TNCC 9TH EDITION (2026/2027)
UPDATE|EXAM QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW)!!!
Youmaremcaringmformampatientmwhomwasmthrownmfrommambikemandmwasmnotmwearingmamhelmet.mWh
ilemperformingmthemhead-to-
toemassessment,myoumnotemclearmdrainagemfrommthemrightmear.mWhichmofmthemfollowingmismthemm
ostmappropriatemnextmstep?
A.mCleanmthemearmwithmamcotton-tippedmapplicator.
B.mPackmthemearmwithmgauze.
C.mNotifymthemphysician
D.mDocumentmandmcontinuemthemexam.m-mCORRECTmANSWERmC.mNotifymthemphysician
Ampatientmismbroughtmtomthememergencymdepartmentmofmamruralmhospitalmfollowingmamhigh-
speedmmotormvehiclemcollision.mWhenmsignificantmabdominalmandmpelvicminjuriesmaremnotedminmth
emprimarymsurvey,mwhatmismthemprioritymintervention?
A.mInitiatemtransfermtomamtraumamcenter
B.mAttemptmfamilymnotification
C.mObtainmadditionalmimagingmstudies
D.mPlacemanmindwellingmurinarymcatheterm-
mCORRECTmANSWERmA.mInitiatemtransfermtomamtraumamcenter
Anmadultmwhomfellmfrommamsecondmstorymroofmismbroughtmtomthememergencymdepartmentmbympriva
temvehicle.mThempatientmismconfusedmwithmunlaboredmrespirationsmandmhasmstrong,mpalpablemradi
almpulses.mTheremismanmopenmwoundminmproximitymtomanmobviousmdeformitymofmthemleftmlowermext
remity.mWhatmismthemprioritymintervention?
, A.mInitiatemcervicalmspinemstabilization
B.mApplymamsplintmtomthemlowermextremity
C.mPutmthempatientmonmportablemoxygen.
D.mLogmrollmthempatientmontomamspinemboardm-
mCORRECTmANSWERmA.mInitiatemcervicalmspinemstabilization
Anmadultmpatientmwhomsustainedmamseveremheadmtraumamhasmbeenmintubatedmandmismbeingmmanu
allymventilatedmviamambag-
maskmdevicematmamratemofm18mbreaths/minute.mThempatientmhasmreceivedmonemintravenousmfluidm
bolusmofm500mmLmofmwarmedmisotonicmcrystalloidmsolution.mThemPaCO2mism30mmmmHgm(4.0mkPa),m
andmthempulsemoximetrymism92%.mBPmism142/70mmmmHg.mWhatmismthemmostmimportantminterventio
nmtommanagemthemcerebralmbloodmflow?
A.mDecreasemthemratemofmmanualmventilation.
B.mInitiatemanothermfluidmbolus.
C.mRecheckmendotrachealmtubemplacement.
D.mIncreasemthemamountmofmoxygenmdelivered.m-
mCORRECTmANSWERmA.mDecreasemthemratemofmmanualmventilation.
Anmadultmpatientmismbroughtmtomthememergencymdepartmentmfollowingmamvehiclem"roll-
over"mwithmprolongedmextrication.mAssessmentmrevealsmswellingmandmbruisingmtomthemrightmproxi
malmthighmandmamweakmpedalmpulse.mSkinmismpale,mcool,mandmmoist.mWhatmismthemmostmappropriat
eminitialmintervention?
A.mApplicationmofmamtourniquetmtomthemaffectedmextremity
B.mApplicationmofmampelvicmbinder
C.mFluidmresuscitationmtommaintainmamurinemoutputmofm0.5mmL/kg/hour
UPDATE|EXAM QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW)!!!
Youmaremcaringmformampatientmwhomwasmthrownmfrommambikemandmwasmnotmwearingmamhelmet.mWh
ilemperformingmthemhead-to-
toemassessment,myoumnotemclearmdrainagemfrommthemrightmear.mWhichmofmthemfollowingmismthemm
ostmappropriatemnextmstep?
A.mCleanmthemearmwithmamcotton-tippedmapplicator.
B.mPackmthemearmwithmgauze.
C.mNotifymthemphysician
D.mDocumentmandmcontinuemthemexam.m-mCORRECTmANSWERmC.mNotifymthemphysician
Ampatientmismbroughtmtomthememergencymdepartmentmofmamruralmhospitalmfollowingmamhigh-
speedmmotormvehiclemcollision.mWhenmsignificantmabdominalmandmpelvicminjuriesmaremnotedminmth
emprimarymsurvey,mwhatmismthemprioritymintervention?
A.mInitiatemtransfermtomamtraumamcenter
B.mAttemptmfamilymnotification
C.mObtainmadditionalmimagingmstudies
D.mPlacemanmindwellingmurinarymcatheterm-
mCORRECTmANSWERmA.mInitiatemtransfermtomamtraumamcenter
Anmadultmwhomfellmfrommamsecondmstorymroofmismbroughtmtomthememergencymdepartmentmbympriva
temvehicle.mThempatientmismconfusedmwithmunlaboredmrespirationsmandmhasmstrong,mpalpablemradi
almpulses.mTheremismanmopenmwoundminmproximitymtomanmobviousmdeformitymofmthemleftmlowermext
remity.mWhatmismthemprioritymintervention?
, A.mInitiatemcervicalmspinemstabilization
B.mApplymamsplintmtomthemlowermextremity
C.mPutmthempatientmonmportablemoxygen.
D.mLogmrollmthempatientmontomamspinemboardm-
mCORRECTmANSWERmA.mInitiatemcervicalmspinemstabilization
Anmadultmpatientmwhomsustainedmamseveremheadmtraumamhasmbeenmintubatedmandmismbeingmmanu
allymventilatedmviamambag-
maskmdevicematmamratemofm18mbreaths/minute.mThempatientmhasmreceivedmonemintravenousmfluidm
bolusmofm500mmLmofmwarmedmisotonicmcrystalloidmsolution.mThemPaCO2mism30mmmmHgm(4.0mkPa),m
andmthempulsemoximetrymism92%.mBPmism142/70mmmmHg.mWhatmismthemmostmimportantminterventio
nmtommanagemthemcerebralmbloodmflow?
A.mDecreasemthemratemofmmanualmventilation.
B.mInitiatemanothermfluidmbolus.
C.mRecheckmendotrachealmtubemplacement.
D.mIncreasemthemamountmofmoxygenmdelivered.m-
mCORRECTmANSWERmA.mDecreasemthemratemofmmanualmventilation.
Anmadultmpatientmismbroughtmtomthememergencymdepartmentmfollowingmamvehiclem"roll-
over"mwithmprolongedmextrication.mAssessmentmrevealsmswellingmandmbruisingmtomthemrightmproxi
malmthighmandmamweakmpedalmpulse.mSkinmismpale,mcool,mandmmoist.mWhatmismthemmostmappropriat
eminitialmintervention?
A.mApplicationmofmamtourniquetmtomthemaffectedmextremity
B.mApplicationmofmampelvicmbinder
C.mFluidmresuscitationmtommaintainmamurinemoutputmofm0.5mmL/kg/hour
