TNCC 9th Edition Actual Exam Study
Questions with 100% Correct Answers
Already Graded A+
1. Which of the following mnemonics can help a nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? - ANSWER
MARCH
2. You are caring for a patient who was involved in a motor vehicle crash and
is 32 weeks pregnant. Findings of your secondary survey include abdominal
pain on palpitation, fundal height at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the
following? - ANSWER Placental abruption
3. Which of the following is NOT considered goal-directed therapy for
cardiogenic shock? - ANSWER Pericardiocentesis
4. A 20 year old male presents to the ED complaining of severe lower
abdominal pain after landing hard on the bicycle cross bars while performing
an aerial BMX maneuver. Secondary assessment reveals lower abdominal
tenderness and scrotal ecchymosis. Which of the following orders would the
nurse question? - ANSWER Straight catheter for a urine sample
5. A patient with a lower extremity fracture complains of severe pain and
tightness in his calf, minimally relieved by pain medications. Which of the
following is the priority nursing intervention? - ANSWER Elevating the
extremity to the level of the heart
,6. Which of the following is a late sign of increased intracranial pressure? -
ANSWER nausea and vomiting
7. A 56 year old male patient involved in a motor vehicle crash is brought to
the emergency department of a rural critical access facility. He complains of
neck pain, shortness of breath, and diffuse abdominal pain. His GCS is 15.
His vital signs are as follows: BP 98/71, HR 125, RR26, SpO2 94% on high
flow oxygen via non-rebreather mask. Which of the following is the priority
intervention for this patient? - ANSWER Expedite transfer to the closest
trauma center.
8. A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? - ANSWER
Bradycardia and absent motor function below the level of injury
9. Which of the following is a component of the trauma triad of death? -
ANSWER acidosis
10.EMS brings a patient who fell while riding his bicycle. Using the American
College of surgeons screening guidelines, which assessment findings would
prompt the nurse to prepare the patient for radiologic spine clearance? -
ANSWER Alert with no neurologic deficits
11.EMS arrives with the intoxicated driver of a car involved in a motor vehicle
crash. EMS reports significant damage to the drivers side of the car. The
patient is asking to have the cervical collar removed. When is it appropriate
to remove the cervical collar? - ANSWER After a physical examination if
the patient has no radiologic abnormalities on a CT scan
12.An elderly patient with a history of anticoagulant use presents after a fall at
home that day. 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? - ANSWER subdural hematoma
13.A 49 year old restrained driver involved in a motor vehicle collision presents
to the trauma center complaining of abdominal, pelvic, and bilateral lower
extremity pain. Vital signs are stable. The nurse can anticipate all of these
after a negative FAST exam EXCEPT which of the following? - ANSWER
serial FAST exams
14.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? - ANSWER 2280 mL
15.The trauma nurse knows that placing a bariatric patient is a "ramped
position" provides better visualization during the insertion of which device?
- ANSWER ET tube
16.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? - ANSWER Elevated creatinine kinase
17.Tearing of the bridging veins is most frequently associated with which brain
injury? - ANSWER Subdural hematoma
18.What bedside monitoring parameters are used to assess for adequacy of
oxygenation and effectiveness of ventilation? - ANSWER Pulse oximetry
and capnography
, 19.Which of the following is a possible complication of positive-pressure
ventilation? - ANSWER Worsening pneumothorax
20.Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER Hypotension that
worsens with inspiration
21.A trauma patient is restless and repeatedly asking "Where am I?" Vital signs
upon arrival were B/P 110/60 mm Hg, HR 96 beats/minute and RR 24
breaths/minute. Her skin is cool and dry. Current vital signs are B/P 104/84
mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is
demonstrating signs and symptoms of which stage of shock? - ANSWER
Compensated
22.Which pulse pressure description is an indication of early hypovolemic
shock? - ANSWER Narrowed
23.A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (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 team's
communication? - ANSWER Loop
24.A 36 year old female has a deformity of the L wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the next
appropriate intervention? - ANSWER Apply a splint and elevate the
extremity above the level of the heart
25.An intubated trauma patient is being transferred to a tertiary care center.
After moving the patient to the stretcher for transport, a drop in pulse
Questions with 100% Correct Answers
Already Graded A+
1. Which of the following mnemonics can help a nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? - ANSWER
MARCH
2. You are caring for a patient who was involved in a motor vehicle crash and
is 32 weeks pregnant. Findings of your secondary survey include abdominal
pain on palpitation, fundal height at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the
following? - ANSWER Placental abruption
3. Which of the following is NOT considered goal-directed therapy for
cardiogenic shock? - ANSWER Pericardiocentesis
4. A 20 year old male presents to the ED complaining of severe lower
abdominal pain after landing hard on the bicycle cross bars while performing
an aerial BMX maneuver. Secondary assessment reveals lower abdominal
tenderness and scrotal ecchymosis. Which of the following orders would the
nurse question? - ANSWER Straight catheter for a urine sample
5. A patient with a lower extremity fracture complains of severe pain and
tightness in his calf, minimally relieved by pain medications. Which of the
following is the priority nursing intervention? - ANSWER Elevating the
extremity to the level of the heart
,6. Which of the following is a late sign of increased intracranial pressure? -
ANSWER nausea and vomiting
7. A 56 year old male patient involved in a motor vehicle crash is brought to
the emergency department of a rural critical access facility. He complains of
neck pain, shortness of breath, and diffuse abdominal pain. His GCS is 15.
His vital signs are as follows: BP 98/71, HR 125, RR26, SpO2 94% on high
flow oxygen via non-rebreather mask. Which of the following is the priority
intervention for this patient? - ANSWER Expedite transfer to the closest
trauma center.
8. A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? - ANSWER
Bradycardia and absent motor function below the level of injury
9. Which of the following is a component of the trauma triad of death? -
ANSWER acidosis
10.EMS brings a patient who fell while riding his bicycle. Using the American
College of surgeons screening guidelines, which assessment findings would
prompt the nurse to prepare the patient for radiologic spine clearance? -
ANSWER Alert with no neurologic deficits
11.EMS arrives with the intoxicated driver of a car involved in a motor vehicle
crash. EMS reports significant damage to the drivers side of the car. The
patient is asking to have the cervical collar removed. When is it appropriate
to remove the cervical collar? - ANSWER After a physical examination if
the patient has no radiologic abnormalities on a CT scan
12.An elderly patient with a history of anticoagulant use presents after a fall at
home that day. 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? - ANSWER subdural hematoma
13.A 49 year old restrained driver involved in a motor vehicle collision presents
to the trauma center complaining of abdominal, pelvic, and bilateral lower
extremity pain. Vital signs are stable. The nurse can anticipate all of these
after a negative FAST exam EXCEPT which of the following? - ANSWER
serial FAST exams
14.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? - ANSWER 2280 mL
15.The trauma nurse knows that placing a bariatric patient is a "ramped
position" provides better visualization during the insertion of which device?
- ANSWER ET tube
16.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? - ANSWER Elevated creatinine kinase
17.Tearing of the bridging veins is most frequently associated with which brain
injury? - ANSWER Subdural hematoma
18.What bedside monitoring parameters are used to assess for adequacy of
oxygenation and effectiveness of ventilation? - ANSWER Pulse oximetry
and capnography
, 19.Which of the following is a possible complication of positive-pressure
ventilation? - ANSWER Worsening pneumothorax
20.Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER Hypotension that
worsens with inspiration
21.A trauma patient is restless and repeatedly asking "Where am I?" Vital signs
upon arrival were B/P 110/60 mm Hg, HR 96 beats/minute and RR 24
breaths/minute. Her skin is cool and dry. Current vital signs are B/P 104/84
mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is
demonstrating signs and symptoms of which stage of shock? - ANSWER
Compensated
22.Which pulse pressure description is an indication of early hypovolemic
shock? - ANSWER Narrowed
23.A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (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 team's
communication? - ANSWER Loop
24.A 36 year old female has a deformity of the L wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the next
appropriate intervention? - ANSWER Apply a splint and elevate the
extremity above the level of the heart
25.An intubated trauma patient is being transferred to a tertiary care center.
After moving the patient to the stretcher for transport, a drop in pulse
