TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
TNCC 9th Edition – b b b
b Questions andAnswers Graded A+
b b b b b
(SOLVED 2024/2025) b
Abadultbpatientbwithbabknifebinjurybtobthebneckbhasbanbintactbairwaybandbisbhemodynamicall
ybstable.bTheybcomplainbofbdifficultybswallowingbandbspeaking.bInbthebprimarybsurvey,bfurth
erbassessmentbisbindicatedbnextbforbwhichbofbthebfollowingbconditions?
a.bDamagebtobthebcervicalbspinebb
.bAnbexpandingbpneumothoraxbc.b
Lacerationbofbthebcarotidbartery
d.bInjurybtobthebthyroidbglandb-bansa.bDamagebtobthebcervicalbspine
Abpatientbarrivesbatbthebemergencybdepartmentbbybprivatebvehiclebafterbsustainingbanbinjur
ybtobthebrightblowerbextremitybwhilebusingbabsaw.bTherebisbablargebgapingbwoundbtobthebrightb
thighbareabwithbsignificantbbleeding.bWhatbisbthebprioritybintervention?
a.bElevatebthebextremitybtobtheblevelbofbthebheartbb
.bInitiatebdirectbpressure
c.bApplybabtourniquet
d.bCoverbthebopenbwoundbwithbsterilebsalinebdressingsb-bansb.bInitiatebdirectbpressure
Abpatientbfellbtwobweeksbago,bstrikingbtheirbhead.bToday,bthebpatientbpresentedbwithbabpers
istentbheadachebandbnauseabandbwasbdiagnosedbwithbabsmallbsubduralbhematoma.bThebp
atientbhasbbeenbinbthebEDbforb24bhoursbawaitingbanbinpatientbbed.bThebnightbshiftbnursebre
portsbthebpatientbhasbbeenbanxious,brestless,bshaky,bandbvomitedbtwicebduringbthebnight.b
Thebpatientbstatesbtheybcouldn'tbsleepbbecausebabyoungbchildbkeptbcomingbintobthebroom.b
Whatbisbthebmostblikelybcausebforbthesebsignsbandbsymptoms?
ba.bincreasebintracranialbpressureb
b.balcoholbwithdrawal
c.brhabdomyolysis
d.bpulmonarybembolusb-bansb.balcoholbwithdrawal
AbpatientbinvolvedbinbabMVCbhasbsustainedbabfracturebtobthebsecondbribbofbthebanteriorbleftbch
est.bWhichbconcurrentbinjurybisbmostbcommonlybassociatedbwithbthisbfracture?
a.b Bluntb cardiacb injurybb
.bBrachialbplexusbinjurybc.
bPneumothorax
d.bHemothoraxb-bansb.bBrachialbplexusbinjury
AbpatientbwithbabspinalbcordbinjurybatbC5bisbbeingbcaredbforbinbthebemergencybdepartmentbw
hilebawaitingbtransportbtobabtraumabcenter.bWhichbofbthebfollowingbrepresentsbthebhighestb
prioritybforbongoingbassessmentbandbmanagementbforbthisbpatient?
a. maintainbadequatebrespiratorybstatus.
,TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
b. administerbbalancedbresuscitationbfluid
c. performbserialbassessmentsbofbneurologicbfunction
d. maintainbcorebtemperatureb-bansa.bmaintainbadequatebrespiratorybstatus
,TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
Abtraumabnursebcaredbforbabchildbwithbdevastatingbburnsbtwobweeksbago.bThebnursebcalled
binbsickbforbabcouplebofbdaysbandbisbnowbbackb workingbonbthebteam.bWhichbofbtheb
followingbb
ehaviorsbwouldbindicatebthisbnursebisbcopingbwell?
a.bTheybarebtalkingbaboutbtakingbthebemergencybnursingbcertificationbexamination.bb.b
Theybkeepbrequestingbtobbebassignedbtobthebwalk-in/ambulatorybarea
c.bTheybarebimpatientbandbsnapbatbtheirbcoworkers.
d.bTheybarebthinkingbaboutbtransferringboutbofbthebemergencybdepartment.b-
bansa.bTheyb arebtalkingbaboutbtakingbthebemergencybnursingbcertificationbexamination.
Followingbabbombbexplosion,bfragmentationbinjuriesbfrombthebbombborbobjectsbinbthebenviro
nmentbarebexamplesbofbwhichbphasebofbinjury?
a. primary
b. secondaryb
c.btertiary
d.bquaternaryb-bansb.bsecondary
Inbabpatientbwithbseverebtraumaticbbrainbinjury,bhypocapniabcausesbwhichbcondition?ba.b
Respiratorybacidosis
b.bMetabolicbacidosisb
c.bNeurogenicbshock
d.bCerebralbvasoconstrictionb-bansd.bCerebralbvasoconstriction
Thebgeneralbimpressionbstepbinbthebinitialbassessmentbprovidesbthebopportunitybtobdobwhic
hbofbthebfollowing?
a.bAssessbforbuncontrolledbinternalbhemorrhagebb
.bAccuratelybtriagebthebpatient
c.bReprioritizebcirculationbbeforebairwayborbbreathing.
d.bActivatebthebtraumabteamb-bansc.bReprioritizebcirculationbbeforebairwayborbbreathing.
Thebnursebisbobtainingbabhistorybforbabpatientbwhobpresentsbfollowingbsexualbassault.bThisbhist
orybisbcompletedbusingbwhichbofbthebfollowingbtechniques?
a.bBringbthebfamilybinbtobthebinterviewbroom.bb.
bUsebdirectbquotesbtobrecordbinformation.
c.bObtainbinformationbspecificbonlybtobthebassault.
d.bProvidebfoodbandbdrinkbtobhelpbcreatebrapport.b-
bansb.bUsebdirectbquotesbtobrecordb information.
Thebvitalbsignsbofbabpregnantbtraumabpatientbatb30bweeksbincludebabbloodbpressurebofb94/
62bmmbHgbandbabheartbratebofb108bbeats/minute.bFetalbheartbtonesbareb124bbeats/minute
.bThebemergencybnursebinterpretsbthebpatient'sbhemodynamicbfindingsbasbanbindicationbofb
whichbofbthebfollowing?
a. Decompensatedbshock
b. Normalbvitalbsignsbinbpregnancyb
c.bCompensatedbshock
, TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
d.bSupinebhypotensionbsyndromeb-bansb.bNormalbvitalbsignsbinbpregnancy
Treatmentbforbfrostbitebcanbincludebwhichbofbthebfollowingbinterventions?ba.b
warmbthebaffectedbpartboverb30-60bminutes
b.busebgentlebfrictionbtobimprovebcirculationbc.
badministerbtissuebplasminogenbactivator
d.bleaveballbofbthebblistersbintactb-bansc.badministerbtissuebplasminogenbactivator
Understandingbthebkinematicbconceptsbassociatedbwithbthebmechanismbofbinjurybandben
ergybtransferbcanbinitiallybassistbthebtraumabcarebproviderbinbwhichbofbthebfollowing?ba.bAn
ticipatingbthebtypesbofbinjuriesbthatbmaybbebpresent
b.bDecidingbwhetherblawbenforcementbshouldbbebnotifiedbc.b
Determiningbneededblaboratorybtests
d.bPredictingbthebneedbforbabsurgicalbprocedureb-
bansa.bAnticipatingbthebtypesbofbinjuriesb thatbmaybbebpresent
Whatbisbthebappropriatebtechniquebforbpalpatingbthebpelvisbforbstability?b
a.bApplybgentlebpressureboverbthebiliacbcrests,bdownwardbandblaterally.bb
.bApplybgentlebpressureboverbthebiliacbcrests,bdownwardbandbmedially.bc.b
Applybfirmbpressureboverbthebiliacbcrests,bdownwardbandblaterally.
d.bApplybfirmbpressureboverbthebiliacbcrests,bdownwardbandbmedially.b-
bansb.bApplybgentlebpressureboverbthebiliacbcrests,bdownwardbandbmedially.
Whatbisbthebbestbmeasurebofbthebadequacybofbcellularbperfusionbandbcanbhelpbtobpredictbthe
boutcomebofbresuscitation?
a.bEnd-
tidalbcarbonbdioxidebb.bHem
atocritblevel
c.bBasebdeficit
d.bOxygenbsaturationb-bansc.bBasebdeficit
Whatbisbthebbestbpositionbforbmaintainingbanbopenbairwaybinbthebobesebpatient?ba.b
Prone
b. Supine
c. ReversebTrendelenburg
d. Rightblateralbrecumbentb-bansc.bReversebTrendelenburg
Whatbisbthebleadingbcausebofbpreventablebdeathbforbthebtraumabpatientbinbthebprehospitalbe
nvironment?
a.b Airwayb compromiseb
b.bIneffectivebventilationb
c.bSecondarybheadbinjury
d.bUncontrolledbexternalbhemorrhageb-bansd.bUncontrolledbexternalbhemorrhage
TNCC 9th Edition – b b b
b Questions andAnswers Graded A+
b b b b b
(SOLVED 2024/2025) b
Abadultbpatientbwithbabknifebinjurybtobthebneckbhasbanbintactbairwaybandbisbhemodynamicall
ybstable.bTheybcomplainbofbdifficultybswallowingbandbspeaking.bInbthebprimarybsurvey,bfurth
erbassessmentbisbindicatedbnextbforbwhichbofbthebfollowingbconditions?
a.bDamagebtobthebcervicalbspinebb
.bAnbexpandingbpneumothoraxbc.b
Lacerationbofbthebcarotidbartery
d.bInjurybtobthebthyroidbglandb-bansa.bDamagebtobthebcervicalbspine
Abpatientbarrivesbatbthebemergencybdepartmentbbybprivatebvehiclebafterbsustainingbanbinjur
ybtobthebrightblowerbextremitybwhilebusingbabsaw.bTherebisbablargebgapingbwoundbtobthebrightb
thighbareabwithbsignificantbbleeding.bWhatbisbthebprioritybintervention?
a.bElevatebthebextremitybtobtheblevelbofbthebheartbb
.bInitiatebdirectbpressure
c.bApplybabtourniquet
d.bCoverbthebopenbwoundbwithbsterilebsalinebdressingsb-bansb.bInitiatebdirectbpressure
Abpatientbfellbtwobweeksbago,bstrikingbtheirbhead.bToday,bthebpatientbpresentedbwithbabpers
istentbheadachebandbnauseabandbwasbdiagnosedbwithbabsmallbsubduralbhematoma.bThebp
atientbhasbbeenbinbthebEDbforb24bhoursbawaitingbanbinpatientbbed.bThebnightbshiftbnursebre
portsbthebpatientbhasbbeenbanxious,brestless,bshaky,bandbvomitedbtwicebduringbthebnight.b
Thebpatientbstatesbtheybcouldn'tbsleepbbecausebabyoungbchildbkeptbcomingbintobthebroom.b
Whatbisbthebmostblikelybcausebforbthesebsignsbandbsymptoms?
ba.bincreasebintracranialbpressureb
b.balcoholbwithdrawal
c.brhabdomyolysis
d.bpulmonarybembolusb-bansb.balcoholbwithdrawal
AbpatientbinvolvedbinbabMVCbhasbsustainedbabfracturebtobthebsecondbribbofbthebanteriorbleftbch
est.bWhichbconcurrentbinjurybisbmostbcommonlybassociatedbwithbthisbfracture?
a.b Bluntb cardiacb injurybb
.bBrachialbplexusbinjurybc.
bPneumothorax
d.bHemothoraxb-bansb.bBrachialbplexusbinjury
AbpatientbwithbabspinalbcordbinjurybatbC5bisbbeingbcaredbforbinbthebemergencybdepartmentbw
hilebawaitingbtransportbtobabtraumabcenter.bWhichbofbthebfollowingbrepresentsbthebhighestb
prioritybforbongoingbassessmentbandbmanagementbforbthisbpatient?
a. maintainbadequatebrespiratorybstatus.
,TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
b. administerbbalancedbresuscitationbfluid
c. performbserialbassessmentsbofbneurologicbfunction
d. maintainbcorebtemperatureb-bansa.bmaintainbadequatebrespiratorybstatus
,TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
Abtraumabnursebcaredbforbabchildbwithbdevastatingbburnsbtwobweeksbago.bThebnursebcalled
binbsickbforbabcouplebofbdaysbandbisbnowbbackb workingbonbthebteam.bWhichbofbtheb
followingbb
ehaviorsbwouldbindicatebthisbnursebisbcopingbwell?
a.bTheybarebtalkingbaboutbtakingbthebemergencybnursingbcertificationbexamination.bb.b
Theybkeepbrequestingbtobbebassignedbtobthebwalk-in/ambulatorybarea
c.bTheybarebimpatientbandbsnapbatbtheirbcoworkers.
d.bTheybarebthinkingbaboutbtransferringboutbofbthebemergencybdepartment.b-
bansa.bTheyb arebtalkingbaboutbtakingbthebemergencybnursingbcertificationbexamination.
Followingbabbombbexplosion,bfragmentationbinjuriesbfrombthebbombborbobjectsbinbthebenviro
nmentbarebexamplesbofbwhichbphasebofbinjury?
a. primary
b. secondaryb
c.btertiary
d.bquaternaryb-bansb.bsecondary
Inbabpatientbwithbseverebtraumaticbbrainbinjury,bhypocapniabcausesbwhichbcondition?ba.b
Respiratorybacidosis
b.bMetabolicbacidosisb
c.bNeurogenicbshock
d.bCerebralbvasoconstrictionb-bansd.bCerebralbvasoconstriction
Thebgeneralbimpressionbstepbinbthebinitialbassessmentbprovidesbthebopportunitybtobdobwhic
hbofbthebfollowing?
a.bAssessbforbuncontrolledbinternalbhemorrhagebb
.bAccuratelybtriagebthebpatient
c.bReprioritizebcirculationbbeforebairwayborbbreathing.
d.bActivatebthebtraumabteamb-bansc.bReprioritizebcirculationbbeforebairwayborbbreathing.
Thebnursebisbobtainingbabhistorybforbabpatientbwhobpresentsbfollowingbsexualbassault.bThisbhist
orybisbcompletedbusingbwhichbofbthebfollowingbtechniques?
a.bBringbthebfamilybinbtobthebinterviewbroom.bb.
bUsebdirectbquotesbtobrecordbinformation.
c.bObtainbinformationbspecificbonlybtobthebassault.
d.bProvidebfoodbandbdrinkbtobhelpbcreatebrapport.b-
bansb.bUsebdirectbquotesbtobrecordb information.
Thebvitalbsignsbofbabpregnantbtraumabpatientbatb30bweeksbincludebabbloodbpressurebofb94/
62bmmbHgbandbabheartbratebofb108bbeats/minute.bFetalbheartbtonesbareb124bbeats/minute
.bThebemergencybnursebinterpretsbthebpatient'sbhemodynamicbfindingsbasbanbindicationbofb
whichbofbthebfollowing?
a. Decompensatedbshock
b. Normalbvitalbsignsbinbpregnancyb
c.bCompensatedbshock
, TNCCb9thbEditionb–bQuestionsbandbAnswersbGradedb A+b(SOLVEDb2024/2025)
d.bSupinebhypotensionbsyndromeb-bansb.bNormalbvitalbsignsbinbpregnancy
Treatmentbforbfrostbitebcanbincludebwhichbofbthebfollowingbinterventions?ba.b
warmbthebaffectedbpartboverb30-60bminutes
b.busebgentlebfrictionbtobimprovebcirculationbc.
badministerbtissuebplasminogenbactivator
d.bleaveballbofbthebblistersbintactb-bansc.badministerbtissuebplasminogenbactivator
Understandingbthebkinematicbconceptsbassociatedbwithbthebmechanismbofbinjurybandben
ergybtransferbcanbinitiallybassistbthebtraumabcarebproviderbinbwhichbofbthebfollowing?ba.bAn
ticipatingbthebtypesbofbinjuriesbthatbmaybbebpresent
b.bDecidingbwhetherblawbenforcementbshouldbbebnotifiedbc.b
Determiningbneededblaboratorybtests
d.bPredictingbthebneedbforbabsurgicalbprocedureb-
bansa.bAnticipatingbthebtypesbofbinjuriesb thatbmaybbebpresent
Whatbisbthebappropriatebtechniquebforbpalpatingbthebpelvisbforbstability?b
a.bApplybgentlebpressureboverbthebiliacbcrests,bdownwardbandblaterally.bb
.bApplybgentlebpressureboverbthebiliacbcrests,bdownwardbandbmedially.bc.b
Applybfirmbpressureboverbthebiliacbcrests,bdownwardbandblaterally.
d.bApplybfirmbpressureboverbthebiliacbcrests,bdownwardbandbmedially.b-
bansb.bApplybgentlebpressureboverbthebiliacbcrests,bdownwardbandbmedially.
Whatbisbthebbestbmeasurebofbthebadequacybofbcellularbperfusionbandbcanbhelpbtobpredictbthe
boutcomebofbresuscitation?
a.bEnd-
tidalbcarbonbdioxidebb.bHem
atocritblevel
c.bBasebdeficit
d.bOxygenbsaturationb-bansc.bBasebdeficit
Whatbisbthebbestbpositionbforbmaintainingbanbopenbairwaybinbthebobesebpatient?ba.b
Prone
b. Supine
c. ReversebTrendelenburg
d. Rightblateralbrecumbentb-bansc.bReversebTrendelenburg
Whatbisbthebleadingbcausebofbpreventablebdeathbforbthebtraumabpatientbinbthebprehospitalbe
nvironment?
a.b Airwayb compromiseb
b.bIneffectivebventilationb
c.bSecondarybheadbinjury
d.bUncontrolledbexternalbhemorrhageb-bansd.bUncontrolledbexternalbhemorrhage
