TNCC: Trauma Study Cards (7th
Edition) Exam Actual Questions and
Answers 2026
Primary Blast Injury -
correct answer ✅Closest to blast, Air-filled organs are susceptible
to rupture
Secondary Blast Injuries -
correct answer ✅Fragment injuries, Most common blast injury
Tertiary Blast Injuries -
correct answer ✅Blunt trauma from large projectiles, Bone and
thoracic trauma
Quaternary Blast Injuries -
correct answer ✅External Burns from flames and heat. Internal
burns from hot gases and smoke
Quinary Blast Injuries -
correct answer ✅Hazmat injuries from chemicals, biological and
radioactive materials
,TNCC: Trauma Study Cards (7th
Edition) Exam Actual Questions and
Answers 2026
Intubation Criteria -
correct answer ✅~Compromised or ineffective breathing w/t
BVM
~High risk for aspiration
~Trach/neck injury/hematoma
~Inhalation injury (Facial burns)
~Severe maxillofacial Fx
~GCS < 8
~Apnea
Tranexamic Acid -
correct answer ✅Antifibrinolytic (prevents clots from dissolving)
Useful for traumatic injury with hemorrhage.
Massive Transfusion Protocol (MTP) -
correct answer ✅One part RBC, one part FFP and one part
platelet. Limit use of crystalloids for hemorrhaging patients.
, TNCC: Trauma Study Cards (7th
Edition) Exam Actual Questions and
Answers 2026
After MTP, anticipate: -
correct answer ✅Citrate toxicity and hypocalcemia if patient
receives more than one unit of blood every 5 minutes.
Tx with Calcium Gluconate and Calcium Chloride
Extraglottic Airways (types and uses) -
correct answer ✅~supraglottic (LMA) used in OR but does not
prevent aspiration.
~retroglottic (King tube) most often used pre hospital. Not for
pediatrics.
These are to be positioned above or posterior to the larynx when
intubation is/was not possible.
Hyperoxygenation -
correct answer ✅Sa02 levels via ABG >200% have been shown to
double mortality rates dt free radicals.
Oxyhemoglobin-Dissociation Curve -
correct answer ✅The correlation between oxygen saturation
(Sa02) and the partial pressure of oxygen (Pa02) as it relates to the
ability of tissues to obtain the 02 molecule from the Hgb.
Edition) Exam Actual Questions and
Answers 2026
Primary Blast Injury -
correct answer ✅Closest to blast, Air-filled organs are susceptible
to rupture
Secondary Blast Injuries -
correct answer ✅Fragment injuries, Most common blast injury
Tertiary Blast Injuries -
correct answer ✅Blunt trauma from large projectiles, Bone and
thoracic trauma
Quaternary Blast Injuries -
correct answer ✅External Burns from flames and heat. Internal
burns from hot gases and smoke
Quinary Blast Injuries -
correct answer ✅Hazmat injuries from chemicals, biological and
radioactive materials
,TNCC: Trauma Study Cards (7th
Edition) Exam Actual Questions and
Answers 2026
Intubation Criteria -
correct answer ✅~Compromised or ineffective breathing w/t
BVM
~High risk for aspiration
~Trach/neck injury/hematoma
~Inhalation injury (Facial burns)
~Severe maxillofacial Fx
~GCS < 8
~Apnea
Tranexamic Acid -
correct answer ✅Antifibrinolytic (prevents clots from dissolving)
Useful for traumatic injury with hemorrhage.
Massive Transfusion Protocol (MTP) -
correct answer ✅One part RBC, one part FFP and one part
platelet. Limit use of crystalloids for hemorrhaging patients.
, TNCC: Trauma Study Cards (7th
Edition) Exam Actual Questions and
Answers 2026
After MTP, anticipate: -
correct answer ✅Citrate toxicity and hypocalcemia if patient
receives more than one unit of blood every 5 minutes.
Tx with Calcium Gluconate and Calcium Chloride
Extraglottic Airways (types and uses) -
correct answer ✅~supraglottic (LMA) used in OR but does not
prevent aspiration.
~retroglottic (King tube) most often used pre hospital. Not for
pediatrics.
These are to be positioned above or posterior to the larynx when
intubation is/was not possible.
Hyperoxygenation -
correct answer ✅Sa02 levels via ABG >200% have been shown to
double mortality rates dt free radicals.
Oxyhemoglobin-Dissociation Curve -
correct answer ✅The correlation between oxygen saturation
(Sa02) and the partial pressure of oxygen (Pa02) as it relates to the
ability of tissues to obtain the 02 molecule from the Hgb.
