TNCC 9th Edition – Comprehensive Study
Guide & Practice Exam
EXAM OVERVIEW
The TNCC 9th Edition, released in August 2023, establishes a standardized
body of trauma nursing knowledge to improve care for all trauma patients .
The 9th edition features a flipped classroom model with online pre-course
modules and interactive in-person training .
SECTION 1: Core Concepts & Course Structure
Q1. What organization developed the TNCC?
• A) American College of Surgeons (ACS)
• B) Emergency Nurses Association (ENA)
• C) American Nurses Association (ANA)
• D) National Institute of Health (NIH)
Answer: B – The Trauma Nursing Core Course was developed by the
Emergency Nurses Association (ENA) and is recognized as the premier
course for hospitals and trauma centers worldwide .
Q2. How long is TNCC provider verification valid?
• A) 2 years
• B) 3 years
• C) 4 years
• D) 5 years
Answer: C – Upon successful completion, nurses earn a 4-year,
internationally recognized verification as a TNCC provider .
,Q3. What is the passing score for the TNCC written examination?
• A) 70%
• B) 75%
• C) 80%
• D) 85%
Answer: C – The written examination requires a minimum score of 80% (40
out of 50 questions correct) .
Q4. What is the classroom duration for TNCC 9th Edition?
• A) 8 hours (1 day)
• B) 1.5 days
• C) 2 days
• D) 3 days
Answer: B – The classroom component is typically 1.5 days (Day 1: 8 AM–5
PM, Day 2: 8 AM–1 PM or 2 PM) .
Q5. Which of the following healthcare professionals is eligible for TNCC
provider verification?
• A) Licensed Practical Nurse (LPN)
• B) Paramedic
• C) Registered Nurse (RN)
• D) Emergency Medical Technician (EMT)
Answer: C – Only registered nurses are eligible for TNCC provider
verification. LPNs and paramedics may attend and earn CNE hours but are
not eligible for provider status verification .
, Q6. The TNCC 9th Edition adds which new chapter?
• A) The Geriatric Trauma Patient
• B) The Pediatric Trauma Patient
• C) The LGBTQ+ Trauma Patient
• D) The Pregnant Trauma Patient
Answer: C – The 9th edition added "The LGBTQ+ Trauma Patient" as a new
chapter, along with expanded Trauma Nursing Process teaching activities .
SECTION 2: The Trauma Nursing Process (TNP)
Q7. The Trauma Nursing Process follows which systematic approach?
• A) A-B-C-D-E
• B) A-E-I-O-U
• C) A-J Systematic Approach
• D) M-A-R-C-H
Answer: C – The TNCC uses the A-J Systematic Approach to assessment
and prioritization, with A representing Airway and J representing the
completion of the primary survey .
Q8. What is the recommended sequence of the Trauma Nursing
Process?
• A) Secondary assessment → Primary survey → Reevaluation → Transfer
• B) Preparation and triage → Primary survey → Secondary assessment
→ Reevaluation
• C) Primary survey → Transfer → Secondary assessment →
Reevaluation
• D) Triage → Secondary assessment → Primary survey → Reevaluation
Guide & Practice Exam
EXAM OVERVIEW
The TNCC 9th Edition, released in August 2023, establishes a standardized
body of trauma nursing knowledge to improve care for all trauma patients .
The 9th edition features a flipped classroom model with online pre-course
modules and interactive in-person training .
SECTION 1: Core Concepts & Course Structure
Q1. What organization developed the TNCC?
• A) American College of Surgeons (ACS)
• B) Emergency Nurses Association (ENA)
• C) American Nurses Association (ANA)
• D) National Institute of Health (NIH)
Answer: B – The Trauma Nursing Core Course was developed by the
Emergency Nurses Association (ENA) and is recognized as the premier
course for hospitals and trauma centers worldwide .
Q2. How long is TNCC provider verification valid?
• A) 2 years
• B) 3 years
• C) 4 years
• D) 5 years
Answer: C – Upon successful completion, nurses earn a 4-year,
internationally recognized verification as a TNCC provider .
,Q3. What is the passing score for the TNCC written examination?
• A) 70%
• B) 75%
• C) 80%
• D) 85%
Answer: C – The written examination requires a minimum score of 80% (40
out of 50 questions correct) .
Q4. What is the classroom duration for TNCC 9th Edition?
• A) 8 hours (1 day)
• B) 1.5 days
• C) 2 days
• D) 3 days
Answer: B – The classroom component is typically 1.5 days (Day 1: 8 AM–5
PM, Day 2: 8 AM–1 PM or 2 PM) .
Q5. Which of the following healthcare professionals is eligible for TNCC
provider verification?
• A) Licensed Practical Nurse (LPN)
• B) Paramedic
• C) Registered Nurse (RN)
• D) Emergency Medical Technician (EMT)
Answer: C – Only registered nurses are eligible for TNCC provider
verification. LPNs and paramedics may attend and earn CNE hours but are
not eligible for provider status verification .
, Q6. The TNCC 9th Edition adds which new chapter?
• A) The Geriatric Trauma Patient
• B) The Pediatric Trauma Patient
• C) The LGBTQ+ Trauma Patient
• D) The Pregnant Trauma Patient
Answer: C – The 9th edition added "The LGBTQ+ Trauma Patient" as a new
chapter, along with expanded Trauma Nursing Process teaching activities .
SECTION 2: The Trauma Nursing Process (TNP)
Q7. The Trauma Nursing Process follows which systematic approach?
• A) A-B-C-D-E
• B) A-E-I-O-U
• C) A-J Systematic Approach
• D) M-A-R-C-H
Answer: C – The TNCC uses the A-J Systematic Approach to assessment
and prioritization, with A representing Airway and J representing the
completion of the primary survey .
Q8. What is the recommended sequence of the Trauma Nursing
Process?
• A) Secondary assessment → Primary survey → Reevaluation → Transfer
• B) Preparation and triage → Primary survey → Secondary assessment
→ Reevaluation
• C) Primary survey → Transfer → Secondary assessment →
Reevaluation
• D) Triage → Secondary assessment → Primary survey → Reevaluation
