TNCC FINAL EXAM – OPEN BOOK TEST
WITH UPDATED QUESTIONS AND
VERIFIED ANSWERS | FINAL
STUDENT EDITION 2026/2027
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - ✔✔✔ANSWER-A) initiate transfer to a trauma center **
B) providereport to the operating room nurse
C) Obtained imaging studies
1 | Pa g e
,D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C - ✔✔✔ANSWER-A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C - ✔✔✔ANSWER-A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
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, What finding raises suspicion of complete spinal cord injury?
Answer: B - ✔✔✔ANSWER-A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D - ✔✔✔ANSWER-A) Bradycardia and ipsilateral absences
of motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury
***
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WITH UPDATED QUESTIONS AND
VERIFIED ANSWERS | FINAL
STUDENT EDITION 2026/2027
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - ✔✔✔ANSWER-A) initiate transfer to a trauma center **
B) providereport to the operating room nurse
C) Obtained imaging studies
1 | Pa g e
,D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C - ✔✔✔ANSWER-A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C - ✔✔✔ANSWER-A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
2 | Pa g e
, What finding raises suspicion of complete spinal cord injury?
Answer: B - ✔✔✔ANSWER-A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D - ✔✔✔ANSWER-A) Bradycardia and ipsilateral absences
of motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury
***
3 | Pa g e
