TNCC EXAM ms
Exam Solution
ms
TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST VER
ms ms ms ms ms ms ms ms
SION / QUESTION AND CORRECT DETAILED VERIFIED
ms ms ms ms ms ms ms
ANSWERS FROM VERIFIED SOURCES RATED A GRADE. ms ms ms ms ms ms ms
2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
ms ms ms ms ms ms ms
VERIFIED ANSWERS (C8191) ms ms
QUESTION 1 ms
You are caring for a patient who was thrown from a bike and was not wearing a helm
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
et. While performing the head-to-
ms ms ms ms
toe assessment, you note clear drainage from the right ear. Which of the following is t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he most appropriate next step?
ms ms ms ms
A. Clean the ear with a cotton-tipped applicator.
ms ms ms ms ms ms ms
B. Pack the ear with gauze.
ms ms ms ms ms
C. Notify the physician
ms ms ms
D. Document and continue the exam.
ms ms ms ms ms
ANSWER
C. Notify the physician
ms ms ms
QUESTION 2 ms
A patient is brought to the emergency department of a rural hospital following a high-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
speed motor vehicle collision. When significant abdominal and pelvic injuries are note
ms ms ms ms ms ms ms ms ms ms ms
d in the primary survey, what is the priority intervention?
ms ms ms ms ms ms ms ms ms
A. Initiate transfer to a trauma center
ms ms ms ms ms ms
B. Attempt family notification
ms ms ms
C. Obtain additional imaging studies
ms ms ms ms
D. Place an indwelling urinary catheter
ms ms ms ms ms
ANSWER
A. Initiate transfer to a trauma center
ms ms ms ms ms ms
,QUESTION 3 ms
2. Which of the following situations could cause functional grief?
ms ms ms ms ms ms ms ms ms
A. Inability to live at home
ms ms ms ms ms
B. Amputation of a limb
ms ms ms ms
C. Loss of one's self-image
ms ms ms ms
D. Destruction of the patient's car
ms ms ms ms ms
ANSWER
B. Amputation of a limb Rationale: Preparation and Ongoing Care\Psychosocial Aspects Functional gr
ms ms ms ms ms ms ms ms ms ms ms ms
ief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of sight.
ms ms
QUESTION 4 ms
3. What is the most important consideration during the initial assessment when carin
ms ms ms ms ms ms ms ms ms ms ms ms
g for an older adult who has sustained serious injuries?
ms ms ms ms ms ms ms ms ms
A. They are likely to be fearful in the emergency department
ms ms ms ms ms ms ms ms ms ms
B. Medical history including current medications
ms ms ms ms ms
C. Availability of support systems after discharge
ms ms ms ms ms ms
D. Accessibility to a primary care physician
ms ms ms ms ms ms
ANSWER
B. Medical history including current medications
ms ms ms ms ms
QUESTION 5 ms
4. You are caring for a patient who was thrown from a bike and was not wearing a he
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
lmet. While performing the head-to-
ms ms ms ms
toe assessment, you note clear drainage from the right ear. Which of the following is t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he most appropriate next step?
ms ms ms ms
A. Clean the ear with a cotton-tipped applicator.
ms ms ms ms ms ms ms
B. Pack the ear with gauze.
ms ms ms ms ms
C. Notify the physician
ms ms ms
D. Document and continue the exam.
ms ms ms ms ms
ANSWER
C. Notify the physician
ms ms ms
QUESTION 6 ms
5. When should the definitive calculation for intravenous fluid resuscitation rate be pe
ms ms ms ms ms ms ms ms ms ms ms ms
rformed for a patient with burns? ms ms ms ms ms
A. As soon as the patient arrives
ms ms ms ms ms ms
B. After removal of clothing
ms ms ms ms
, C. Only at a burn center
ms ms ms ms ms
D. During the circulation assessment
ms ms ms ms
ANSWER
B. After removal of clothing Rationale: Musculoskeletal and Wounds\Burns Some fluid will be given i
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nitially, but an accurate fluid total is based on percentage of total body surface area which requires
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
a good skin assessment and is calculated after clothing is removed.
ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
6. In a motor vehicle collision, which injury pathway is most likely to increase the pat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ient's morbidity and mortality?
ms ms ms
A. Rotational
ms
B. Ejection
ms
C. Lateralms
D. Rollover
ms
ANSWER
B. Ejection
ms
QUESTION 8 ms
7. A patient with a lower extremity fracture complains of severe pain and tightness in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
his calf, minimally relieved by pain medications. Which of the following is the priority
s ms ms ms ms ms ms ms ms ms ms ms ms ms
nursing intervention?
ms ms
A. Elevating the leg above the level of the heart
ms ms ms ms ms ms ms ms ms
B. Repositioning the leg and applying ice
ms ms ms ms ms ms
C. Elevating the leg to the level of the heart
ms ms ms ms ms ms ms ms ms
D. Preparing the patient for ultrasound of the leg
ms ms ms ms ms ms ms ms
ANSWER
C. Elevating the leg to the level of the heart Rationale: Musculoskeletal and Wounds\Musculoskeletal
ms ms ms ms ms ms ms ms ms ms ms ms ms m
sThis patient is exhibiting signs of possible compartment syndrome which is a dangerous complicatio
ms ms ms ms ms ms ms ms ms ms ms ms ms
n of fractured extremities. The pain is often out of proportion to the injury and might not respond t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
o pain medications. Elevate the limb to the level of the heart to decrease dependent edema but not
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
above the heart, which can cause increased venous congestion and pressure within the compartment
ms ms ms ms ms ms ms ms ms ms ms ms ms
.
QUESTION 9 ms
10. Which of the following assessment findings differentiates a tension pneumothorax
ms ms ms ms ms ms ms ms ms ms ms
from a simple pneumothorax?
ms ms ms
A. Increased work of breathing
ms ms ms ms
B. Unilaterally diminished breath sounds
ms ms ms ms
Exam Solution
ms
TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST VER
ms ms ms ms ms ms ms ms
SION / QUESTION AND CORRECT DETAILED VERIFIED
ms ms ms ms ms ms ms
ANSWERS FROM VERIFIED SOURCES RATED A GRADE. ms ms ms ms ms ms ms
2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
ms ms ms ms ms ms ms
VERIFIED ANSWERS (C8191) ms ms
QUESTION 1 ms
You are caring for a patient who was thrown from a bike and was not wearing a helm
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
et. While performing the head-to-
ms ms ms ms
toe assessment, you note clear drainage from the right ear. Which of the following is t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he most appropriate next step?
ms ms ms ms
A. Clean the ear with a cotton-tipped applicator.
ms ms ms ms ms ms ms
B. Pack the ear with gauze.
ms ms ms ms ms
C. Notify the physician
ms ms ms
D. Document and continue the exam.
ms ms ms ms ms
ANSWER
C. Notify the physician
ms ms ms
QUESTION 2 ms
A patient is brought to the emergency department of a rural hospital following a high-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
speed motor vehicle collision. When significant abdominal and pelvic injuries are note
ms ms ms ms ms ms ms ms ms ms ms
d in the primary survey, what is the priority intervention?
ms ms ms ms ms ms ms ms ms
A. Initiate transfer to a trauma center
ms ms ms ms ms ms
B. Attempt family notification
ms ms ms
C. Obtain additional imaging studies
ms ms ms ms
D. Place an indwelling urinary catheter
ms ms ms ms ms
ANSWER
A. Initiate transfer to a trauma center
ms ms ms ms ms ms
,QUESTION 3 ms
2. Which of the following situations could cause functional grief?
ms ms ms ms ms ms ms ms ms
A. Inability to live at home
ms ms ms ms ms
B. Amputation of a limb
ms ms ms ms
C. Loss of one's self-image
ms ms ms ms
D. Destruction of the patient's car
ms ms ms ms ms
ANSWER
B. Amputation of a limb Rationale: Preparation and Ongoing Care\Psychosocial Aspects Functional gr
ms ms ms ms ms ms ms ms ms ms ms ms
ief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of sight.
ms ms
QUESTION 4 ms
3. What is the most important consideration during the initial assessment when carin
ms ms ms ms ms ms ms ms ms ms ms ms
g for an older adult who has sustained serious injuries?
ms ms ms ms ms ms ms ms ms
A. They are likely to be fearful in the emergency department
ms ms ms ms ms ms ms ms ms ms
B. Medical history including current medications
ms ms ms ms ms
C. Availability of support systems after discharge
ms ms ms ms ms ms
D. Accessibility to a primary care physician
ms ms ms ms ms ms
ANSWER
B. Medical history including current medications
ms ms ms ms ms
QUESTION 5 ms
4. You are caring for a patient who was thrown from a bike and was not wearing a he
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
lmet. While performing the head-to-
ms ms ms ms
toe assessment, you note clear drainage from the right ear. Which of the following is t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he most appropriate next step?
ms ms ms ms
A. Clean the ear with a cotton-tipped applicator.
ms ms ms ms ms ms ms
B. Pack the ear with gauze.
ms ms ms ms ms
C. Notify the physician
ms ms ms
D. Document and continue the exam.
ms ms ms ms ms
ANSWER
C. Notify the physician
ms ms ms
QUESTION 6 ms
5. When should the definitive calculation for intravenous fluid resuscitation rate be pe
ms ms ms ms ms ms ms ms ms ms ms ms
rformed for a patient with burns? ms ms ms ms ms
A. As soon as the patient arrives
ms ms ms ms ms ms
B. After removal of clothing
ms ms ms ms
, C. Only at a burn center
ms ms ms ms ms
D. During the circulation assessment
ms ms ms ms
ANSWER
B. After removal of clothing Rationale: Musculoskeletal and Wounds\Burns Some fluid will be given i
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nitially, but an accurate fluid total is based on percentage of total body surface area which requires
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
a good skin assessment and is calculated after clothing is removed.
ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
6. In a motor vehicle collision, which injury pathway is most likely to increase the pat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ient's morbidity and mortality?
ms ms ms
A. Rotational
ms
B. Ejection
ms
C. Lateralms
D. Rollover
ms
ANSWER
B. Ejection
ms
QUESTION 8 ms
7. A patient with a lower extremity fracture complains of severe pain and tightness in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
his calf, minimally relieved by pain medications. Which of the following is the priority
s ms ms ms ms ms ms ms ms ms ms ms ms ms
nursing intervention?
ms ms
A. Elevating the leg above the level of the heart
ms ms ms ms ms ms ms ms ms
B. Repositioning the leg and applying ice
ms ms ms ms ms ms
C. Elevating the leg to the level of the heart
ms ms ms ms ms ms ms ms ms
D. Preparing the patient for ultrasound of the leg
ms ms ms ms ms ms ms ms
ANSWER
C. Elevating the leg to the level of the heart Rationale: Musculoskeletal and Wounds\Musculoskeletal
ms ms ms ms ms ms ms ms ms ms ms ms ms m
sThis patient is exhibiting signs of possible compartment syndrome which is a dangerous complicatio
ms ms ms ms ms ms ms ms ms ms ms ms ms
n of fractured extremities. The pain is often out of proportion to the injury and might not respond t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
o pain medications. Elevate the limb to the level of the heart to decrease dependent edema but not
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
above the heart, which can cause increased venous congestion and pressure within the compartment
ms ms ms ms ms ms ms ms ms ms ms ms ms
.
QUESTION 9 ms
10. Which of the following assessment findings differentiates a tension pneumothorax
ms ms ms ms ms ms ms ms ms ms ms
from a simple pneumothorax?
ms ms ms
A. Increased work of breathing
ms ms ms ms
B. Unilaterally diminished breath sounds
ms ms ms ms