TNCC ACTUAL PAPER 2026 TRAUMA
NURSING CORE COURSE QUESTIONS
WITH SOLUTIONS GRADED A+
◉ 1. A- airway and Alertness with simultaneous cervical spinal
stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-
tidal caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces.
Answer: ABCDEFGHI
,◉ Before the arrival of the pt.
Answer: When should PPE be placed:
◉ Pt is at hospital in the right amount of time, right care, right
trauma facility, right resources.
Answer: Safe Care:
◉ Uncontrolled Hemorrhage.
Answer: Major cause of preventable death:
◉ reorganize care to C-ABC.
Answer: If uncontrolled hemorrhage ..
◉ Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or
her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs
verbal stimulation to respond, an airway adjunct may be needed to
keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may
not be able to maintain his or her airway adjunct may need to be
placed while further assessment is made to determine the need for
intubation.
, 4. U Unresponsive. If the pt. is unresponsive, announce it loudly to
the team and direct someone to chk in the pt is pulseless while
assessing if the cause of the problem is the airway..
Answer: Airway and AVPU:
◉ ask pt to pen his or her mouth.
Answer: While assessing airway the patient is alert and responds to
verbal stimuli you should..
◉ jaw thrust maneuver to open airway and assess for obstruction. If
pt has a suspected csi, the jaw thrust procedure should be done by
two providers. One provider can maintain c-spine and the other can
perform the jaw thrust maneuver..
Answer: While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
◉ 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
NURSING CORE COURSE QUESTIONS
WITH SOLUTIONS GRADED A+
◉ 1. A- airway and Alertness with simultaneous cervical spinal
stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-
tidal caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces.
Answer: ABCDEFGHI
,◉ Before the arrival of the pt.
Answer: When should PPE be placed:
◉ Pt is at hospital in the right amount of time, right care, right
trauma facility, right resources.
Answer: Safe Care:
◉ Uncontrolled Hemorrhage.
Answer: Major cause of preventable death:
◉ reorganize care to C-ABC.
Answer: If uncontrolled hemorrhage ..
◉ Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or
her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs
verbal stimulation to respond, an airway adjunct may be needed to
keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may
not be able to maintain his or her airway adjunct may need to be
placed while further assessment is made to determine the need for
intubation.
, 4. U Unresponsive. If the pt. is unresponsive, announce it loudly to
the team and direct someone to chk in the pt is pulseless while
assessing if the cause of the problem is the airway..
Answer: Airway and AVPU:
◉ ask pt to pen his or her mouth.
Answer: While assessing airway the patient is alert and responds to
verbal stimuli you should..
◉ jaw thrust maneuver to open airway and assess for obstruction. If
pt has a suspected csi, the jaw thrust procedure should be done by
two providers. One provider can maintain c-spine and the other can
perform the jaw thrust maneuver..
Answer: While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
◉ 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
