TNCC 8th Edition Questions and correct Answers
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? Correct answers endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? Correct answers
subdural hematoma
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 answers
Elevated creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority intervention? Correct answers Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? Correct answers bowel
Which of the following patients warrants referral to a burn center? Correct answers A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he 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 follow conditions? Correct answers fat
embolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? Correct answers Apply a splint and
elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
, pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? Correct answers Expedite transfer to the closest
trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? Correct answers
CIWA-Ar of 36
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 answers huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? Correct answers Bradycardia and absent motor function below the level of
injury
Which of the following is true about the log-roll maneuver? Correct answers It can worsen cord damage
from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? Correct answers velocity
A 5-year-old child presents to the ED 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? Correct answers Report your suspicion of maltreatment in accordance with local
regulations
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 answers Straight catheter for urine sample
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 palpation, fundal height at the costal
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? Correct answers endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? Correct answers
subdural hematoma
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 answers
Elevated creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority intervention? Correct answers Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? Correct answers bowel
Which of the following patients warrants referral to a burn center? Correct answers A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he 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 follow conditions? Correct answers fat
embolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? Correct answers Apply a splint and
elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
, pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? Correct answers Expedite transfer to the closest
trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? Correct answers
CIWA-Ar of 36
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 answers huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? Correct answers Bradycardia and absent motor function below the level of
injury
Which of the following is true about the log-roll maneuver? Correct answers It can worsen cord damage
from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? Correct answers velocity
A 5-year-old child presents to the ED 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? Correct answers Report your suspicion of maltreatment in accordance with local
regulations
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 answers Straight catheter for urine sample
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 palpation, fundal height at the costal
