TNCC 9th Edition TNP with questions
and well verified answers actual
exam!!! 2026
A 5-year-old child presents to the emergency department with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of injury
D.Provide the family with injury prevention resources - ANSWER -A.Report your
suspicion of maltreatment in accordance with local regulations
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER -Globe rupture
A driver involved in a high-speed motor vehicle collision arrives in the emergency department.
The vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of
chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with
no evidence of uncontrolled bleeding. Cardiac monitor shows premature ventricular
contractions. Which of the following is the most appropriate intervention for this patient?
,A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Hemostatic resuscitation - ANSWER -C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during a
staffing crisis. The nurse expresses anger stating that the patients did not receive quality care
and begins exhibiting aggression toward colleagues. This is most consistent with which
condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ANSWER -D.Moral injury
A patient arrives following prolonged exposure of their left hand to the cold. The patient is
awake and alert and complains of a tingling sensation to the fingers. Assessment reveals
swelling and bright red skin to the left hand and a 1-inch round clear blister to the dorsum of
that hand. Which of the following nursing interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5oC and 39.5oC (99.5oF to 103.1oF).
D.Gently rewarm over 15 to 30 minutes - ANSWER -D.Gently rewarm over 15 to 30
minutes
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding.
Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
, D.Prepare the patient for surgery to remove the rod. - ANSWER -D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it on three
sides. The patient is now showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate
immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER -C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER -Voluntary anal sphincter tone
A patient has been in the emergency department for several hours waiting to be admitted.
They sustained multiple rib fractures and a femur fracture after a fall. The patient has been
awake, alert, and complaining of leg pain. Their spouse reported that the patient suddenly
became anxious and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. The patient is exhibiting signs and symptoms most
commonly associated with which of the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - ANSWER -fat embolism
and well verified answers actual
exam!!! 2026
A 5-year-old child presents to the emergency department with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of injury
D.Provide the family with injury prevention resources - ANSWER -A.Report your
suspicion of maltreatment in accordance with local regulations
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER -Globe rupture
A driver involved in a high-speed motor vehicle collision arrives in the emergency department.
The vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of
chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with
no evidence of uncontrolled bleeding. Cardiac monitor shows premature ventricular
contractions. Which of the following is the most appropriate intervention for this patient?
,A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Hemostatic resuscitation - ANSWER -C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during a
staffing crisis. The nurse expresses anger stating that the patients did not receive quality care
and begins exhibiting aggression toward colleagues. This is most consistent with which
condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ANSWER -D.Moral injury
A patient arrives following prolonged exposure of their left hand to the cold. The patient is
awake and alert and complains of a tingling sensation to the fingers. Assessment reveals
swelling and bright red skin to the left hand and a 1-inch round clear blister to the dorsum of
that hand. Which of the following nursing interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5oC and 39.5oC (99.5oF to 103.1oF).
D.Gently rewarm over 15 to 30 minutes - ANSWER -D.Gently rewarm over 15 to 30
minutes
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding.
Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
, D.Prepare the patient for surgery to remove the rod. - ANSWER -D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it on three
sides. The patient is now showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate
immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER -C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER -Voluntary anal sphincter tone
A patient has been in the emergency department for several hours waiting to be admitted.
They sustained multiple rib fractures and a femur fracture after a fall. The patient has been
awake, alert, and complaining of leg pain. Their spouse reported that the patient suddenly
became anxious and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. The patient is exhibiting signs and symptoms most
commonly associated with which of the following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - ANSWER -fat embolism
