TNCC Pre-Course Assessment Exam
Actual Questions and Answers 2026
Treatment for frostbite can include which of the following
interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters -
correct answer ✅C. Administer tissue plasminogen activator
Rationale: With frostbite, thrombus formation is a risk. Tissue
plasminogen activator, a thrombolytic medication, has been
effective in maintaining perfusion and decreasing the need for
amputation when administered within 24 hours of rewarming.
Warming for frostbite is done gently, over 15 to 30 minutes.
Friction, even gentle friction, is avoided to prevent tissue damage.
Large blisters, whether clear or hemorrhagic, that can affect
movement should be drained. Smaller blisters should be left intact.
A patient with a spinal cord injury at C5 is being cared for in the
emergency department while awaiting transport to a trauma
center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?
,TNCC Pre-Course Assessment Exam
Actual Questions and Answers 2026
A. Maintain adequate respiratory status.
B. Administer balanced resuscitation fluid.
C. Perform serial assessments of neurologic function.
D. Maintain core temperature. -
correct answer ✅A. Maintain adequate respiratory status.
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of
phrenic nerve function, resulting in a paralyzed diaphragm and
inability to breathe. Maintenance of respiratory function is the
highest priority.
The vital signs of a pregnant trauma patient at 30 weeks include a
blood pressure of 94/62 mm Hg and a heart rate of 108
beats/minute. Fetal heart tones are 124 beats/minute. The
emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
, TNCC Pre-Course Assessment Exam
Actual Questions and Answers 2026
D. Supine hypotension syndrome -
correct answer ✅B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20
beats/minute. This is also a small decrease in systolic blood
pressure and a larger decrease in diastolic blood pressure due to a
decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute. The mother's blood pressure,
while low, is still within normal limits.
Understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist the
trauma care provider in which of the following?
A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure -
correct answer ✅A. Anticipating the types of injuries that may be
present
Actual Questions and Answers 2026
Treatment for frostbite can include which of the following
interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters -
correct answer ✅C. Administer tissue plasminogen activator
Rationale: With frostbite, thrombus formation is a risk. Tissue
plasminogen activator, a thrombolytic medication, has been
effective in maintaining perfusion and decreasing the need for
amputation when administered within 24 hours of rewarming.
Warming for frostbite is done gently, over 15 to 30 minutes.
Friction, even gentle friction, is avoided to prevent tissue damage.
Large blisters, whether clear or hemorrhagic, that can affect
movement should be drained. Smaller blisters should be left intact.
A patient with a spinal cord injury at C5 is being cared for in the
emergency department while awaiting transport to a trauma
center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?
,TNCC Pre-Course Assessment Exam
Actual Questions and Answers 2026
A. Maintain adequate respiratory status.
B. Administer balanced resuscitation fluid.
C. Perform serial assessments of neurologic function.
D. Maintain core temperature. -
correct answer ✅A. Maintain adequate respiratory status.
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of
phrenic nerve function, resulting in a paralyzed diaphragm and
inability to breathe. Maintenance of respiratory function is the
highest priority.
The vital signs of a pregnant trauma patient at 30 weeks include a
blood pressure of 94/62 mm Hg and a heart rate of 108
beats/minute. Fetal heart tones are 124 beats/minute. The
emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
, TNCC Pre-Course Assessment Exam
Actual Questions and Answers 2026
D. Supine hypotension syndrome -
correct answer ✅B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20
beats/minute. This is also a small decrease in systolic blood
pressure and a larger decrease in diastolic blood pressure due to a
decrease in peripheral resistance. Normal fetal heart rate is
between 120 and 160 beats/minute. The mother's blood pressure,
while low, is still within normal limits.
Understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist the
trauma care provider in which of the following?
A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure -
correct answer ✅A. Anticipating the types of injuries that may be
present
