TNCC FINAL EXAM TEST 2026-2027 OPEN BOOK (UPDATED
QUESTIONS WITH VERIFIED ANSWERS)
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - ANSWER -a) to measure oxygenation and
ventilation
b)to quantify the base deficit for the adequacy of cellular
perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d)to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where
am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96
beats/min, and RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - ANSWER -A) compensated **
B)Progressive
,.
,C)irreversible
D) decompensated
An elderly patient with a history of anticoagulant use
presents after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?
Answer: D - ANSWER -A) epidural hematoma
B)diffuse axonal injury
C)post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the
patient for radiologic spine clearance?
Answer: D - ANSWER -A) Alert with no neurologic deficits
,.
,B)Multiple abrasions to the extremities
C)Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a
motor vehicle crash?
Answer: C - ANSWER -A) The driver of the vehicle collides
with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum D) the airbag deploys and strikes the front
seat passenger ***
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)provide report to the operating room nurse
C)Obtained imaging studies
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
,.
QUESTIONS WITH VERIFIED ANSWERS)
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - ANSWER -a) to measure oxygenation and
ventilation
b)to quantify the base deficit for the adequacy of cellular
perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d)to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where
am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96
beats/min, and RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - ANSWER -A) compensated **
B)Progressive
,.
,C)irreversible
D) decompensated
An elderly patient with a history of anticoagulant use
presents after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?
Answer: D - ANSWER -A) epidural hematoma
B)diffuse axonal injury
C)post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the
patient for radiologic spine clearance?
Answer: D - ANSWER -A) Alert with no neurologic deficits
,.
,B)Multiple abrasions to the extremities
C)Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a
motor vehicle crash?
Answer: C - ANSWER -A) The driver of the vehicle collides
with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum D) the airbag deploys and strikes the front
seat passenger ***
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)provide report to the operating room nurse
C)Obtained imaging studies
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
,.
