TNCC 9TH EDITION SET OF QUESTIONS AND
ACCRATE CORRECT ANSWERS ALREADY
GRADED A+ QUARRANTEED SUSSES
1. Which of the following accurately describes ventilation principles associated with use of a bag-
mask device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds
B. Delivers 100% oxygen
C. Squeeze the bag-mask device completely for each breath
D. Maintain the oxygen saturation levels between 92% and 94% - correct answer > A.
Compress the bag-mask device at a rate of one breath every 6 seconds
2. The general impression step in the initial assessment provides the opportunity to do which of
the following?
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team - correct answer > C. Reprioritize circulation before airway or
breathing
3. A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - correct answer > A. Maintain adequate respiratory
statusSpinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
, resulting in paralyzed diaphragm and inability to breathe. Maintenance of respiratory
function is the highest priority.
4. What is the lead cause of preventable death for the trauma patient in the prehospital
environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - correct answer > D. Uncontrolled external
hemorrhage
5. Uncontrolled external hemorrhage is the leading cause of preventable death after injury in the
prehospital environment; assessment to identify uncontrolled external hemorrhage is key to the
initial assessment process, beginning with the general impression.
6. Understanding the kinematic concepts associated with the mechanism of injury and energy
transfer can initially assist the trauma care provider in which of the following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - correct answer > A. Anticipating the types
of injuries the may be present
7. Mechanism of injury and energy transfer can assist the provider in anticipating and evaluation
the types of injuries that may be present and their severity.
8. A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
for a couple of days and is now back working on the team. Which of the following behaviors
would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification examination
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
, D. They are thinking about transferring out of the emergency department - correct answer
> A. They are talking about taking the emergency nursing certification examination
9. A patient is brought to the emergency department of a rural hospital, following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - correct answer > A. Initiate transfer to a trauma
center
10. A patient with a 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?
11. A.Elevating the leg above the level of the heart
12. B.Repositioning the leg and applying ice
13. C.Elevating the leg to the level of the heart
14. D.Preparing the patient for ultrasound of the leg - correct answer > C.Elevating the leg to the
level of the heart
15. *A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
16. A.Oculomotor nerve palsy
17. B.Globe rupture
18. C.Retrobulbar hematoma
19. D.Retinal detachment - correct answer > B.Globe rupture
*An adult was thrown against a concrete wall during a factory explosion and sustained a femur fracture,
liver laceration, and a small subdural hematoma. These injuries most likely occurred during what level of
blast trauma?
, A.Primary
B.Secondary
C.Tertiary
D.Quaternary - correct answer > C.Tertiary
An adult patient was brought to the emergency department following a motorcycle crash. On arrival, the
patient is only responsive to pain, has bleeding from the nose, and multiple abrasions and contusions to
the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect - correct answer > C.Use a jaw thrust to open the
airway and look for signs of obstruction.
What technique is most appropriate when obtaining a history from a patient who has experienced a
sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening - correct answer > D. Applying active listening
*A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
ACCRATE CORRECT ANSWERS ALREADY
GRADED A+ QUARRANTEED SUSSES
1. Which of the following accurately describes ventilation principles associated with use of a bag-
mask device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds
B. Delivers 100% oxygen
C. Squeeze the bag-mask device completely for each breath
D. Maintain the oxygen saturation levels between 92% and 94% - correct answer > A.
Compress the bag-mask device at a rate of one breath every 6 seconds
2. The general impression step in the initial assessment provides the opportunity to do which of
the following?
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team - correct answer > C. Reprioritize circulation before airway or
breathing
3. A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - correct answer > A. Maintain adequate respiratory
statusSpinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
, resulting in paralyzed diaphragm and inability to breathe. Maintenance of respiratory
function is the highest priority.
4. What is the lead cause of preventable death for the trauma patient in the prehospital
environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - correct answer > D. Uncontrolled external
hemorrhage
5. Uncontrolled external hemorrhage is the leading cause of preventable death after injury in the
prehospital environment; assessment to identify uncontrolled external hemorrhage is key to the
initial assessment process, beginning with the general impression.
6. Understanding the kinematic concepts associated with the mechanism of injury and energy
transfer can initially assist the trauma care provider in which of the following?
A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - correct answer > A. Anticipating the types
of injuries the may be present
7. Mechanism of injury and energy transfer can assist the provider in anticipating and evaluation
the types of injuries that may be present and their severity.
8. A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
for a couple of days and is now back working on the team. Which of the following behaviors
would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification examination
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
, D. They are thinking about transferring out of the emergency department - correct answer
> A. They are talking about taking the emergency nursing certification examination
9. A patient is brought to the emergency department of a rural hospital, following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - correct answer > A. Initiate transfer to a trauma
center
10. A patient with a 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?
11. A.Elevating the leg above the level of the heart
12. B.Repositioning the leg and applying ice
13. C.Elevating the leg to the level of the heart
14. D.Preparing the patient for ultrasound of the leg - correct answer > C.Elevating the leg to the
level of the heart
15. *A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
16. A.Oculomotor nerve palsy
17. B.Globe rupture
18. C.Retrobulbar hematoma
19. D.Retinal detachment - correct answer > B.Globe rupture
*An adult was thrown against a concrete wall during a factory explosion and sustained a femur fracture,
liver laceration, and a small subdural hematoma. These injuries most likely occurred during what level of
blast trauma?
, A.Primary
B.Secondary
C.Tertiary
D.Quaternary - correct answer > C.Tertiary
An adult patient was brought to the emergency department following a motorcycle crash. On arrival, the
patient is only responsive to pain, has bleeding from the nose, and multiple abrasions and contusions to
the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect - correct answer > C.Use a jaw thrust to open the
airway and look for signs of obstruction.
What technique is most appropriate when obtaining a history from a patient who has experienced a
sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening - correct answer > D. Applying active listening
*A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
