TNCC 8th Edition Provider Exam 2026
Exam Questions And Answers Already
Graded A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX maneuver.
Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
Which of the following orders would the nurse question? - CORRECT ANSWER-
Straight catheter for urine sample
You are treating a 27-year-old male in respiratory distress who was involved in a house
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
emergent intubation. At what rate should you begin fluid resuscitation? - CORRECT
ANSWER-500 mL/hr
A patient has been in the emergency department 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 complaining of leg pain. His wife reported that he suddenly
became anxious and confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the following conditions? -
CORRECT ANSWER-Fat embolism
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation? - CORRECT ANSWER-Pulse oximetry and
capnography
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - CORRECT ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - CORRECT ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing intervention should be
performed next? - CORRECT ANSWER-Insert an oropharyngeal airway if there is no
gag reflex
, Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax? - CORRECT ANSWER-Hypotension that worsens with
inspiration (pulsus paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT ANSWER-Hemoglobin does not readily release oxygen for use by the
tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms best
describes this trauma team's communication? - CORRECT ANSWER-Huddle
What finding raises suspicion of a complete spinal cord injury? - CORRECT ANSWER-
Priapism
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 capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles? - CORRECT ANSWER-Initiate two large-caliber
intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate intervention?
- CORRECT ANSWER-Apply a splint and elevate the extremity above the level of the
heart
Which of the following is a late sign of increased intracranial pressure? - CORRECT
ANSWER-Decreased respiratory effort
Tearing of the bridging veins is most frequently associated with which brain injury? -
CORRECT ANSWER-Subdural hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following? - CORRECT ANSWER-Placental abruption
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - CORRECT ANSWER-Bradycardia and
absent motor function below the level of injury
Exam Questions And Answers Already
Graded A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX maneuver.
Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
Which of the following orders would the nurse question? - CORRECT ANSWER-
Straight catheter for urine sample
You are treating a 27-year-old male in respiratory distress who was involved in a house
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
emergent intubation. At what rate should you begin fluid resuscitation? - CORRECT
ANSWER-500 mL/hr
A patient has been in the emergency department 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 complaining of leg pain. His wife reported that he suddenly
became anxious and confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the following conditions? -
CORRECT ANSWER-Fat embolism
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation? - CORRECT ANSWER-Pulse oximetry and
capnography
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - CORRECT ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - CORRECT ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing intervention should be
performed next? - CORRECT ANSWER-Insert an oropharyngeal airway if there is no
gag reflex
, Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax? - CORRECT ANSWER-Hypotension that worsens with
inspiration (pulsus paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT ANSWER-Hemoglobin does not readily release oxygen for use by the
tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms best
describes this trauma team's communication? - CORRECT ANSWER-Huddle
What finding raises suspicion of a complete spinal cord injury? - CORRECT ANSWER-
Priapism
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 capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles? - CORRECT ANSWER-Initiate two large-caliber
intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate intervention?
- CORRECT ANSWER-Apply a splint and elevate the extremity above the level of the
heart
Which of the following is a late sign of increased intracranial pressure? - CORRECT
ANSWER-Decreased respiratory effort
Tearing of the bridging veins is most frequently associated with which brain injury? -
CORRECT ANSWER-Subdural hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following? - CORRECT ANSWER-Placental abruption
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - CORRECT ANSWER-Bradycardia and
absent motor function below the level of injury
