TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - ANSA) Expedite transport to the CT scanner
prepare the patient for spinal radiographs
expedite transfer to the closest trauma center ***
notify the patients family
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 - ANSA) initiate transfer to a trauma center **
provide report to the operating room nurse
Obtained imaging studies
Place a gastric tube
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
A patient arrives with a large open chest wound after being assault ed with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it
on 3 sides. He is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST
appropriate interventions?
Answer: C - ANSA) needle decompression
tube thoracostomy
dressing removal **
surgical repair
A patient has been in the ED 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 c/o
leg pain. His wife reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. the patient is exhibiting signs of symptoms commonly associated with which of the
following conditions?
Answer: B - ANSA) acute lung injury
fat embolism ***
PTX
pulmonary contusion
A patient is found lying on the floor after falling 13 hours ago. Which of the following lab
values is expected with a musculoskeletal complication associated with this
presentation?
Answer: A - ANSA) elevated creatine kinase ***
decreased potassium level
decreased WBC
elevated GFR
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principle?
Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate
solution administration ***
Administer Dilaudid for pain control and provide comfort care
Place the patient in an observation area for care within the next few hours
Contact the command center for the personnel to notify next of kin.
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - ANSA) Bradycardia and ipsilateral absences of motor function
Tachycardia and respiratory depression
Tachycardia and absent motor function below the level of injury
Bradycardia and absent motor function below the level of the injury ***
A patient with 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?
Answer: C - ANSA) elevating the extremity above the level of the heart
repositioning and apply ice
Elevating the extremity to the level of the heart ***
Preparing the patient for ultrasound
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the
CT scanner will be out of service for several of hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma teams
communication?
Answer: D - ANSA) Brief
loop
debrief
huddle ***
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 - ANSA) compensated **
Progressive
irreversible
decompensated
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?
, TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
Answer: D - ANSA) epidural hematoma
diffuse axonal injury
post-concussive syndrome
subdural hematoma ***
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 interventions?
Answer: D - ANSA) call for a portable CXR stat
chest to make sure the ventilator is plugged in
suction the ET tube
confirm ET tube placement
An unresponsive trauma patient has an oropharyngeal airway in place, shallow and
labored respiratory, and dusky skin. the trauma team has administered medications for
drug assisted intubation and attempted intubation but was unsuccessful. What is the
most appropriate immediate next step?
Answer: A - ANSA) Ventilate with a BVM ***
Prepare for cricothyroidotomy
administer reversal medications
contact anesthesia for assistance
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient
is awake and crying with increased work of breathing and pale skin. which of the
following interventions has the highest priority?
Answer: A - ANSA) padding the upper back while stabilizing the cervical spine ***
applying a tight-fitting NRB mask with an attached resevior
establishing intravenous access and administering a 20mL/kg bolus
preparing for drug assisted intubation
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing interventions should be
performed next?
Answer: D - ANSA) open the airway with the head-tilt/chin lift maneuver
auscultate bilateral breath sounds to assess ventilatory status
assist respirations using a BVM
insert an oropharyngeal airway if there is no gag reflex ***
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - ANSA) Expedite transport to the CT scanner
prepare the patient for spinal radiographs
expedite transfer to the closest trauma center ***
notify the patients family
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 - ANSA) initiate transfer to a trauma center **
provide report to the operating room nurse
Obtained imaging studies
Place a gastric tube
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
A patient arrives with a large open chest wound after being assault ed with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it
on 3 sides. He is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST
appropriate interventions?
Answer: C - ANSA) needle decompression
tube thoracostomy
dressing removal **
surgical repair
A patient has been in the ED 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 c/o
leg pain. His wife reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. the patient is exhibiting signs of symptoms commonly associated with which of the
following conditions?
Answer: B - ANSA) acute lung injury
fat embolism ***
PTX
pulmonary contusion
A patient is found lying on the floor after falling 13 hours ago. Which of the following lab
values is expected with a musculoskeletal complication associated with this
presentation?
Answer: A - ANSA) elevated creatine kinase ***
decreased potassium level
decreased WBC
elevated GFR
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principle?
Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate
solution administration ***
Administer Dilaudid for pain control and provide comfort care
Place the patient in an observation area for care within the next few hours
Contact the command center for the personnel to notify next of kin.
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - ANSA) Bradycardia and ipsilateral absences of motor function
Tachycardia and respiratory depression
Tachycardia and absent motor function below the level of injury
Bradycardia and absent motor function below the level of the injury ***
A patient with 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?
Answer: C - ANSA) elevating the extremity above the level of the heart
repositioning and apply ice
Elevating the extremity to the level of the heart ***
Preparing the patient for ultrasound
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the
CT scanner will be out of service for several of hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma teams
communication?
Answer: D - ANSA) Brief
loop
debrief
huddle ***
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 - ANSA) compensated **
Progressive
irreversible
decompensated
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?
, TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM 2025 TEST BANK 250
QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A|100%
COMPLETE VERIFIED
Answer: D - ANSA) epidural hematoma
diffuse axonal injury
post-concussive syndrome
subdural hematoma ***
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 interventions?
Answer: D - ANSA) call for a portable CXR stat
chest to make sure the ventilator is plugged in
suction the ET tube
confirm ET tube placement
An unresponsive trauma patient has an oropharyngeal airway in place, shallow and
labored respiratory, and dusky skin. the trauma team has administered medications for
drug assisted intubation and attempted intubation but was unsuccessful. What is the
most appropriate immediate next step?
Answer: A - ANSA) Ventilate with a BVM ***
Prepare for cricothyroidotomy
administer reversal medications
contact anesthesia for assistance
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient
is awake and crying with increased work of breathing and pale skin. which of the
following interventions has the highest priority?
Answer: A - ANSA) padding the upper back while stabilizing the cervical spine ***
applying a tight-fitting NRB mask with an attached resevior
establishing intravenous access and administering a 20mL/kg bolus
preparing for drug assisted intubation
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing interventions should be
performed next?
Answer: D - ANSA) open the airway with the head-tilt/chin lift maneuver
auscultate bilateral breath sounds to assess ventilatory status
assist respirations using a BVM
insert an oropharyngeal airway if there is no gag reflex ***
