TNCC WRITTEN EXAMINATION TEST 2026
FULL QUESTIONS AND ACCURATE TRAUMA
MANAGEMENT SOLUTIONS GUIDE
◉ Does your facility have pelvic binders available? Where are they
located?
Answer: honestly no f***ing clue
◉ What assessment finding is a contraindication to inserting
indwelling catheter?
Answer: urethral trauma, bleeding from the meatus of the penis or
vaginal area
◉ How can a fast exam be used to help determine appropriate
interventions?
Answer: Fast exams can help provide quick and efficient information
to establish if there is bleeding into pericardial, peritoneal, and
pleural space.
◉ Is resuscitative endovascular balloon occlusion of the
aorta(REBOA) performed at your facility? When is a REBOA used?
Answer: NOPE, we in the sticks
,◉ What interventions can be anticipated with a suspected
compartment syndrome?
Answer: typically a fasciotomy
◉ What are the indications for the use of a tourniquet? What are the
steps to applying a tourniquet?
Answer: tourniquet is indicated if direct pressure does not stop the
bleeding and it is soaking the dressing.
Apply 2-3 in above the wound between the wound and the heart.
twist the wentch until it wont twist anymore/bleeding stops.
◉ What is the policy at your facility for the care of amputated body
parts such as a digit or a limb?
Answer: send to a vascular surgeon
◉ When is spinal motion restriction indicated? What is the proper
technique for measurement and application of a cervical collar?
Answer: -when suspected spinal cord injury
- insure the patient's head is in a neutral position, slide the back of
the collar under the neck, align the chin piece with the chin, and
secure the straps snugly while maintaining neutral neck alignment,
ensuring the collar is centered and not restricting breathing or
mouth movement
, ◉ What is the difference between primary and secondary injury in
the spinal cord trauma?
Answer: Primary: initial injury, early decompressive surgery shown
to have great outcome
secondary: same type of injuries that has caused inflammation of
tissues which leads to permanent loss of function without proper
interventions
◉ What is the difference between spinal and neurogenic shock?
Answer: Spinal shock is the temporary loss of spinal cord function
Neurogenic shock: hypotensive state when sympathetic nervous
system is is disrupted
◉ Does your facility have a specific location for burn supplies such
as a burn cart? Does your facility have wound protocols?
Answer: no specific location for burns, will treat 1st degree burns
but send most secondary to Main
◉ Is there a burn center in your city? What does your burn center
request for a treatment or interventions prior to transfer?
Answer: Burn center in Huntsville and UAB Main. Burn center
requests the % of burn, location, if we have intervened, how long ago
it was, and if they are coming POV or ambulance
FULL QUESTIONS AND ACCURATE TRAUMA
MANAGEMENT SOLUTIONS GUIDE
◉ Does your facility have pelvic binders available? Where are they
located?
Answer: honestly no f***ing clue
◉ What assessment finding is a contraindication to inserting
indwelling catheter?
Answer: urethral trauma, bleeding from the meatus of the penis or
vaginal area
◉ How can a fast exam be used to help determine appropriate
interventions?
Answer: Fast exams can help provide quick and efficient information
to establish if there is bleeding into pericardial, peritoneal, and
pleural space.
◉ Is resuscitative endovascular balloon occlusion of the
aorta(REBOA) performed at your facility? When is a REBOA used?
Answer: NOPE, we in the sticks
,◉ What interventions can be anticipated with a suspected
compartment syndrome?
Answer: typically a fasciotomy
◉ What are the indications for the use of a tourniquet? What are the
steps to applying a tourniquet?
Answer: tourniquet is indicated if direct pressure does not stop the
bleeding and it is soaking the dressing.
Apply 2-3 in above the wound between the wound and the heart.
twist the wentch until it wont twist anymore/bleeding stops.
◉ What is the policy at your facility for the care of amputated body
parts such as a digit or a limb?
Answer: send to a vascular surgeon
◉ When is spinal motion restriction indicated? What is the proper
technique for measurement and application of a cervical collar?
Answer: -when suspected spinal cord injury
- insure the patient's head is in a neutral position, slide the back of
the collar under the neck, align the chin piece with the chin, and
secure the straps snugly while maintaining neutral neck alignment,
ensuring the collar is centered and not restricting breathing or
mouth movement
, ◉ What is the difference between primary and secondary injury in
the spinal cord trauma?
Answer: Primary: initial injury, early decompressive surgery shown
to have great outcome
secondary: same type of injuries that has caused inflammation of
tissues which leads to permanent loss of function without proper
interventions
◉ What is the difference between spinal and neurogenic shock?
Answer: Spinal shock is the temporary loss of spinal cord function
Neurogenic shock: hypotensive state when sympathetic nervous
system is is disrupted
◉ Does your facility have a specific location for burn supplies such
as a burn cart? Does your facility have wound protocols?
Answer: no specific location for burns, will treat 1st degree burns
but send most secondary to Main
◉ Is there a burn center in your city? What does your burn center
request for a treatment or interventions prior to transfer?
Answer: Burn center in Huntsville and UAB Main. Burn center
requests the % of burn, location, if we have intervened, how long ago
it was, and if they are coming POV or ambulance
