TNCC ENA 9th Edition Pre-Test 2026 |Latest Update 2026
| 100% Correct Answers | Actual Exam Questions
1. In a scenario where a patient with a second rib fracture presents with
neurological deficits in the arm, what immediate assessment should the
trauma nurse prioritize?
Assessment of the brachial plexus function
Checking for signs of pneumothorax
Evaluating the patient's respiratory rate
Monitoring vital signs for cardiac stability
2. When obtaining a history for an injured patient, understanding the kinematic
concepts associated with the mechanism of injury and energy transfer can
initially assist the trauma provider in:
Deciding whether law enforcement should be notified
Predicting the need for a surgical procedure
Evaluating and anticipating the types of injury that may be present
Determining needed laboratory tests
3. In a scenario where a patient with a knife wound to the neck is found to have
cervical spine damage, what would be the most appropriate immediate
nursing intervention?
Administer intravenous fluids to manage hypotension.
Monitor vital signs and wait for further assessment.
Stabilize the cervical spine and prepare for potential airway
management.
Perform a rapid sequence intubation without cervical stabilization.
,4. Why is it critical to reprioritize circulation during the general impression step
in trauma assessment?
Reprioritizing circulation is essential because it addresses life-
threatening conditions that can lead to shock.
It helps in determining the patient's mental status.
It ensures that the trauma team is activated promptly.
It allows for a thorough examination of the patient's airway.
5. Discuss why uncontrolled external hemorrhage is considered the leading
cause of preventable death in trauma patients.
Uncontrolled external hemorrhage can lead to rapid blood loss,
resulting in hypovolemic shock and death if not addressed
immediately.
Secondary head injury is often the first priority in trauma care.
Ineffective ventilation is primarily a concern after hospital admission.
Airway compromise is less critical than hemorrhage in the prehospital
setting.
6. In a scenario where a patient is not responding and has a low oxygen
saturation level, how would you adjust your use of the bag-mask device?
Use a different device for ventilation.
Decrease the frequency of compressions to avoid hyperventilation.
Stop using the bag-mask device altogether.
Increase the frequency of compressions to ensure adequate
ventilation.
, 7. Describe what the vital signs of the pregnant trauma patient suggest about
her hemodynamic status.
The vital signs suggest decompensated shock.
The vital signs are normal for a pregnant patient.
The vital signs indicate compensated shock due to the elevated
heart rate and low blood pressure.
The vital signs indicate supine hypotension.
8. Describe how alcohol withdrawal can manifest in a patient who has
experienced a head injury.
Alcohol withdrawal symptoms are unrelated to head injuries.
Alcohol withdrawal only affects patients with a history of seizures.
Alcohol withdrawal primarily leads to respiratory distress and fever.
Alcohol withdrawal can cause symptoms such as anxiety,
restlessness, and nausea, which may be exacerbated by the stress
of a head injury.
9. Which position is recommended for maintaining an open airway in an obese
patient?
Prone
Reverse Trendelenburg
Supine
Left lateral recumbent
10. Which direction should pressure be applied when palpating the pelvis for
stability?
| 100% Correct Answers | Actual Exam Questions
1. In a scenario where a patient with a second rib fracture presents with
neurological deficits in the arm, what immediate assessment should the
trauma nurse prioritize?
Assessment of the brachial plexus function
Checking for signs of pneumothorax
Evaluating the patient's respiratory rate
Monitoring vital signs for cardiac stability
2. When obtaining a history for an injured patient, understanding the kinematic
concepts associated with the mechanism of injury and energy transfer can
initially assist the trauma provider in:
Deciding whether law enforcement should be notified
Predicting the need for a surgical procedure
Evaluating and anticipating the types of injury that may be present
Determining needed laboratory tests
3. In a scenario where a patient with a knife wound to the neck is found to have
cervical spine damage, what would be the most appropriate immediate
nursing intervention?
Administer intravenous fluids to manage hypotension.
Monitor vital signs and wait for further assessment.
Stabilize the cervical spine and prepare for potential airway
management.
Perform a rapid sequence intubation without cervical stabilization.
,4. Why is it critical to reprioritize circulation during the general impression step
in trauma assessment?
Reprioritizing circulation is essential because it addresses life-
threatening conditions that can lead to shock.
It helps in determining the patient's mental status.
It ensures that the trauma team is activated promptly.
It allows for a thorough examination of the patient's airway.
5. Discuss why uncontrolled external hemorrhage is considered the leading
cause of preventable death in trauma patients.
Uncontrolled external hemorrhage can lead to rapid blood loss,
resulting in hypovolemic shock and death if not addressed
immediately.
Secondary head injury is often the first priority in trauma care.
Ineffective ventilation is primarily a concern after hospital admission.
Airway compromise is less critical than hemorrhage in the prehospital
setting.
6. In a scenario where a patient is not responding and has a low oxygen
saturation level, how would you adjust your use of the bag-mask device?
Use a different device for ventilation.
Decrease the frequency of compressions to avoid hyperventilation.
Stop using the bag-mask device altogether.
Increase the frequency of compressions to ensure adequate
ventilation.
, 7. Describe what the vital signs of the pregnant trauma patient suggest about
her hemodynamic status.
The vital signs suggest decompensated shock.
The vital signs are normal for a pregnant patient.
The vital signs indicate compensated shock due to the elevated
heart rate and low blood pressure.
The vital signs indicate supine hypotension.
8. Describe how alcohol withdrawal can manifest in a patient who has
experienced a head injury.
Alcohol withdrawal symptoms are unrelated to head injuries.
Alcohol withdrawal only affects patients with a history of seizures.
Alcohol withdrawal primarily leads to respiratory distress and fever.
Alcohol withdrawal can cause symptoms such as anxiety,
restlessness, and nausea, which may be exacerbated by the stress
of a head injury.
9. Which position is recommended for maintaining an open airway in an obese
patient?
Prone
Reverse Trendelenburg
Supine
Left lateral recumbent
10. Which direction should pressure be applied when palpating the pelvis for
stability?
