TNCC 9th Edition Final Test 2026 – 122 Questions |
Trauma Nursing Core Course | Latest Update 2026 |
100% Verified Answers
1. In a scenario where a patient with a traumatic brain injury shows signs of
widening pulse pressure, what immediate intervention should be prioritized
to address the underlying issue?
Administer sedatives to reduce ICP.
Initiate fluid resuscitation to manage hypotension.
Increase blood pressure to improve cerebral perfusion.
Perform a craniotomy to relieve pressure.
2. Which organ is most likely injured in a patient with upper right quadrant
tenderness after a motor vehicle collision?
Transverse colon
Spleen
Pancreas
Liver
3. What is the first step in determining the intravenous fluid resuscitation rate for
a burn patient?
Assessment of vital signs
Establishing an airway
Initiating pain management
Removal of clothing
4. What is the first step in managing uncontrolled bleeding from a traumatic
, wound?
Initiate two intravenous access sites
Administer intravenous fluids
Apply direct pressure to the wound
Use a tourniquet to control the bleeding
5. You suspect that an unhelmeted male patient who was thrown from a
motorcycle may have a basilar skull fracture. As you perform the secondary
assessment, which finding would reinforce this suspicion?
Paralysis of the left arm and leg
Clear fluid coming from the right ear and the left nostril
Blood coming from both the ears and the nose
Dilation and sluggish response of the right pupil to light
6. In a scenario where a patient with a lower extremity fracture continues to
experience severe pain despite elevation and ice application, what should
the nurse's next step be?
Prepare the patient for immediate surgery.
Administer additional pain medication without further assessment.
Continue to apply ice and elevate the leg.
Assess for signs of compartment syndrome and notify the physician.
7. Describe the significance of a teardrop-shaped pupil in the context of facial
trauma.
A teardrop-shaped pupil suggests a minor injury that can be
monitored.
A teardrop-shaped pupil is a normal finding after facial trauma.
, A teardrop-shaped pupil is unrelated to facial trauma.
A teardrop-shaped pupil indicates potential globe rupture, which is
a serious condition requiring immediate intervention.
8. In a scenario where a trauma patient exhibits signs of respiratory distress and
confusion, but has stable vital signs, what should be the immediate focus of
care before any other interventions?
Applying a tourniquet to control bleeding
Cervical spine stabilization
Assessing the extent of the lower extremity injury
Administering high-flow oxygen
9. You are standing by at the scene of a house fire. The fire crew brings you a
patient that was found inside the house. The patient is a 70-year-old male
complaining of nausea, vomiting, and a severe headache. He appears
confused. His vital signs are 160/90, 110, and 24. Skin is warm, dry, and normal
color. He has mild dyspnea. Pupils are PERRL, and he has normal PMS in all
four extremities. The pulse ox reading is 100%. What condition are you
suspecting?
CVA
Congestive heart failure
Carbon dioxide poisoning
Carbon monoxide poisoning
10. What is the priority intervention for a patient with significant abdominal and
pelvic injuries after a high-speed motor vehicle collision?
Place an indwelling urinary catheter
Initiate transfer to a trauma center
, Attempt family notification
Obtain additional imaging studies
11. In a case where a patient has experienced an amputation, what intervention
might be crucial to address their functional grief?
Immediate surgical intervention
Discharge planning without follow-up
Psychological support and counseling
Physical therapy only
12. During your initial assessment of a patient, your general impression takes
only a few seconds. While forming your general impression, what is the most
important goal?
Diagnose the patient's illness and note the age, gender, and race
Prioritize care, form a plan of action, and establish nature of illness or
mechanism of injury
Transport the patient, provide oxygen if needed, and start IV therapy
Determine if there are life-threatening injuries
13. Why is applying direct pressure considered the priority intervention for
uncontrolled bleeding?
Applying direct pressure is a method to stabilize the patient’s vital
signs.
Applying direct pressure allows for better visualization of the injury.
Applying direct pressure helps to control bleeding by promoting
clot formation at the site of injury.
Applying direct pressure prevents infection in the wound.
Trauma Nursing Core Course | Latest Update 2026 |
100% Verified Answers
1. In a scenario where a patient with a traumatic brain injury shows signs of
widening pulse pressure, what immediate intervention should be prioritized
to address the underlying issue?
Administer sedatives to reduce ICP.
Initiate fluid resuscitation to manage hypotension.
Increase blood pressure to improve cerebral perfusion.
Perform a craniotomy to relieve pressure.
2. Which organ is most likely injured in a patient with upper right quadrant
tenderness after a motor vehicle collision?
Transverse colon
Spleen
Pancreas
Liver
3. What is the first step in determining the intravenous fluid resuscitation rate for
a burn patient?
Assessment of vital signs
Establishing an airway
Initiating pain management
Removal of clothing
4. What is the first step in managing uncontrolled bleeding from a traumatic
, wound?
Initiate two intravenous access sites
Administer intravenous fluids
Apply direct pressure to the wound
Use a tourniquet to control the bleeding
5. You suspect that an unhelmeted male patient who was thrown from a
motorcycle may have a basilar skull fracture. As you perform the secondary
assessment, which finding would reinforce this suspicion?
Paralysis of the left arm and leg
Clear fluid coming from the right ear and the left nostril
Blood coming from both the ears and the nose
Dilation and sluggish response of the right pupil to light
6. In a scenario where a patient with a lower extremity fracture continues to
experience severe pain despite elevation and ice application, what should
the nurse's next step be?
Prepare the patient for immediate surgery.
Administer additional pain medication without further assessment.
Continue to apply ice and elevate the leg.
Assess for signs of compartment syndrome and notify the physician.
7. Describe the significance of a teardrop-shaped pupil in the context of facial
trauma.
A teardrop-shaped pupil suggests a minor injury that can be
monitored.
A teardrop-shaped pupil is a normal finding after facial trauma.
, A teardrop-shaped pupil is unrelated to facial trauma.
A teardrop-shaped pupil indicates potential globe rupture, which is
a serious condition requiring immediate intervention.
8. In a scenario where a trauma patient exhibits signs of respiratory distress and
confusion, but has stable vital signs, what should be the immediate focus of
care before any other interventions?
Applying a tourniquet to control bleeding
Cervical spine stabilization
Assessing the extent of the lower extremity injury
Administering high-flow oxygen
9. You are standing by at the scene of a house fire. The fire crew brings you a
patient that was found inside the house. The patient is a 70-year-old male
complaining of nausea, vomiting, and a severe headache. He appears
confused. His vital signs are 160/90, 110, and 24. Skin is warm, dry, and normal
color. He has mild dyspnea. Pupils are PERRL, and he has normal PMS in all
four extremities. The pulse ox reading is 100%. What condition are you
suspecting?
CVA
Congestive heart failure
Carbon dioxide poisoning
Carbon monoxide poisoning
10. What is the priority intervention for a patient with significant abdominal and
pelvic injuries after a high-speed motor vehicle collision?
Place an indwelling urinary catheter
Initiate transfer to a trauma center
, Attempt family notification
Obtain additional imaging studies
11. In a case where a patient has experienced an amputation, what intervention
might be crucial to address their functional grief?
Immediate surgical intervention
Discharge planning without follow-up
Psychological support and counseling
Physical therapy only
12. During your initial assessment of a patient, your general impression takes
only a few seconds. While forming your general impression, what is the most
important goal?
Diagnose the patient's illness and note the age, gender, and race
Prioritize care, form a plan of action, and establish nature of illness or
mechanism of injury
Transport the patient, provide oxygen if needed, and start IV therapy
Determine if there are life-threatening injuries
13. Why is applying direct pressure considered the priority intervention for
uncontrolled bleeding?
Applying direct pressure is a method to stabilize the patient’s vital
signs.
Applying direct pressure allows for better visualization of the injury.
Applying direct pressure helps to control bleeding by promoting
clot formation at the site of injury.
Applying direct pressure prevents infection in the wound.
