TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
1. You are caring for a patient who was thrown from a bike and was not wear-
ing a helmet. While performing the head-to-toe assessment, you note clear
drainage from the right ear. Which of the following is the most appropriate
next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
*Answer* C. Notify the physician
2. A patient is brought to the emergency department of a rural hospital fol-
lowing a high-speed motor vehicle collision. When significant abdominal and
pelvic injuries are noted in the primary survey, what is the priority interven-
, TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
tion?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
*Answer* A. Initiate transfer to a trauma center
3. An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored res-
pirations and has strong, palpable radial pulses. There is an open wound in
proximity to an obvious deformity of the left lower extremity. What is the
priority intervention?
A. Initiate cervical spine stabilization
, TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
*Answer* A. Initiate cervical spine stabilization
4. An adult patient who sustained a severe head trauma has been intubat-
ed and is being manually ventilated via a bag-mask device at a rate of 18
, TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
breaths/minute. The patient has received one intravenous fluid bolus of 500
mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most
important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
*Answer* A. Decrease the rate of manual ventilation.
5. An adult patient is brought to the emergency department following a ve-
hicle "roll-over" with prolonged extrication. Assessment reveals swelling and
bruising to the right proximal thigh and a weak pedal pulse. Skin is pale, cool,
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
1. You are caring for a patient who was thrown from a bike and was not wear-
ing a helmet. While performing the head-to-toe assessment, you note clear
drainage from the right ear. Which of the following is the most appropriate
next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
*Answer* C. Notify the physician
2. A patient is brought to the emergency department of a rural hospital fol-
lowing a high-speed motor vehicle collision. When significant abdominal and
pelvic injuries are noted in the primary survey, what is the priority interven-
, TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
tion?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
*Answer* A. Initiate transfer to a trauma center
3. An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored res-
pirations and has strong, palpable radial pulses. There is an open wound in
proximity to an obvious deformity of the left lower extremity. What is the
priority intervention?
A. Initiate cervical spine stabilization
, TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
*Answer* A. Initiate cervical spine stabilization
4. An adult patient who sustained a severe head trauma has been intubat-
ed and is being manually ventilated via a bag-mask device at a rate of 18
, TNCC 9 TH EDITION FINAL ACTUAL EXAM
NEWEST VERSION 2025/2026 QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS FROM
VERIFIED SOURCES RATED A GRADE.
breaths/minute. The patient has received one intravenous fluid bolus of 500
mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most
important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
*Answer* A. Decrease the rate of manual ventilation.
5. An adult patient is brought to the emergency department following a ve-
hicle "roll-over" with prolonged extrication. Assessment reveals swelling and
bruising to the right proximal thigh and a weak pedal pulse. Skin is pale, cool,
