TNCC 9th Edition 36 Real Questions 2026 | Trauma
Nursing Core Course | Latest Update 2026 | Verified
Answers | Exam Prep
1. A patient presents to the ED via EMS in c-spine precautions in place because
of suspected spinal cord injury. Per EMS pt was able to move their wrists
bilaterally, however upon assessment the patient is only able to shrug their
shoulders. What is the priority intervention?
Reassess patient function in 15 minutes
Determine the patient's pain level
Document these new findings
Notify the trauma team
2. On entry to the ED of a client who fell from a roof, what is the nurse's priority
action?
apply pressure to small bleeding wounds
place NC to administer O2
initiate large bore IV to infuse normal saline
assess airway and stabilize cervical spine
3. A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
provide report to the operating room nurse
Place a gastric tube
initiate transfer to a trauma center
, Obtained imaging studies
4. What should you do first if you observe clear drainage from a patient's ear
after a head injury?
Document and continue the exam
Clean the ear with a cotton-tipped applicator
Notify the physician
Pack the ear with gauze
5. In a scenario where a patient with a head injury presents with clear drainage
from the ear and exhibits signs of confusion, what additional step should you
take after notifying the physician?
Perform a full neurological assessment immediately.
Transfer the patient to a trauma center without further assessment.
Stabilize the cervical spine and monitor vital signs.
Administer pain medication as needed.
6. A patient presents following a motor vehicle collision and has an unstable
pelvis. The PRIORITY intervention is: Possible answers:
Application of a pelvic binder
Initiation of a massive transfusion protocol
Administration of analgesics
Infusion of crystalloid fluid
7. Why is it critical to notify a physician when clear drainage is observed from
the ear after a head injury?
Clear drainage may indicate a cerebrospinal fluid leak, requiring
immediate medical attention.
Nursing Core Course | Latest Update 2026 | Verified
Answers | Exam Prep
1. A patient presents to the ED via EMS in c-spine precautions in place because
of suspected spinal cord injury. Per EMS pt was able to move their wrists
bilaterally, however upon assessment the patient is only able to shrug their
shoulders. What is the priority intervention?
Reassess patient function in 15 minutes
Determine the patient's pain level
Document these new findings
Notify the trauma team
2. On entry to the ED of a client who fell from a roof, what is the nurse's priority
action?
apply pressure to small bleeding wounds
place NC to administer O2
initiate large bore IV to infuse normal saline
assess airway and stabilize cervical spine
3. A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
provide report to the operating room nurse
Place a gastric tube
initiate transfer to a trauma center
, Obtained imaging studies
4. What should you do first if you observe clear drainage from a patient's ear
after a head injury?
Document and continue the exam
Clean the ear with a cotton-tipped applicator
Notify the physician
Pack the ear with gauze
5. In a scenario where a patient with a head injury presents with clear drainage
from the ear and exhibits signs of confusion, what additional step should you
take after notifying the physician?
Perform a full neurological assessment immediately.
Transfer the patient to a trauma center without further assessment.
Stabilize the cervical spine and monitor vital signs.
Administer pain medication as needed.
6. A patient presents following a motor vehicle collision and has an unstable
pelvis. The PRIORITY intervention is: Possible answers:
Application of a pelvic binder
Initiation of a massive transfusion protocol
Administration of analgesics
Infusion of crystalloid fluid
7. Why is it critical to notify a physician when clear drainage is observed from
the ear after a head injury?
Clear drainage may indicate a cerebrospinal fluid leak, requiring
immediate medical attention.
