TNCC Exam Actual Questions and
Answers 2026
You are caring for a patient who was thrown from a bike and as not
wearing a helmet. While performing the head to toe assessment,
you note clear drainage from the right ear. Which of the following is
the most appropriate step?
A. Clean the ear with a cotton-tipped applicator
B. Pack the ear with gauze
C. Notify the phyisican
D. Document and continue the exam -
correct answer ✅C. notify the physician
A patient arrives with a large open chest wound after being
assaulted with a machete. Prehosital providers placed a nonporous
dressing over the chest wound and taped it on three sides. The
patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis and decreasing blood pressure. which
of the following is the most appropriate immediate intervention?
A. Needle decompression
B. Tube thoracotomy
C. Dressing removal
D. Surgical Repair -
correct answer ✅C. Dressing removal
,TNCC Exam Actual Questions and
Answers 2026
A patient has a closed fracture to the left lower leg. Which
symptoms are consistent with compartment syndrome?
A. Shortness of breath, tachypnea, petechiae
B. Pain, numbness, bounding peripheral pulses.
C. Pain, diminished pedal pulse, pressure
D. Erythema, warmth, purpura -
correct answer ✅C. Pain, diminished pedal pulse, pressure
A trauma patient is being resuscitated in the ED when the radiology
staff notifies the charge nurse that the 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?
A. Brief
B. Closed loop
C. Debrief
D. Huddle -
correct answer ✅D. huddle
A Trauma nurse is caring for an unrestrained driver who struck their
head on the windshield following a high speed MVC. The patient
, TNCC Exam Actual Questions and
Answers 2026
has been diagnosed with an anterior spinal cord injury at the level
of C6. Which assessment finding would be most concerning?
A. Distension of the bladder
B. Incontinence of stool
C. Increased work of breathing
D. Inability to move legs. -
correct answer ✅C. Increased work of breathing
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. Tachycardia.
D. hypotension -
correct answer ✅D. Hypotension
An adult arrives at the emergency department with superficial
burns to the extremities following a house fire. The patient is
reporting a headache with nausea and is drowsy and confused.
What is the most likely cause of these symptoms?
A. Capillary leak syndrome
Answers 2026
You are caring for a patient who was thrown from a bike and as not
wearing a helmet. While performing the head to toe assessment,
you note clear drainage from the right ear. Which of the following is
the most appropriate step?
A. Clean the ear with a cotton-tipped applicator
B. Pack the ear with gauze
C. Notify the phyisican
D. Document and continue the exam -
correct answer ✅C. notify the physician
A patient arrives with a large open chest wound after being
assaulted with a machete. Prehosital providers placed a nonporous
dressing over the chest wound and taped it on three sides. The
patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis and decreasing blood pressure. which
of the following is the most appropriate immediate intervention?
A. Needle decompression
B. Tube thoracotomy
C. Dressing removal
D. Surgical Repair -
correct answer ✅C. Dressing removal
,TNCC Exam Actual Questions and
Answers 2026
A patient has a closed fracture to the left lower leg. Which
symptoms are consistent with compartment syndrome?
A. Shortness of breath, tachypnea, petechiae
B. Pain, numbness, bounding peripheral pulses.
C. Pain, diminished pedal pulse, pressure
D. Erythema, warmth, purpura -
correct answer ✅C. Pain, diminished pedal pulse, pressure
A trauma patient is being resuscitated in the ED when the radiology
staff notifies the charge nurse that the 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?
A. Brief
B. Closed loop
C. Debrief
D. Huddle -
correct answer ✅D. huddle
A Trauma nurse is caring for an unrestrained driver who struck their
head on the windshield following a high speed MVC. The patient
, TNCC Exam Actual Questions and
Answers 2026
has been diagnosed with an anterior spinal cord injury at the level
of C6. Which assessment finding would be most concerning?
A. Distension of the bladder
B. Incontinence of stool
C. Increased work of breathing
D. Inability to move legs. -
correct answer ✅C. Increased work of breathing
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. Tachycardia.
D. hypotension -
correct answer ✅D. Hypotension
An adult arrives at the emergency department with superficial
burns to the extremities following a house fire. The patient is
reporting a headache with nausea and is drowsy and confused.
What is the most likely cause of these symptoms?
A. Capillary leak syndrome
