TNCC Study Guide 2026 Exam
Questions and Correct Answers |
New Update
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a
rural critical access facility. He complains of neck pain, SOB, and diffuse
abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient? - 🧠 ANSWER ✔✔Expedite transfer to the
closest trauma center
,Which of the following considerations is the most important when caring for
a geriatric trauma pt? - 🧠 ANSWER ✔✔a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe? - 🧠
ANSWER ✔✔Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American
College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance? - 🧠
ANSWER ✔✔Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation
curve? - 🧠 ANSWER ✔✔hemoglobin does not readily release O2 for use by
the tissues
Which of the following is a component of the trauma triad of death? - 🧠
ANSWER ✔✔acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment
,findings are most consistent with which of the following types of spinal cord
injury? - 🧠 ANSWER ✔✔Complete
Which of the following is an expected finding in a pt with a tube
thoracstomy connected to a chest drainage system? - 🧠 ANSWER
✔✔flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma,
the nurse notes snoring respirations. What priority nursing interventions
should be preformed next? - 🧠 ANSWER ✔✔insert an oropharyngeal
airway if there is no gag reflex
A 35 y/o M 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? - 🧠 ANSWER ✔✔globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are
BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock? - 🧠 ANSWER ✔✔compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow
and labored respirations, and dusky skin. The trauma team has
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate
next step? - 🧠 ANSWER ✔✔ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - 🧠 ANSWER
✔✔within 24 hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious? - 🧠
ANSWER ✔✔pressure
Which of the following is possible complication of positive-pressure
ventilation? - 🧠 ANSWER ✔✔worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of
the following? - 🧠 ANSWER ✔✔pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
🧠 ANSWER ✔✔narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - 🧠 ANSWER ✔✔dysrhythmias
Questions and Correct Answers |
New Update
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a
rural critical access facility. He complains of neck pain, SOB, and diffuse
abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient? - 🧠 ANSWER ✔✔Expedite transfer to the
closest trauma center
,Which of the following considerations is the most important when caring for
a geriatric trauma pt? - 🧠 ANSWER ✔✔a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe? - 🧠
ANSWER ✔✔Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American
College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance? - 🧠
ANSWER ✔✔Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation
curve? - 🧠 ANSWER ✔✔hemoglobin does not readily release O2 for use by
the tissues
Which of the following is a component of the trauma triad of death? - 🧠
ANSWER ✔✔acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment
,findings are most consistent with which of the following types of spinal cord
injury? - 🧠 ANSWER ✔✔Complete
Which of the following is an expected finding in a pt with a tube
thoracstomy connected to a chest drainage system? - 🧠 ANSWER
✔✔flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma,
the nurse notes snoring respirations. What priority nursing interventions
should be preformed next? - 🧠 ANSWER ✔✔insert an oropharyngeal
airway if there is no gag reflex
A 35 y/o M 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? - 🧠 ANSWER ✔✔globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are
BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock? - 🧠 ANSWER ✔✔compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow
and labored respirations, and dusky skin. The trauma team has
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate
next step? - 🧠 ANSWER ✔✔ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - 🧠 ANSWER
✔✔within 24 hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious? - 🧠
ANSWER ✔✔pressure
Which of the following is possible complication of positive-pressure
ventilation? - 🧠 ANSWER ✔✔worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of
the following? - 🧠 ANSWER ✔✔pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
🧠 ANSWER ✔✔narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - 🧠 ANSWER ✔✔dysrhythmias
