TNCC ACTUAL EXAM, Complete Test Questions
and Answers (Verified Answers) (Latest Update )
UPDATE!! TNCC exam| Frequently Most Tested
Questions and Expert Guarantee Pass| 100%
Accurate ,Graded A+ And Brand New Version!!!
Which of the following mnemonics can help a nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
Correct Answer:
MARCH
You are caring for a patient who was involved in a motor vehicle crash and is 32
weeks pregnant. Findings of your secondary survey include abdominal pain on
palpitation, fundal height at the costal margin, and some dark bloody show.
Varying accelerations and decelerations are noted on cardiotocography. These
findings are most consistent with which of the following?
Correct Answer:
Placental abruption
Which of the following is NOT considered goal-directed therapy for cardiogenic
shock?
Correct Answer:
Pericardiocentesis
A patient is found lying on the floor after falling 13 hours ago. Which of the
following laboratory values is expected with a musculoskeletal complication
associated with this presentation?
,Correct Answer:
Elevated creatinine kinase
Tearing of the bridging veins is most frequently associated with which brain
injury?
Correct Answer:
Subdural hematoma
What bedside monitoring parameters are used to assess for adequacy of
oxygenation and effectiveness of ventilation?
Correct Answer:
Pulse oximetry and capnography
Which of the following is a possible complication of positive-pressure
ventilation?
Correct Answer:
Worsening pneumothorax
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
Correct Answer:
Hypotension that worsens with inspiration
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs
upon arrival were B/P 110/60 mm Hg, HR 96 beats/minute and RR 24
breaths/minute. Her skin is cool and dry. Current vital signs are B/P 104/84 mm
Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is
demonstrating signs and symptoms of which stage of shock?
Correct Answer:
Compensated
Which pulse pressure description is an indication of early hypovolemic shock?
Correct Answer:
Narrowed
A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (CT) scanner will be
,out of service for several hours. The team gathers to plan accordingly. Which of
the following terms best describes this trauma team's communication?
Correct Answer:
Loop
A 36 year old female has a deformity of the L wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the next appropriate
intervention?
Correct Answer:
Apply a splint and elevate the extremity above the level of the heart
An intubated trauma patient is being transferred to a tertiary care center. After
moving the patient to the stretcher for transport, a drop in pulse oximetry to 85%
is noted. Which of the following is the priority intervention?
Correct Answer:
Check to make sure the ventilator is plugged in
Which of the following injuries is LEAST likely to be promptly identified?
Correct Answer:
bowel
Which of the following occurs during the third impact of a motor vehicle crash?
Correct Answer:
The aorta is torn at its attachment with the ligamentum arteriosum
What finding raises suspicion of a complete spinal cord injury?
Correct Answer:
priapism
A 20 year old male presents to the ED complaining of severe lower abdominal
pain after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and
scrotal ecchymosis. Which of the following orders would the nurse question?
Correct Answer:
Straight catheter for a urine sample
, A patient with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
Correct Answer:
Elevating the extremity to the level of the heart
Which of the following is a late sign of increased intracranial pressure?
Correct Answer:
nausea and vomiting
A 56 year old male patient involved in a motor vehicle crash is brought to the
emergency department of a rural critical access facility. He complains of neck
pain, shortness of breath, and diffuse abdominal pain. His GCS is 15. His vital
signs are as follows: BP 98/71, HR 125, RR26, SpO2 94% on high flow oxygen via
non-rebreather mask. Which of the following is the priority intervention for this
patient?
Correct Answer:
Expedite transfer to the closest trauma center.
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Correct Answer:
Bradycardia and absent motor function below the level of injury
Which of the following is a component of the trauma triad of death?
Correct Answer:
acidosis
EMS brings a patient who fell while riding his bicycle. Using the American
College of surgeons screening guidelines, which assessment findings would
prompt the nurse to prepare the patient for radiologic spine clearance?
Correct Answer:
Alert with no neurologic deficits
EMS arrives with the intoxicated driver of a car involved in a motor vehicle
crash. EMS reports significant damage to the drivers side of the car. The patient
and Answers (Verified Answers) (Latest Update )
UPDATE!! TNCC exam| Frequently Most Tested
Questions and Expert Guarantee Pass| 100%
Accurate ,Graded A+ And Brand New Version!!!
Which of the following mnemonics can help a nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
Correct Answer:
MARCH
You are caring for a patient who was involved in a motor vehicle crash and is 32
weeks pregnant. Findings of your secondary survey include abdominal pain on
palpitation, fundal height at the costal margin, and some dark bloody show.
Varying accelerations and decelerations are noted on cardiotocography. These
findings are most consistent with which of the following?
Correct Answer:
Placental abruption
Which of the following is NOT considered goal-directed therapy for cardiogenic
shock?
Correct Answer:
Pericardiocentesis
A patient is found lying on the floor after falling 13 hours ago. Which of the
following laboratory values is expected with a musculoskeletal complication
associated with this presentation?
,Correct Answer:
Elevated creatinine kinase
Tearing of the bridging veins is most frequently associated with which brain
injury?
Correct Answer:
Subdural hematoma
What bedside monitoring parameters are used to assess for adequacy of
oxygenation and effectiveness of ventilation?
Correct Answer:
Pulse oximetry and capnography
Which of the following is a possible complication of positive-pressure
ventilation?
Correct Answer:
Worsening pneumothorax
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
Correct Answer:
Hypotension that worsens with inspiration
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs
upon arrival were B/P 110/60 mm Hg, HR 96 beats/minute and RR 24
breaths/minute. Her skin is cool and dry. Current vital signs are B/P 104/84 mm
Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is
demonstrating signs and symptoms of which stage of shock?
Correct Answer:
Compensated
Which pulse pressure description is an indication of early hypovolemic shock?
Correct Answer:
Narrowed
A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (CT) scanner will be
,out of service for several hours. The team gathers to plan accordingly. Which of
the following terms best describes this trauma team's communication?
Correct Answer:
Loop
A 36 year old female has a deformity of the L wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the next appropriate
intervention?
Correct Answer:
Apply a splint and elevate the extremity above the level of the heart
An intubated trauma patient is being transferred to a tertiary care center. After
moving the patient to the stretcher for transport, a drop in pulse oximetry to 85%
is noted. Which of the following is the priority intervention?
Correct Answer:
Check to make sure the ventilator is plugged in
Which of the following injuries is LEAST likely to be promptly identified?
Correct Answer:
bowel
Which of the following occurs during the third impact of a motor vehicle crash?
Correct Answer:
The aorta is torn at its attachment with the ligamentum arteriosum
What finding raises suspicion of a complete spinal cord injury?
Correct Answer:
priapism
A 20 year old male presents to the ED complaining of severe lower abdominal
pain after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and
scrotal ecchymosis. Which of the following orders would the nurse question?
Correct Answer:
Straight catheter for a urine sample
, A patient with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
Correct Answer:
Elevating the extremity to the level of the heart
Which of the following is a late sign of increased intracranial pressure?
Correct Answer:
nausea and vomiting
A 56 year old male patient involved in a motor vehicle crash is brought to the
emergency department of a rural critical access facility. He complains of neck
pain, shortness of breath, and diffuse abdominal pain. His GCS is 15. His vital
signs are as follows: BP 98/71, HR 125, RR26, SpO2 94% on high flow oxygen via
non-rebreather mask. Which of the following is the priority intervention for this
patient?
Correct Answer:
Expedite transfer to the closest trauma center.
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Correct Answer:
Bradycardia and absent motor function below the level of injury
Which of the following is a component of the trauma triad of death?
Correct Answer:
acidosis
EMS brings a patient who fell while riding his bicycle. Using the American
College of surgeons screening guidelines, which assessment findings would
prompt the nurse to prepare the patient for radiologic spine clearance?
Correct Answer:
Alert with no neurologic deficits
EMS arrives with the intoxicated driver of a car involved in a motor vehicle
crash. EMS reports significant damage to the drivers side of the car. The patient
