Science Medicine Emergency Medicine
TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST
VERSION 2025/2026 QUESTION AND CORRECT DETAILED
VERIFIED ANSWERS FROM VERIFIED SOURCES RATED A
GRADE.
C
Terms in this set (157)
You are caring for a patient who was thrown C. Notify the
physician 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.
A patient is brought to the emergency A. Initiate transfer to a trauma
center 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
,An adult who fell from a second story roof is A. Initiate cervical spine
stabilization 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
An adult patient who sustained a severe A. Decrease the rate of manual ventilation.
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.
B.Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
An adult patient is brought to the B. Application of a pelvic binder
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)
2.Which of the following situations could B. Amputation of a limb
cause functional grief?
A.Inability to live at home Rationale: Preparation and Ongoing Care\Psychosocial
B. Amputation of a limb Aspects
C.Loss of one's self-image Functional grief relates to the loss of body function or body
D. Destruction of the patient's car parts such as amputation
of a limb, paralysis, or loss of sight.
, 3.What is the most important consideration B. Medical history including current medications
during the initial assessment when caring
for an older adult who has sustained
serious injuries?
A.They are likely to be fearful in
the emergency department
B. Medical history including
current medications
C.Availability of support systems after
discharge
D. Accessibility to a primary care physician
4.You are caring for a patient who was C. Notify the physician
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.
5.When should the definitive calculation for B. After removal of clothing
intravenous fluid resuscitation rate be
performed for a patient with burns? Rationale: Musculoskeletal and Wounds\Burns
A.As soon as the patient arrives Some fluid will be given initially, but an accurate fluid total is
B. After removal of clothing based on percentage of total body
surface area which
C.Only at a burn center requires a good skin assessment and is calculated after
D. During the circulation assessment clothing is removed.
6. In a motor vehicle collision, which injury B. Ejection
pathway is most likely to increase the
patient's morbidity and mortality?
A.Rotational
B. Ejection
C.Lateral
D. Rollover
7.A patient with a lower extremity fracture C. Elevating the leg to the level of the heart
complains of severe pain and tightness in his
calf, minimally relieved by pain medications. Rationale: Musculoskeletal and Wounds\
Musculoskeletal Which of the following is the priority nursing This patient is exhibiting signs of
possible compartment
intervention? syndrome which is a dangerous complication of fractured
A.Elevating the leg above the level of the extremities. The pain is often out of proportion to the injury
heart and might not respond to pain medications. Elevate the
limb
B. Repositioning the leg and applying ice to the level of
the heart to decrease dependent edema but
C.Elevating the leg to the level of the heart not above the heart, which can cause increased venous
D. Preparing the patient for ultrasound of
congestion and pressure within the compartment. the leg
TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST
VERSION 2025/2026 QUESTION AND CORRECT DETAILED
VERIFIED ANSWERS FROM VERIFIED SOURCES RATED A
GRADE.
C
Terms in this set (157)
You are caring for a patient who was thrown C. Notify the
physician 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.
A patient is brought to the emergency A. Initiate transfer to a trauma
center 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
,An adult who fell from a second story roof is A. Initiate cervical spine
stabilization 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
An adult patient who sustained a severe A. Decrease the rate of manual ventilation.
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.
B.Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
An adult patient is brought to the B. Application of a pelvic binder
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)
2.Which of the following situations could B. Amputation of a limb
cause functional grief?
A.Inability to live at home Rationale: Preparation and Ongoing Care\Psychosocial
B. Amputation of a limb Aspects
C.Loss of one's self-image Functional grief relates to the loss of body function or body
D. Destruction of the patient's car parts such as amputation
of a limb, paralysis, or loss of sight.
, 3.What is the most important consideration B. Medical history including current medications
during the initial assessment when caring
for an older adult who has sustained
serious injuries?
A.They are likely to be fearful in
the emergency department
B. Medical history including
current medications
C.Availability of support systems after
discharge
D. Accessibility to a primary care physician
4.You are caring for a patient who was C. Notify the physician
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.
5.When should the definitive calculation for B. After removal of clothing
intravenous fluid resuscitation rate be
performed for a patient with burns? Rationale: Musculoskeletal and Wounds\Burns
A.As soon as the patient arrives Some fluid will be given initially, but an accurate fluid total is
B. After removal of clothing based on percentage of total body
surface area which
C.Only at a burn center requires a good skin assessment and is calculated after
D. During the circulation assessment clothing is removed.
6. In a motor vehicle collision, which injury B. Ejection
pathway is most likely to increase the
patient's morbidity and mortality?
A.Rotational
B. Ejection
C.Lateral
D. Rollover
7.A patient with a lower extremity fracture C. Elevating the leg to the level of the heart
complains of severe pain and tightness in his
calf, minimally relieved by pain medications. Rationale: Musculoskeletal and Wounds\
Musculoskeletal Which of the following is the priority nursing This patient is exhibiting signs of
possible compartment
intervention? syndrome which is a dangerous complication of fractured
A.Elevating the leg above the level of the extremities. The pain is often out of proportion to the injury
heart and might not respond to pain medications. Elevate the
limb
B. Repositioning the leg and applying ice to the level of
the heart to decrease dependent edema but
C.Elevating the leg to the level of the heart not above the heart, which can cause increased venous
D. Preparing the patient for ultrasound of
congestion and pressure within the compartment. the leg
