TNCC WRITTEN EXAM 2 COMPREHENSIVE
STUDY GUIDE 2026 TRAUMA NURSING CORE
COURSE PRINCIPLES AND EMERGENCY CARE
◉ a pertinent medical hx is crucial
Answer: Which of the following considerations is the most
important when caring for a geriatric trauma pt?
◉ Mitigation
Answer: Following a review of recent drills and a real disaster event,
a hospital has identified deficiencies and is taking steps to minimize
the impact of a future disaster . Which phase of the disaster life cycle
does this describe?
◉ Multiple requests for water
Answer: EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance?
◉ hemoglobin does not readily release O2 for use by the tissues
Answer: What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
,◉ acidosis
Answer: Which of the following is a component of the trauma triad
of death?
◉ Complete
Answer: EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,
temp 97.2F (36.2 C). The pt exhibits urinary incontinence and
priapism. These assessment findings are most consistent with which
of the following types of spinal cord injury?
◉ flucuation in the water seal chamber
Answer: Which of the following is an expected finding in a pt with a
tube thoracstomy connected to a chest drainage system?
◉ insert an oropharyngeal airway if there is no gag reflex
Answer: During the primary survey of an unconscious pt with multi-
system trauma, the nurse notes snoring respirations. What priority
nursing interventions should be preformed next?
◉ globe rupture
Answer: A 35 y/o M presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on
exam. What type of injury is suspected?
,◉ compensated
Answer: A trauma pt is restless and repeatedly asking "where am i?"
VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry.
Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock?
◉ ventilate with a bag mask device
Answer: An unresponsive trauma pt has an oropharygeal airway in
place, shallow and labored respirations, and dusky skin. The trauma
team has administered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
◉ within 24 hrs of trauma
Answer: When is the tertiary survey completed fora trauma pt?
◉ pressure
Answer: An intubated and sedated pt in the ED has multiple
extremity injuries with the potential for causing compartment
syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious?
◉ worsening pneumothorax
, Answer: Which of the following is possible complication of positive-
pressure ventilation?
◉ pelvic stability
Answer: the most reassuring finding for a male pt with hip pain after
a fall is which of the following?
◉ narrowed
Answer: Which of the following pulse pressures indicate early
hypovolemic shock?
◉ dysrhythmias
Answer: Patients with a crush injury should be monitored for which
of the following conditions?
◉ subdural hematoma
Answer: Tearing of the bridging veins is most frequently associated
with which brain injury?
◉ straight cath for urine sample
Answer: A 20 y/o M presents to the ED complaining of severe lower
abd pain after landing hard on the bicycle cross bars while
preforming an aerial BMX maneuver. Secondary assessment reveals
STUDY GUIDE 2026 TRAUMA NURSING CORE
COURSE PRINCIPLES AND EMERGENCY CARE
◉ a pertinent medical hx is crucial
Answer: Which of the following considerations is the most
important when caring for a geriatric trauma pt?
◉ Mitigation
Answer: Following a review of recent drills and a real disaster event,
a hospital has identified deficiencies and is taking steps to minimize
the impact of a future disaster . Which phase of the disaster life cycle
does this describe?
◉ Multiple requests for water
Answer: EMS brings a pt who fell while riding his bicycle. Using the
American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance?
◉ hemoglobin does not readily release O2 for use by the tissues
Answer: What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
,◉ acidosis
Answer: Which of the following is a component of the trauma triad
of death?
◉ Complete
Answer: EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,
temp 97.2F (36.2 C). The pt exhibits urinary incontinence and
priapism. These assessment findings are most consistent with which
of the following types of spinal cord injury?
◉ flucuation in the water seal chamber
Answer: Which of the following is an expected finding in a pt with a
tube thoracstomy connected to a chest drainage system?
◉ insert an oropharyngeal airway if there is no gag reflex
Answer: During the primary survey of an unconscious pt with multi-
system trauma, the nurse notes snoring respirations. What priority
nursing interventions should be preformed next?
◉ globe rupture
Answer: A 35 y/o M presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on
exam. What type of injury is suspected?
,◉ compensated
Answer: A trauma pt is restless and repeatedly asking "where am i?"
VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry.
Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock?
◉ ventilate with a bag mask device
Answer: An unresponsive trauma pt has an oropharygeal airway in
place, shallow and labored respirations, and dusky skin. The trauma
team has administered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
◉ within 24 hrs of trauma
Answer: When is the tertiary survey completed fora trauma pt?
◉ pressure
Answer: An intubated and sedated pt in the ED has multiple
extremity injuries with the potential for causing compartment
syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious?
◉ worsening pneumothorax
, Answer: Which of the following is possible complication of positive-
pressure ventilation?
◉ pelvic stability
Answer: the most reassuring finding for a male pt with hip pain after
a fall is which of the following?
◉ narrowed
Answer: Which of the following pulse pressures indicate early
hypovolemic shock?
◉ dysrhythmias
Answer: Patients with a crush injury should be monitored for which
of the following conditions?
◉ subdural hematoma
Answer: Tearing of the bridging veins is most frequently associated
with which brain injury?
◉ straight cath for urine sample
Answer: A 20 y/o M presents to the ED complaining of severe lower
abd pain after landing hard on the bicycle cross bars while
preforming an aerial BMX maneuver. Secondary assessment reveals
