TNCC 9th Edition TNP Exam 2026–2027
Real Exam Questions and Verified Correct
Answers
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 ope wound with sterile saline dressings - CORRECT
ANSWER B. Initiate direct pressure
The first step in controlling any bleeding is application of direct
pressure.
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. BluntCardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax - CORRECT ANSWER B. Brachial plexus injury
,First and second rib fractures are most commonly associated with
great vessel, head and spinal cord, and brachial plexus injuries.
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 patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - CORRECT ANSWER A. Maintain
adequate respiratory status
Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve
function, resulting in paralyzed diaphragm and inability to breathe.
Maintenance of respiratory function is the highest priority.
What is the lead cause of preventable death for the trauma patient
in the prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - CORRECT ANSWER D.
Uncontrolled external hemorrhage
Uncontrolled external hemorrhage is the leading cause of
preventable death after injury in the prehospital environment;
,assessment to identify uncontrolled external hemorrhage is key to
the initial assessment process, beginning with the general
impression.
Understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist the
trauma care provider in which of the following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - CORRECT ANSWER
A. Anticipating the types of injuries the may be present
Mechanism of injury and energy transfer can assist the provider in
anticipating and evaluation the types of injuries that may be
present and their severity.
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. Theyare thinking about transferring out of the emergency
department - CORRECT ANSWER A.
They are talking about taking the emergency nursing certification
examination
This is an indication the nurse is taking positive steps to advance
their own practice, a sign of resilience.
What is the appropriate technique for palpating the pelvis for
stability? - CORRECT ANSWER B.
Apply gentle pressure over the iliac crests, downward and medially
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. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome - CORRECT ANSWER b. Normal
vital signs in pregnancy
In pregnancy, the resting heart rate increases by 10 to 20
beats/minute. This is also a small decrease in systolic blood
pressure and a larger decrease in diastolic blood pressure due to a
decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute
Real Exam Questions and Verified Correct
Answers
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 ope wound with sterile saline dressings - CORRECT
ANSWER B. Initiate direct pressure
The first step in controlling any bleeding is application of direct
pressure.
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. BluntCardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax - CORRECT ANSWER B. Brachial plexus injury
,First and second rib fractures are most commonly associated with
great vessel, head and spinal cord, and brachial plexus injuries.
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 patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - CORRECT ANSWER A. Maintain
adequate respiratory status
Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve
function, resulting in paralyzed diaphragm and inability to breathe.
Maintenance of respiratory function is the highest priority.
What is the lead cause of preventable death for the trauma patient
in the prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - CORRECT ANSWER D.
Uncontrolled external hemorrhage
Uncontrolled external hemorrhage is the leading cause of
preventable death after injury in the prehospital environment;
,assessment to identify uncontrolled external hemorrhage is key to
the initial assessment process, beginning with the general
impression.
Understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist the
trauma care provider in which of the following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - CORRECT ANSWER
A. Anticipating the types of injuries the may be present
Mechanism of injury and energy transfer can assist the provider in
anticipating and evaluation the types of injuries that may be
present and their severity.
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. Theyare thinking about transferring out of the emergency
department - CORRECT ANSWER A.
They are talking about taking the emergency nursing certification
examination
This is an indication the nurse is taking positive steps to advance
their own practice, a sign of resilience.
What is the appropriate technique for palpating the pelvis for
stability? - CORRECT ANSWER B.
Apply gentle pressure over the iliac crests, downward and medially
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. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome - CORRECT ANSWER b. Normal
vital signs in pregnancy
In pregnancy, the resting heart rate increases by 10 to 20
beats/minute. This is also a small decrease in systolic blood
pressure and a larger decrease in diastolic blood pressure due to a
decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute
