TNCC PRACTICE SET 2026 TRAUMA
NURSING SKILLS QUESTIONS ANSWERS
HIGH YIELD A+
◉ What equipment or intervention may be used to stabilize a
suspected or known pelvic fracture?
Answer: need a pelvic binder, longitudinal skeletal traction
◉ 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?
NURSING SKILLS QUESTIONS ANSWERS
HIGH YIELD A+
◉ What equipment or intervention may be used to stabilize a
suspected or known pelvic fracture?
Answer: need a pelvic binder, longitudinal skeletal traction
◉ 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?
