TNCC Final Exam Test 2023 Question and Answers
TNCC ( Trauma Nursing Core Course ) Final Exam Test 2023- Open
Book / Graded A +
Page 1
, TNCC Final Exam Test 2023 Question and Answers
1.Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c .
A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular perfusion
C) to gauge end-organ perfusion and tissue hypoxia
D) to determine the underlying cause of shock
2.A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer: A .
A) compensated
B) Progressive
C) irreversible
D) decompensated
3.An elderly patient with a history of anticoagulant use presents after
a fall at home that day. She denies any loss of consciousness. She
has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her
symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
Page 2
, TNCC Final Exam Test 2023 Question and Answers
D) subdural hematoma
4.EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath
5.Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger
6.A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal and
pelvic injuries are noted in the primary survey, which of the following
is the priority interventions?
Answer: A .
A) initiate transfer to a trauma center
B) provide report to the operating room nurse
C) Obtained imaging studies
Page 3
TNCC ( Trauma Nursing Core Course ) Final Exam Test 2023- Open
Book / Graded A +
Page 1
, TNCC Final Exam Test 2023 Question and Answers
1.Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c .
A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular perfusion
C) to gauge end-organ perfusion and tissue hypoxia
D) to determine the underlying cause of shock
2.A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer: A .
A) compensated
B) Progressive
C) irreversible
D) decompensated
3.An elderly patient with a history of anticoagulant use presents after
a fall at home that day. She denies any loss of consciousness. She
has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her
symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
Page 2
, TNCC Final Exam Test 2023 Question and Answers
D) subdural hematoma
4.EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath
5.Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger
6.A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal and
pelvic injuries are noted in the primary survey, which of the following
is the priority interventions?
Answer: A .
A) initiate transfer to a trauma center
B) provide report to the operating room nurse
C) Obtained imaging studies
Page 3
