauma with skull base fracture
B) Unresponsive patient with intact gag reflex compromised
airway
C) Conscious patient with gag reflex
D) Pediatric patient under one year
Italicized rationale: NPAs are contraindicated in suspected skull
base fractures.
9. When managing a breathing patient with suspected
pneumothorax, you should:
A) Start CPR
B) Apply high-flow oxygen and monitor
C) Rapidly decompress immediately
D) Place a C-collar
Italicized rationale: Stable patients get high-flow oxygen;
decompression if tension physiology develops.
10. Which sign suggests a tension pneumothorax?
A) Equal breath sounds
B) Bradycardia
C) Tracheal deviation away from injury
D) Bilateral chest rise
Italicized rationale: Tracheal deviation indicates pressure
build-up on one side.
