TNP COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS PACK
2026
▶ An adult patient is brought to the ED 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 traction splint to the affected extremity
c) fluid resuscitation to maintain urine output of 05 mL/kg/hour
d) oxygen to maintain ETCO2 between 30-35 mmHg (3.9-4.6 kPa).
Answer: c) fluid resuscitation to maintain urine output of 05 mL/kg/hour
▶ While caring for a child who has been injured, what nursing intervention
is consistent with a family-centered approach?
a) identifying a single family member to speak with
b) having the family make all the care decisions
c) allowing family to participate in the care of the patient
d) limiting dissemination of complex information. Answer: c) allowing family
to participate in the care of the patient
▶ A patient who jumped out of a second floor window landing on their feet
is diagnosed with a lumbar spine fracture. What is the most likely
concurrent injury to have occurred?
a) patella fracture
b) calcaneus fracture
c) odontoid fracture
d) distal radius fracture. Answer: b) calcaneus fracture
▶ Using the American College of Surgeons screening guidelines, what
assessment finding would prompt the nurse to prepare to a patient for
cervical spine imaging?
a) alert with no neurologic deficits
b) multiple abrasions to the extremities
QUESTIONS AND ANSWERS PACK
2026
▶ An adult patient is brought to the ED 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 traction splint to the affected extremity
c) fluid resuscitation to maintain urine output of 05 mL/kg/hour
d) oxygen to maintain ETCO2 between 30-35 mmHg (3.9-4.6 kPa).
Answer: c) fluid resuscitation to maintain urine output of 05 mL/kg/hour
▶ While caring for a child who has been injured, what nursing intervention
is consistent with a family-centered approach?
a) identifying a single family member to speak with
b) having the family make all the care decisions
c) allowing family to participate in the care of the patient
d) limiting dissemination of complex information. Answer: c) allowing family
to participate in the care of the patient
▶ A patient who jumped out of a second floor window landing on their feet
is diagnosed with a lumbar spine fracture. What is the most likely
concurrent injury to have occurred?
a) patella fracture
b) calcaneus fracture
c) odontoid fracture
d) distal radius fracture. Answer: b) calcaneus fracture
▶ Using the American College of Surgeons screening guidelines, what
assessment finding would prompt the nurse to prepare to a patient for
cervical spine imaging?
a) alert with no neurologic deficits
b) multiple abrasions to the extremities
