TNCC 9TH EDITION EXAM AND
ITS CORRECT ANSWERS
Which intervention is recommended regarding the use
of drug-assisted intubation and rapid sequence
intubation?
Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an
older adult places them at a higher risk for aspiration?
Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete
spinal cord injury at L1. Which finding would indicate
sacral sparing?
Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and
full thickness burns to 32% of their body 2 hours prior
to arrival. Intravenous fluid resuscitation was
calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the
nurse anticipate?
Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury
following a 20-foot fall. Which finding is consistent
with spinal shock?
Loss of reflexes
A patient is brought to the emergency department
following a motor vehicle rollover and is complaining
of left upper abdominal pain and left shoulder pain.
, This presentation is most consistent with an injury to
which organ?
Spleen
An adult patient is brought to the emergency
department following a motor vehicle collision with
complaints of neck pain. They have identified as a
person in the process of transitioning from male to
female. What effect of hormone therapy should be
considered when planning care for this patient?
Testosterone therapy may decrease blood pressure
Correct rationale: A person who is in the process of
transitioning from male to female will usually be taking
female hormones such as estrogen/estradiol to assist with
the transition. This can cause a decrease in muscle mass,
increased risk of thromboembolism, and possibly
increased bone density. These patients would not be
taking testosterone.
An adult patient presents to the emergency
department after sustaining severe facial injuries
during an altercation. The patient is awake, confused,
and smells heavily of alcohol. Pulse oximetry is 94%
on room air. Immediate intubation should be
anticipated based on which clinical indicator?
Severe facial injuries
A patient involved in a high-speed rollover is
complaining of increased difficulty breathing. There is
a small penetrating wound to the sixth intercostal
space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm?
Bowel sounds heard in the left lower chest
ITS CORRECT ANSWERS
Which intervention is recommended regarding the use
of drug-assisted intubation and rapid sequence
intubation?
Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an
older adult places them at a higher risk for aspiration?
Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete
spinal cord injury at L1. Which finding would indicate
sacral sparing?
Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and
full thickness burns to 32% of their body 2 hours prior
to arrival. Intravenous fluid resuscitation was
calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the
nurse anticipate?
Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury
following a 20-foot fall. Which finding is consistent
with spinal shock?
Loss of reflexes
A patient is brought to the emergency department
following a motor vehicle rollover and is complaining
of left upper abdominal pain and left shoulder pain.
, This presentation is most consistent with an injury to
which organ?
Spleen
An adult patient is brought to the emergency
department following a motor vehicle collision with
complaints of neck pain. They have identified as a
person in the process of transitioning from male to
female. What effect of hormone therapy should be
considered when planning care for this patient?
Testosterone therapy may decrease blood pressure
Correct rationale: A person who is in the process of
transitioning from male to female will usually be taking
female hormones such as estrogen/estradiol to assist with
the transition. This can cause a decrease in muscle mass,
increased risk of thromboembolism, and possibly
increased bone density. These patients would not be
taking testosterone.
An adult patient presents to the emergency
department after sustaining severe facial injuries
during an altercation. The patient is awake, confused,
and smells heavily of alcohol. Pulse oximetry is 94%
on room air. Immediate intubation should be
anticipated based on which clinical indicator?
Severe facial injuries
A patient involved in a high-speed rollover is
complaining of increased difficulty breathing. There is
a small penetrating wound to the sixth intercostal
space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm?
Bowel sounds heard in the left lower chest
