TCCC Certification Exam 2026–2028 | Tactical Combat Casualty Care Q&A Guide

Tactical Combat Casualty Care (TCCC) Exam 2026–2027 |
Practice Test Questions & Answers | Complete Certification
Study Guide 3 VERSIONS


Prepare for the Tactical Combat Casualty Care (TCCC) Exam with this comprehensive practice
test featuring verified questions, correct answers, and detailed explanations. This study guide
covers essential topics including hemorrhage control, airway management, respiratory trauma,
shock recognition and treatment, casualty assessment, evacuation procedures, tactical field care,
and combat medical principles. Designed to reinforce critical lifesaving knowledge and improve
exam readiness, the material reflects the key competencies commonly assessed in TCCC training
and certification programs. Ideal for military personnel, law enforcement officers, first
responders, tactical medics, and healthcare professionals seeking a reliable resource to prepare
for and successfully pass the TCCC exam.



Which of the following is a principle of TCCC?
a. Treat the casualty
b. Prevent additional casualties
c. Complete the mission
d. All of the above - CORRECT ANSWER d

QUESTION :Which of the following is NOT one of the three phases of care in TCCC?
a. Care Under Fire
b. Tactical Field Care
c. Tactical Evacuation Care
d. Combat Life Saving Care - CORRECT ANSWER d

QUESTION :The preferred analgesia regimen for someone who has wounds that are
moderately painful but not life threatening and that do not keep him from functioning
effectively as a combatant is:
a. Morphine IV
b. Morphine IM
c. Mobic and Tylenol ER
d. Aspirin - CORRECT ANSWER c

QUESTION :The most common cause of preventable death on the battlefield is the
failure to use a tourniquet to control severe extremity bleeding. - CORRECT ANSWER
T

QUESTION :The best battlefield indicators of shock during Tactical Field Care are:
a. Heart rate and face color
b. State of consciousness and quality of the radial pulse

,c. Rapid heart rate
d. None of the above - CORRECT ANSWER b

QUESTION :All combat casualties should have an IV started as soon as possible. -
CORRECT ANSWER F

QUESTION :A casualty has sustained a gunshot wound to the chest. He/she should be
allowed to take fluids by mouth if able to. - CORRECT ANSWER T

QUESTION :Administering large quantities of fluids to a casualty who has bleeding
sites inside the chest or abdomen may worsen his or her hemorrhage by diluting clotting
factors or by interfering with clot formation at the bleeding site. - CORRECT ANSWER
T

QUESTION :Antibiotics are recommended for all combat casualties who sustain open
wounds. - CORRECT ANSWER T

QUESTION :Which of the following is NOT appropriate to the Care Under Fire phase?
a. Starting an IV
b. Controlling life-threatening extremity bleeding with a tourniquet
c. Returning fire as necessary
d. All of the above - CORRECT ANSWER a

QUESTION :To be most effective at preventing infections, moxifloxacin should be given
when after wounding?
a. As soon as possible
b. Whenever
c. Within 4 hours
d. None of the above - CORRECT ANSWER a

QUESTION :What is the next step in airway management for a corpsman who has just
used the chin-lift/jaw-thrust method to successfully open the airway of a casualty who is
unconscious from a blast injury during the Tactical Field Care phase?
a. Nasopharyngeal airway
b. Surgical airway
c. Tracheal intubation
d. None of the above - CORRECT ANSWER a

QUESTION :As a corpsman you are confronted with the following three casualties.
Which one should be cared for first?
a. Casualty A - shot in the head and unconscious
b. Casualty B - shot in the abdomen - awake and alert
c. Casualty C - heavy bleeding from a thigh wound - CORRECT ANSWER c

QUESTION :The ideal management of a casualty in a combat setting is not necessarily
the same as for the identical injury in a civilian setting. - CORRECT ANSWER T

, QUESTION :The Tactical Combat Casualty Care guidelines presented in this course
should not be modified no matter what the tactical context in which the casualties occur
is. - CORRECT ANSWER F

QUESTION :A casualty has suffered a gunshot wound to the chest. As you watch him,
he is having more and more trouble with his breathing. What is the best next step?
a. Tracheal intubation
b. Put in a chest tube
c. Needle decompression for a suspected tension pneumothorax - CORRECT
ANSWER c

QUESTION :A casualty has sustained a gunshot wound to the face. He is conscious
and maintaining his airway by sitting up and leaning forward. A corpsman arrives on the
scene. How should the casualty's airway be managed?
a. Place him in the supine position and intubate him
b. Allow him to continue to sit up and lean forward as care is rendered
c. Perform a surgical airway
d. None of the above - CORRECT ANSWER b

QUESTION :What is the best quick check for an adequate airway?
a. Ask a question that requires a response from the casualty
b. Check for a bluish color of the nail beds
c. Determine the casualty's respiratory rate
d. Auscultate the chest - CORRECT ANSWER a

QUESTION :The minimum amount of time in which a casualty could bleed to death
from a femoral (thigh) wound with heavy bleeding is approximately:
a. 3 minutes
b. 10 minutes
c. 15 minutes
d. 30 minutes - CORRECT ANSWER a

QUESTION :A casualty who has lost a liter of blood is in danger of dying from
hemorrhagic shock. - CORRECT ANSWER F

QUESTION :What level of blood loss is likely to be associated with death from
hemorrhagic shock?
a. 0.5 liters
b. 1.0 liter
c. 1.5 liters
d. 2.5 liters
e. None of the above - CORRECT ANSWER d

QUESTION :The preferred antibiotic in the Tactical Field Care phase is moxifloxacin.
This medicine is preferred because it:

, a. Is effective against most bacteria
b. Has a relatively mild side effect profile
c. Can be taken by mouth
d. Is inexpensive
e. All of the above - CORRECT ANSWER e

QUESTION :Giving a rapid infusion of IV fluids to casualties with uncontrolled bleeding
(such as casualties with wounds of the chest or abdomen) was shown to increase the
mortality rate in the largest study done to date on this issue. - CORRECT ANSWER T

QUESTION :Which of the following three casualties has the greatest need for an
emergent CASEVAC:
a. A casualty who stepped on a land mind and has a traumatic amputation of the leg at
the knee with bleeding controlled by a tourniquet.
b. A casualty who was shot in the head and is unconscious with a significant amount of
brain tissue exposed.
c. A casualty who was shot in the abdomen and who now has an absent radial pulse. -
CORRECT ANSWER c

QUESTION :What is the most important thing to do after splinting an open fracture?
a. Check to ensure that the pulses distal to the splint have not been reduced by the
splint
b. Check to ensure that the extremity is completely covered by wrapping material used
in splinting
c. Check to ensure that the extremity is in perfect alignment
d. None of the above - CORRECT ANSWER a

QUESTION :Which of the following is a good reason NOT to give casualty morphine?
a. His wounds are minor and he can continue to fight
b. He is in shock
c. He has a chest wound and is in respiratory distress
d. All of the above - CORRECT ANSWER d

QUESTION :Which of the following is true?
a. Extremity hemorrhage is the most frequent cause of preventable battlefield deaths
b. Most combat fatalities die from airway problems
c. Life-threatening extremity bleeding is treated in the Care under Fire phase is treated
with Combat Gauze
d. None of the above - CORRECT ANSWER a

QUESTION :You are treating a casualty with a gunshot wound to his lower jaw which
severely disrupts the oropharyngeal anatomy. He suddenly develops complete airway
obstruction, struggles briefly, and loses consciousness. What is the airway intervention
of choice at this point?
a. Nasopharyngeal airway and recovery position
b. Endotracheal intubation