TNCC FULL SOLUTION COMPREHENSIVE
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ You are caring for a patient who was involved in a motor vehicle
crash and is 32 weeks pregnant. Findings of your secondary survey
include abdominal pain on palpitation, fundal height at the costal
margin, and some dark bloody show. Varying accelerations and
decelerations are noted on cardiotocography. These findings are most
consistent with which of the following? Answer: Placental abruption
⩥ Which of the following is NOT considered goal-directed therapy for
cardiogenic shock? Answer: Pericardiocentesis
⩥ A patient is found lying on the floor after falling 13 hours ago. Which
of the following laboratory values is expected with a musculoskeletal
complication associated with this presentation? Answer: Elevated
creatinine kinase
⩥ Tearing of the bridging veins is most frequently associated with which
brain injury? Answer: Subdural hematoma
⩥ What bedside monitoring parameters are used to assess for adequacy
of oxygenation and effectiveness of ventilation? Answer: Pulse oximetry
and capnography
, ⩥ Which of the following is a possible complication of positive-pressure
ventilation? Answer: Worsening pneumothorax
⩥ Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? Answer: Hypotension that
worsens with inspiration
⩥ A trauma patient is restless and repeatedly asking "Where am I?" Vital
signs upon arrival were B/P 110/60 mm Hg, HR 96 beats/minute and RR
24 breaths/minute. Her skin is cool and dry. Current vital signs are B/P
104/84 mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The
patient is demonstrating signs and symptoms of which stage of shock?
Answer: Compensated
⩥ Which pulse pressure description is an indication of early
hypovolemic shock? Answer: Narrowed
⩥ A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computed tomography (CT)
scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma
team's communication? Answer: Loop
⩥ A 36 year old female has a deformity of the L wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ You are caring for a patient who was involved in a motor vehicle
crash and is 32 weeks pregnant. Findings of your secondary survey
include abdominal pain on palpitation, fundal height at the costal
margin, and some dark bloody show. Varying accelerations and
decelerations are noted on cardiotocography. These findings are most
consistent with which of the following? Answer: Placental abruption
⩥ Which of the following is NOT considered goal-directed therapy for
cardiogenic shock? Answer: Pericardiocentesis
⩥ A patient is found lying on the floor after falling 13 hours ago. Which
of the following laboratory values is expected with a musculoskeletal
complication associated with this presentation? Answer: Elevated
creatinine kinase
⩥ Tearing of the bridging veins is most frequently associated with which
brain injury? Answer: Subdural hematoma
⩥ What bedside monitoring parameters are used to assess for adequacy
of oxygenation and effectiveness of ventilation? Answer: Pulse oximetry
and capnography
, ⩥ Which of the following is a possible complication of positive-pressure
ventilation? Answer: Worsening pneumothorax
⩥ Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? Answer: Hypotension that
worsens with inspiration
⩥ A trauma patient is restless and repeatedly asking "Where am I?" Vital
signs upon arrival were B/P 110/60 mm Hg, HR 96 beats/minute and RR
24 breaths/minute. Her skin is cool and dry. Current vital signs are B/P
104/84 mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The
patient is demonstrating signs and symptoms of which stage of shock?
Answer: Compensated
⩥ Which pulse pressure description is an indication of early
hypovolemic shock? Answer: Narrowed
⩥ A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computed tomography (CT)
scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma
team's communication? Answer: Loop
⩥ A 36 year old female has a deformity of the L wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the
