TNCC FINAL EXAM TEST OPEN BOOK WITH ALL
POSSIBLE QUESTIONS AND VERIFIED ANSWERS
2025/2026
Patients with a crush injury should be monitored for which of the following
conditions?
Answer: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B
A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D
A) Bradycardia and ipsilateral absences of motor function
,B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury *** A 5-
year old child presents to the ED with bruises to the upper arms and buttocks
in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment
triangle or primary survey.
Which of the following is the priority nursing intervention?
Answer: A
A) report your suspicion of the maltreatment in accordance with local regulations
***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A patient with 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: C
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart ***
, D) Preparing the patient for ultrasound
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention?
Answer: B
A) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart. Which of the
following is a late sign of increased intracranial pressure?
Answer: C
Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR
A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort**
D) amnesia and anxiety
POSSIBLE QUESTIONS AND VERIFIED ANSWERS
2025/2026
Patients with a crush injury should be monitored for which of the following
conditions?
Answer: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B
A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D
A) Bradycardia and ipsilateral absences of motor function
,B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury *** A 5-
year old child presents to the ED with bruises to the upper arms and buttocks
in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment
triangle or primary survey.
Which of the following is the priority nursing intervention?
Answer: A
A) report your suspicion of the maltreatment in accordance with local regulations
***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A patient with 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: C
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart ***
, D) Preparing the patient for ultrasound
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention?
Answer: B
A) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart. Which of the
following is a late sign of increased intracranial pressure?
Answer: C
Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR
A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort**
D) amnesia and anxiety
