TNCC final exam test 2026/2027 open
book questions and answers
You are treating a 27-year old male in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred d/t the
need for emergent intubation. At what rate should you begin fluid
resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr -
correct answer ✅B) 500 mL/hr
A patient has been in the ED for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture
after a fall. He has been awake, alert, and c/o leg pain. His wife
reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
,TNCC final exam test 2026/2027 open
book questions and answers
D) pulmonary contusion -
correct answer ✅B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak -
correct answer ✅B) narrowed
Which of the following considerations is most important when
caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls -
correct answer ✅B) medical history
, TNCC final exam test 2026/2027 open
book questions and answers
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration -
correct answer ✅D) hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax include
anxiety, severe restlessness, severe respiratory distress, and absent
breath sounds on the injured side. Hypotension due to compression
of the heart and great vessels is consistent with obstructive shock.
Hypotension worsens with inspiration due to increased
intrathoracic pressure. Late signs include distended neck veins,
tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid resuscitation
needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest. Using
the modified Lund and Browder chart to calculate the total BSA
book questions and answers
You are treating a 27-year old male in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred d/t the
need for emergent intubation. At what rate should you begin fluid
resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr -
correct answer ✅B) 500 mL/hr
A patient has been in the ED for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture
after a fall. He has been awake, alert, and c/o leg pain. His wife
reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
,TNCC final exam test 2026/2027 open
book questions and answers
D) pulmonary contusion -
correct answer ✅B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak -
correct answer ✅B) narrowed
Which of the following considerations is most important when
caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls -
correct answer ✅B) medical history
, TNCC final exam test 2026/2027 open
book questions and answers
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration -
correct answer ✅D) hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax include
anxiety, severe restlessness, severe respiratory distress, and absent
breath sounds on the injured side. Hypotension due to compression
of the heart and great vessels is consistent with obstructive shock.
Hypotension worsens with inspiration due to increased
intrathoracic pressure. Late signs include distended neck veins,
tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid resuscitation
needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest. Using
the modified Lund and Browder chart to calculate the total BSA
