TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
You are caring for a patient who was thrown from a bike and was
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 next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. -
correct answer ✅C. Notify the physician
A patient is brought to the emergency department of a rural
hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the primary
survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter -
correct answer ✅A. Initiate transfer to a trauma center
,TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is confused
with unlabored respirations and has strong, palpable radial pulses.
There is an open wound in proximity to an obvious deformity of the
left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board -
correct answer ✅A. Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry
is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
,TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. -
correct answer ✅A. Decrease the rate of manual
ventilation.
An adult patient is brought to the emergency department following
a vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal
pulse. Skin is pale, cool, and moist. What is the most appropriate
initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6
kPa) -
correct answer ✅B. Application of a pelvic binder
An adult arrives at the emergency department with superficial
burns to the extremities following a house fire. The patient is
, TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
reporting a headache with nausea and is drowsy and confused.
What is the most likely cause of these symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia -
correct answer ✅
Using the American College of Surgeons Guidelines for Screening
Patients with Suspected Spine Injury, what assessment finding
would prompt the nurse to prepare a patient for cervical spine
imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU -
correct answer ✅
Questions & Answers (Grade A+)
You are caring for a patient who was thrown from a bike and was
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 next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. -
correct answer ✅C. Notify the physician
A patient is brought to the emergency department of a rural
hospital following a high-speed motor vehicle collision. When
significant abdominal and pelvic injuries are noted in the primary
survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter -
correct answer ✅A. Initiate transfer to a trauma center
,TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is confused
with unlabored respirations and has strong, palpable radial pulses.
There is an open wound in proximity to an obvious deformity of the
left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board -
correct answer ✅A. Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry
is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
,TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. -
correct answer ✅A. Decrease the rate of manual
ventilation.
An adult patient is brought to the emergency department following
a vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal
pulse. Skin is pale, cool, and moist. What is the most appropriate
initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6
kPa) -
correct answer ✅B. Application of a pelvic binder
An adult arrives at the emergency department with superficial
burns to the extremities following a house fire. The patient is
, TNCC 9th Edition, FINAL TEST Exam
Questions & Answers (Grade A+)
reporting a headache with nausea and is drowsy and confused.
What is the most likely cause of these symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia -
correct answer ✅
Using the American College of Surgeons Guidelines for Screening
Patients with Suspected Spine Injury, what assessment finding
would prompt the nurse to prepare a patient for cervical spine
imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU -
correct answer ✅
