TNP EXAM REVIEW QUESTIONS
WITH ACCURATE SOLUTIONS 2026
▶ During the primary survey of an unconscious patient with multi-system
trauma, the nurse notes snoring respirations. Which priority nursing
intervention should be performed next?
a) open the airway with the head-tilt/chin-lift maneuver
b) ausculatate bilateral breath sounds
c) assist respirations using a bag-mask device
d) insert an oropharyngeal airway if there is no gag reflex. Answer: d)
insert an oropharyngeal airway if there is no gag reflex
If an issue with the airway is identified, a safe and appropriate corrective
intervention must be taken and reassessed prior to moving forward in the
primary assessment. Snoring respirations may indicate airway obstruction
from the tongue. Insert an airway adjunct to alleviate obstruction by the
tongue. Oropharyngeal airways can be used in patients without a gag reflex
▶ A 5-month pregnant patient arrives in the emergency department stating
she tripped and fell, landing on her abdomen. Assessment reveals bruising
to the abdomen, both arms, and her neck. She states she does not take
any medications and has not had any prenatal care. The nurse suspects
the finding are most likely related to which of the following?
a) intentional violence
b) pregnancy-related changes
c) undiagnosed embolus
d) iron deficiency. Answer: a) intentional violence
▶ Based on fall mechanism, which patient warrants prehospital transfer to
a trauma center?
a) a 35-year-old lands on a wooden porch from an 8-foot ladder
b) a 2-year-old lands on grass from a second story balcony
c) a 14-year-old forcefully pushed onto cement from standing
d) a 50-year-old lands on a carpeted floor after tripping. Answer: b) a 2-
year-old lands on grass from a second story balcony
WITH ACCURATE SOLUTIONS 2026
▶ During the primary survey of an unconscious patient with multi-system
trauma, the nurse notes snoring respirations. Which priority nursing
intervention should be performed next?
a) open the airway with the head-tilt/chin-lift maneuver
b) ausculatate bilateral breath sounds
c) assist respirations using a bag-mask device
d) insert an oropharyngeal airway if there is no gag reflex. Answer: d)
insert an oropharyngeal airway if there is no gag reflex
If an issue with the airway is identified, a safe and appropriate corrective
intervention must be taken and reassessed prior to moving forward in the
primary assessment. Snoring respirations may indicate airway obstruction
from the tongue. Insert an airway adjunct to alleviate obstruction by the
tongue. Oropharyngeal airways can be used in patients without a gag reflex
▶ A 5-month pregnant patient arrives in the emergency department stating
she tripped and fell, landing on her abdomen. Assessment reveals bruising
to the abdomen, both arms, and her neck. She states she does not take
any medications and has not had any prenatal care. The nurse suspects
the finding are most likely related to which of the following?
a) intentional violence
b) pregnancy-related changes
c) undiagnosed embolus
d) iron deficiency. Answer: a) intentional violence
▶ Based on fall mechanism, which patient warrants prehospital transfer to
a trauma center?
a) a 35-year-old lands on a wooden porch from an 8-foot ladder
b) a 2-year-old lands on grass from a second story balcony
c) a 14-year-old forcefully pushed onto cement from standing
d) a 50-year-old lands on a carpeted floor after tripping. Answer: b) a 2-
year-old lands on grass from a second story balcony
