TNCC 9TH EDITION EXAM -2025- WITH SET OF
QUESTIONS AND DETAILED CORRECT ANSWERS
ALREADYGRADED A+ GUARANTEED SUCCESS
During the primary survey, which tool is most effective in identifying the need for an airway
intervention? - correct answer > AVPU
What type of wound is most likely to become embedded with gravel or dirt causing a black, blue, or grey
discoloration? - correct answer > Abrasion
An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated
via a bag-mask device at a rate of 18 breaths/minute with clear breath sounds bilaterally. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30
mm Hg (4.0 kPa), and the pulse oximetry is 96%. BP is 142/70 mm Hg. What is the most important
intervention to manage cerebral blood flow? - correct answer > Decrease the rate of manual ventilation
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? - correct answer > 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? - correct answer > 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? - correct answer > 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? -
correct answer > Testosterone therapy may decrease blood pressure
, 2
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? - correct answer > Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing? - correct answer > Voluntary anal sphincter tone
.
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? - correct answer >
Severe facial injuries
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? - correct answer > Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications, which position will
provide the best visualization for insertion of the endotracheal tube? - correct answer > Ramped
A patient who jumped out of a second-floor window landing on their feet is diagnosed with a lumbar
spine fracture. What is the most likely concurrent injury to have occurred? - correct answer > Calcaneus
fracture
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which
intervention is most appropriate for this patient? - correct answer > Prepare the patient for surgery to
remove the rod
Which findings are most consistent with a complete transection of the spinal cord? - correct answer >
Absence of sensory and motor function below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at the scene but
became responsive with initial and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6).
The patient has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next assessment
QUESTIONS AND DETAILED CORRECT ANSWERS
ALREADYGRADED A+ GUARANTEED SUCCESS
During the primary survey, which tool is most effective in identifying the need for an airway
intervention? - correct answer > AVPU
What type of wound is most likely to become embedded with gravel or dirt causing a black, blue, or grey
discoloration? - correct answer > Abrasion
An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated
via a bag-mask device at a rate of 18 breaths/minute with clear breath sounds bilaterally. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30
mm Hg (4.0 kPa), and the pulse oximetry is 96%. BP is 142/70 mm Hg. What is the most important
intervention to manage cerebral blood flow? - correct answer > Decrease the rate of manual ventilation
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? - correct answer > 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? - correct answer > 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? - correct answer > 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? -
correct answer > Testosterone therapy may decrease blood pressure
, 2
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? - correct answer > Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing? - correct answer > Voluntary anal sphincter tone
.
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? - correct answer >
Severe facial injuries
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? - correct answer > Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications, which position will
provide the best visualization for insertion of the endotracheal tube? - correct answer > Ramped
A patient who jumped out of a second-floor window landing on their feet is diagnosed with a lumbar
spine fracture. What is the most likely concurrent injury to have occurred? - correct answer > Calcaneus
fracture
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which
intervention is most appropriate for this patient? - correct answer > Prepare the patient for surgery to
remove the rod
Which findings are most consistent with a complete transection of the spinal cord? - correct answer >
Absence of sensory and motor function below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at the scene but
became responsive with initial and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6).
The patient has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next assessment
