TNCC 8TH EDITION QUESTIONS AND ANSWERS
2025 WITH CORRECT ANSWERS
The major cause of preventable death after injury - CORRECT ANSWER - Uncontrolled
hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the
outcome of resuscitation - CORRECT ANSWER - Base deficit
Examples of primary blast injuries - CORRECT ANSWER - Blast lung, ruptured
tympanic membrane, TBI, abdominal hemorrhage
Examples of secondary blast injuries - CORRECT ANSWER - Wounds from debris and
bomb fragments
Examples of tertiary blast injuries - CORRECT ANSWER - Blunt or penetrating trauma
from the body being thrown by the blast
Examples of quaternary blast injuries - CORRECT ANSWER - Injuries or illness related
to explosion: burns, toxic injury from chemicals
Examples of quinary blast injuries - CORRECT ANSWER - Injuries associated with
exposure to hazardous materials from the components of the blast
Questions to ask for airway assessment (need 4) - CORRECT ANSWER - Is the tongue
obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
, Is there blood, vomit, or secretions?
Questions to ask during breathing assessment. (Need 4) - CORRECT ANSWER - Is
there symmetrical chest rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
3 ways to assess ETT placement - CORRECT ANSWER - 1. Apply end tidal, assess
CO2 after 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
3. Auscultation over the epigastrium for gurgling and bilateral breath sounds.
What do you document after placing an ETT? - CORRECT ANSWER - ETT placement
at teeth or gums
Situations that require a definitive airway - CORRECT ANSWER - GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
Anticipate decreased neuro status
Severe maxo fractures
Laryngeal/tracheal injury
Where do you listen for breath sounds? - CORRECT ANSWER - 2nd intercostal space
at midclavicular line and
5th intercostal space at anterior axillary line
2025 WITH CORRECT ANSWERS
The major cause of preventable death after injury - CORRECT ANSWER - Uncontrolled
hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the
outcome of resuscitation - CORRECT ANSWER - Base deficit
Examples of primary blast injuries - CORRECT ANSWER - Blast lung, ruptured
tympanic membrane, TBI, abdominal hemorrhage
Examples of secondary blast injuries - CORRECT ANSWER - Wounds from debris and
bomb fragments
Examples of tertiary blast injuries - CORRECT ANSWER - Blunt or penetrating trauma
from the body being thrown by the blast
Examples of quaternary blast injuries - CORRECT ANSWER - Injuries or illness related
to explosion: burns, toxic injury from chemicals
Examples of quinary blast injuries - CORRECT ANSWER - Injuries associated with
exposure to hazardous materials from the components of the blast
Questions to ask for airway assessment (need 4) - CORRECT ANSWER - Is the tongue
obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
, Is there blood, vomit, or secretions?
Questions to ask during breathing assessment. (Need 4) - CORRECT ANSWER - Is
there symmetrical chest rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
3 ways to assess ETT placement - CORRECT ANSWER - 1. Apply end tidal, assess
CO2 after 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
3. Auscultation over the epigastrium for gurgling and bilateral breath sounds.
What do you document after placing an ETT? - CORRECT ANSWER - ETT placement
at teeth or gums
Situations that require a definitive airway - CORRECT ANSWER - GCS 8 or less
Apnea
Inhalation injury
Increased risk of aspiration
Anticipate decreased neuro status
Severe maxo fractures
Laryngeal/tracheal injury
Where do you listen for breath sounds? - CORRECT ANSWER - 2nd intercostal space
at midclavicular line and
5th intercostal space at anterior axillary line
