1|Page
# TNCC WRITTEN EXAM## TRAUMA NURSING
CORE COURSE (9TH EDITION)### COMPLETE
EXAM PREP BANK (200+ QUESTIONS)### HIGH-
YIELD CONTENT | GRADED A+ | FIRST TIME
PASS
## Table of Contents
1. **Trauma Nursing Principles & Initial Assessment** (25 questions)
2. **Airway & Ventilation** (15 questions)
3. **Circulation & Hemorrhage Control** (15 questions)
4. **Shock & Hemodynamic Monitoring** (15 questions)
5. **Neurologic Trauma (Brain & Spinal Cord)** (20 questions)
6. **Thoracic Trauma** (15 questions)
7. **Abdominal & Pelvic Trauma** (15 questions)
8. **Musculoskeletal & Extremity Trauma** (15 questions)
9. **Burn Trauma** (15 questions)
10. **Special Populations (Pediatric, Geriatric, Pregnancy, Obesity)**
(20 questions)
11. **Environmental & Disaster Trauma** (10 questions)
12. **Psychosocial Aspects & Family** (10 questions)
13. **Final Comprehensive Review** (20 questions)
,2|Page
## Section 1: Trauma Nursing Principles & Initial Assessment (25
Questions)
**1.** What is the primary goal of the initial trauma assessment
(Primary Survey)?
A. To obtain a complete medical history
B. To identify and treat life-threatening conditions in order of priority
(ABC)
C. To perform a head-to-toe physical examination
D. To order diagnostic imaging
**Correct Answer: B**
*Rationale:* The primary survey (ABCDE) identifies and treats life-
threatening injuries immediately. It follows a priority sequence: Airway
with cervical spine protection, Breathing, Circulation, Disability
(Neurologic), Exposure/Environmental control.
---
**2.** The "M" in the "MIST" mnemonic for prehospital report stands
for:
A. Mechanism of injury
B. Medications
,3|Page
C. Medical history
D. Multiple injuries
**Correct Answer: A**
*Rationale:* MIST: Mechanism of injury, Injuries sustained, Signs and
symptoms (vital signs, GCS, pupillary response), Treatment initiated.
---
**3.** According to TNNC (Trauma Nursing Core Course), what is the
recommended sequence for the primary survey?
A. A-B-C-D-E (Airway, Breathing, Circulation, Disability, Exposure)
B. C-A-B-D-E
C. D-A-B-C-E
D. B-A-C-D-E
**Correct Answer: A**
*Rationale:* The standard TNCC primary survey sequence is A (Airway
with cervical spine protection), B (Breathing and ventilation), C
(Circulation with hemorrhage control), D (Disability/neurologic status),
E (Exposure and environmental control).
, 4|Page
---
**4.** A trauma patient arrives with a GCS score of 8. What is the
priority action?
A. Obtain a CT scan of the head
B. Prepare for intubation and airway protection (GCS ≤ 8 is indication
for intubation)
C. Administer pain medication
D. Apply a cervical collar only
**Correct Answer: B**
*Rationale:* A GCS of 8 or less indicates severe brain injury with
inability to protect the airway. Intubation is indicated to prevent
aspiration and ensure adequate ventilation.
---
**5.** Which of the following is a sign of inadequate breathing in a
trauma patient?
A. Respiratory rate of 16 breaths/min
B. Symmetrical chest rise
# TNCC WRITTEN EXAM## TRAUMA NURSING
CORE COURSE (9TH EDITION)### COMPLETE
EXAM PREP BANK (200+ QUESTIONS)### HIGH-
YIELD CONTENT | GRADED A+ | FIRST TIME
PASS
## Table of Contents
1. **Trauma Nursing Principles & Initial Assessment** (25 questions)
2. **Airway & Ventilation** (15 questions)
3. **Circulation & Hemorrhage Control** (15 questions)
4. **Shock & Hemodynamic Monitoring** (15 questions)
5. **Neurologic Trauma (Brain & Spinal Cord)** (20 questions)
6. **Thoracic Trauma** (15 questions)
7. **Abdominal & Pelvic Trauma** (15 questions)
8. **Musculoskeletal & Extremity Trauma** (15 questions)
9. **Burn Trauma** (15 questions)
10. **Special Populations (Pediatric, Geriatric, Pregnancy, Obesity)**
(20 questions)
11. **Environmental & Disaster Trauma** (10 questions)
12. **Psychosocial Aspects & Family** (10 questions)
13. **Final Comprehensive Review** (20 questions)
,2|Page
## Section 1: Trauma Nursing Principles & Initial Assessment (25
Questions)
**1.** What is the primary goal of the initial trauma assessment
(Primary Survey)?
A. To obtain a complete medical history
B. To identify and treat life-threatening conditions in order of priority
(ABC)
C. To perform a head-to-toe physical examination
D. To order diagnostic imaging
**Correct Answer: B**
*Rationale:* The primary survey (ABCDE) identifies and treats life-
threatening injuries immediately. It follows a priority sequence: Airway
with cervical spine protection, Breathing, Circulation, Disability
(Neurologic), Exposure/Environmental control.
---
**2.** The "M" in the "MIST" mnemonic for prehospital report stands
for:
A. Mechanism of injury
B. Medications
,3|Page
C. Medical history
D. Multiple injuries
**Correct Answer: A**
*Rationale:* MIST: Mechanism of injury, Injuries sustained, Signs and
symptoms (vital signs, GCS, pupillary response), Treatment initiated.
---
**3.** According to TNNC (Trauma Nursing Core Course), what is the
recommended sequence for the primary survey?
A. A-B-C-D-E (Airway, Breathing, Circulation, Disability, Exposure)
B. C-A-B-D-E
C. D-A-B-C-E
D. B-A-C-D-E
**Correct Answer: A**
*Rationale:* The standard TNCC primary survey sequence is A (Airway
with cervical spine protection), B (Breathing and ventilation), C
(Circulation with hemorrhage control), D (Disability/neurologic status),
E (Exposure and environmental control).
, 4|Page
---
**4.** A trauma patient arrives with a GCS score of 8. What is the
priority action?
A. Obtain a CT scan of the head
B. Prepare for intubation and airway protection (GCS ≤ 8 is indication
for intubation)
C. Administer pain medication
D. Apply a cervical collar only
**Correct Answer: B**
*Rationale:* A GCS of 8 or less indicates severe brain injury with
inability to protect the airway. Intubation is indicated to prevent
aspiration and ensure adequate ventilation.
---
**5.** Which of the following is a sign of inadequate breathing in a
trauma patient?
A. Respiratory rate of 16 breaths/min
B. Symmetrical chest rise
