TNCC 9TH EXAM 80 QUESTIONS & CORRECT
ANSWERS LATEST 2026
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mm Hg. What is the most important intervention to manage the
cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered. - ANSWER-A.Decrease the rate of
manual ventilation.
An older adult presents to the emergency department with complaints of dizziness,
headache, and nausea. The patient was involved in a motor vehicle collision 10
days ago. There was no loss of consciousness and a hematoma is noted to the
forehead. The patient is currently on anticoagulant therapy. What is most likely the
cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - ANSWER-post-concussive syndrome
,A patient with a lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ANSWER-C.Elevating the leg to
the level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ANSWER-Bowel sounds heard in the
left lower chest
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The patient has been awake, alert, and complaining of leg pain. Their spouse
reported that the patient suddenly became anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. The patient is exhibiting signs and symptoms most commonly associated
with which of the following conditions?
A.Acute lung injury
,B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - ANSWER-fat embolism
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash which started on their mouth,
face, and arms with progression to the chest and abdomen. They all visited the
same grocery store within the last week. What is the most appropriate intervention
from triage for these patients?
A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - ANSWER-Immediately initiate
isolation precautions
A 35-year-old male presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
, A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-Voluntary anal sphincter tone
While caring for a trauma patient in the emergency department, what finding raises
suspicion of a complete spinal cord injury?
A.Weakness in the lower extremities
B.Urinary incontinence
C.Sacral sparing
D.Spastic paralysis of the legs - ANSWER-urinary incontinence
Which blood pressure finding is associated with early or compensated
hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing diastolic
D.Decreasing systolic - ANSWER-B. Rising diastolic
Which of the following is true about the log-roll maneuver?
A.It causes less spinal motion than the lift-and-slide maneuver
B.It is recommended for patients with unstable pelvic fractures
C.It should be avoided with a suspected spine injury prior to imaging
D.It decreases the risk of hemorrhage from unstable pelvic injuries - ANSWER-It
should be avoided with a suspected spine injury prior to imaging
ANSWERS LATEST 2026
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mm Hg. What is the most important intervention to manage the
cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered. - ANSWER-A.Decrease the rate of
manual ventilation.
An older adult presents to the emergency department with complaints of dizziness,
headache, and nausea. The patient was involved in a motor vehicle collision 10
days ago. There was no loss of consciousness and a hematoma is noted to the
forehead. The patient is currently on anticoagulant therapy. What is most likely the
cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - ANSWER-post-concussive syndrome
,A patient with a lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ANSWER-C.Elevating the leg to
the level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ANSWER-Bowel sounds heard in the
left lower chest
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The patient has been awake, alert, and complaining of leg pain. Their spouse
reported that the patient suddenly became anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. The patient is exhibiting signs and symptoms most commonly associated
with which of the following conditions?
A.Acute lung injury
,B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - ANSWER-fat embolism
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash which started on their mouth,
face, and arms with progression to the chest and abdomen. They all visited the
same grocery store within the last week. What is the most appropriate intervention
from triage for these patients?
A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - ANSWER-Immediately initiate
isolation precautions
A 35-year-old male presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
, A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-Voluntary anal sphincter tone
While caring for a trauma patient in the emergency department, what finding raises
suspicion of a complete spinal cord injury?
A.Weakness in the lower extremities
B.Urinary incontinence
C.Sacral sparing
D.Spastic paralysis of the legs - ANSWER-urinary incontinence
Which blood pressure finding is associated with early or compensated
hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing diastolic
D.Decreasing systolic - ANSWER-B. Rising diastolic
Which of the following is true about the log-roll maneuver?
A.It causes less spinal motion than the lift-and-slide maneuver
B.It is recommended for patients with unstable pelvic fractures
C.It should be avoided with a suspected spine injury prior to imaging
D.It decreases the risk of hemorrhage from unstable pelvic injuries - ANSWER-It
should be avoided with a suspected spine injury prior to imaging
