TNCC | Real Exam Questions and
Answers | 2026 | 100% Verified
Apply a splint and elevate the extremity above the level of the heart -✓✓A 36 year
old female has a deformity of the left wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention?
A pertinent medical history is crucial -✓✓Which of the following considerations is
the most important when caring for a geriatric trauma patient?
Subdural hematoma -✓✓An elderly patient with a history of anticoagulant use
presents after a fall at home today. She denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and nausea. What
is the most likely cause of her symptoms?
Expedite transfer to the closest trauma center -✓✓A 56 year old male patient
involved in a MVC is brought to the emergency department of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abdominal pain. His
GCS is 15. His vital signs are as follows: BP 98/71, HR 125, RR 26, SPO2 94% on
high flow non-rebreather mask. Which of the following is the priority intervention
for this patient?
Huddle -✓✓A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the CT scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms
best describes this trauma teams communication?
Decreased respiratory effort -✓✓Which of the following is a late sign of increased
ICP?
-✓✓A patient is found lying on the floor after falling 13 hours ago. Which of the
following laboratory values is expected with a musculoskeletal complication
associated with this presentation?
Report your suspicion of maltreatment in accordance with local regulations -✓✓A
5 year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
, are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention?
Initiate transfer to a trauma center -✓✓A patient 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 intervention?
Smell of alcohol on breath -✓✓EMS brings a patient who fell while riding his
bicycle. Using the American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the patient for radiologic
spine clearance?
Pericardiocentesis -✓✓Which of the following is NOT considered goal-directed
therapy for cardiogenic shock?
2280 ml -✓✓The nurse is caring for a 120 kg male brought in after a warehouse
fire and is calculating the patients fluid resuscitation needs. He has painful red
blistering to the entire surface of both upper extremities, and superficial burns to
the anterior chest. Using the modified Lund and Browder chart to calculate the
total body surface area burned, how much IV fluid would be administered in the
first 8 hours?
Initiate two large-caliber IVs for LR administration -✓✓A patient is thrown against
a car during a tornado and presents with obvious bilateral femoral fractures. The
patient is pale, alert, disoriented, and has delayed capillary refill. Which of the
following interventions would be most appropriate for this patient?
Bradycardia and absent motor function below the level of injury -✓✓A patient
with complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs?
Padding the upper back while stabilizing the cervical spine -✓✓Caregivers carry in
a 2 year old into the ED who fell out of a second story window. The patient is
awake and crying with increased work of breathing and pale skin. Which of the
following interventions has the highest priority?
Answers | 2026 | 100% Verified
Apply a splint and elevate the extremity above the level of the heart -✓✓A 36 year
old female has a deformity of the left wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention?
A pertinent medical history is crucial -✓✓Which of the following considerations is
the most important when caring for a geriatric trauma patient?
Subdural hematoma -✓✓An elderly patient with a history of anticoagulant use
presents after a fall at home today. She denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and nausea. What
is the most likely cause of her symptoms?
Expedite transfer to the closest trauma center -✓✓A 56 year old male patient
involved in a MVC is brought to the emergency department of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abdominal pain. His
GCS is 15. His vital signs are as follows: BP 98/71, HR 125, RR 26, SPO2 94% on
high flow non-rebreather mask. Which of the following is the priority intervention
for this patient?
Huddle -✓✓A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the CT scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms
best describes this trauma teams communication?
Decreased respiratory effort -✓✓Which of the following is a late sign of increased
ICP?
-✓✓A patient is found lying on the floor after falling 13 hours ago. Which of the
following laboratory values is expected with a musculoskeletal complication
associated with this presentation?
Report your suspicion of maltreatment in accordance with local regulations -✓✓A
5 year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
, are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention?
Initiate transfer to a trauma center -✓✓A patient 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 intervention?
Smell of alcohol on breath -✓✓EMS brings a patient who fell while riding his
bicycle. Using the American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the patient for radiologic
spine clearance?
Pericardiocentesis -✓✓Which of the following is NOT considered goal-directed
therapy for cardiogenic shock?
2280 ml -✓✓The nurse is caring for a 120 kg male brought in after a warehouse
fire and is calculating the patients fluid resuscitation needs. He has painful red
blistering to the entire surface of both upper extremities, and superficial burns to
the anterior chest. Using the modified Lund and Browder chart to calculate the
total body surface area burned, how much IV fluid would be administered in the
first 8 hours?
Initiate two large-caliber IVs for LR administration -✓✓A patient is thrown against
a car during a tornado and presents with obvious bilateral femoral fractures. The
patient is pale, alert, disoriented, and has delayed capillary refill. Which of the
following interventions would be most appropriate for this patient?
Bradycardia and absent motor function below the level of injury -✓✓A patient
with complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs?
Padding the upper back while stabilizing the cervical spine -✓✓Caregivers carry in
a 2 year old into the ED who fell out of a second story window. The patient is
awake and crying with increased work of breathing and pale skin. Which of the
following interventions has the highest priority?
