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TNCC 9TH EDITION, TNCC 9TH EDITION FINAL TEST, TNCC 9TH
EDITION WITH CORRECT 200 ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST ALREADY GRADED
A+ 2025 – 2026
A patient involved in an MVC has sustained a fracture to the second rib of the anterior left
chest. Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ANSWER-b. first and second rib fractures are commonly associated with great
vessel, head and spinal cord and brachial plexus injuries.
a. blunt cardiac injury-sternal fractures;
c. pneumothorax is most commonly associated with sternal fractures, multiple rib fractures, flail
chest
d. Hemothorax is most commonly associated with flail chest of multiple rib fractures
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 that may be present
b. deciding whether law enforcement should be notified
c. determining the need for lab tests
d. predicting the need for a surgical procedure - ANSWER-a. anticipating the types of injuries
that may be present
mechanism of injury and energy transfer can assist the provider in anticipating the types of
injuries that may be present and their severity
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In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. respiratory acidosis
b. metabolic acidosis
c. neurogenic shock
d. cerebral vasoconstriction - ANSWER-***d. hypocapnia, cause vasoconstriction especially in
the cerebral vasculature
a. hypercapnia from inadequate ventilation causes respiratory acidosis, not hypocapnia
b. metabolic acidosis results from tissue hypoperfusion and oxygen deficit, not hypocapnia
c. neurogenic shock is associated with spinal cord injuries and results in generalized
vasodilation. Hypocapnia causes vasoconstriction.
Which of the following 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 six seconds
b. delivers 100 % oxygen
c. squeeze the bag completely for each breath
d. maintain - ANSWER-a. compress the bag-mask at a rate of one breath every six seconds
What is the best measure of the adequacy of cellular perfusion and can help predict the
outcome of resuscitation?
a. end tidal CO2
b. Hematocrit level
c. Base deficit
d. Oxygen saturation - ANSWER-c. base deficit- serves as an endpoint measurement of the
adequacy of cellular perfusion and, when used in conjunction with serum lactate, helps predict
the success of resuscitation.
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a. End tidal CO2-end product of ventilation and a reflection of metabolism and pulmonary fxn.
What technique is most appropriate when obtaining a history?
a. sitting next to the patient
b. ensuring the patient answers all questions
c. asking for information only related to the assault
d. applying active listening - ANSWER-d. applying active listening
While performing an assessment on a 13-month old involved in a motor vehicle collision, the
nurse identifies which of the following findings from the patient as a sign of possible altered
mental status?
a. sunken fontanel
b. crying, but consolable
c. spontaneous movement of arms and legs
d. cooperation with the assessment - ANSWER-d. cooperation with the assessment
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has
been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient
has been anxious, restless, shaky, and vomited twice during the night. The patient states they
couldn't sleep because a young child kept coming into the room. What is the most likely cause
for these signs and symptoms? - ANSWER-B: Alcohol withdrawal is a common delayed condition
because symptoms are difficult to identify early. Signs include autonomic hyperactivity, hand
tremors, nausea or vomiting, psychomotor agitation, anxiety, insomnia, transient hallucinations,
or seizures
A: Signs of increased intracranial pressure include headache, nausea and vomiting, amnesia,
behavioral changes, and altered level of consciousness..
, 4|Page
C: Signs of rhabdomyolysis include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels.
D: Signs of pulmonary embolus include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds, jugular vein
distension, or hypotension.
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While
performing the head-to-toe assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
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
A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by private
vehicle. The patient is confused with unlabored respirations and has strong, palpable radial
pulses. There is an open wound in proximity to an obvious deformity of the left lower extremity.
What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
TNCC 9TH EDITION, TNCC 9TH EDITION FINAL TEST, TNCC 9TH
EDITION WITH CORRECT 200 ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST ALREADY GRADED
A+ 2025 – 2026
A patient involved in an MVC has sustained a fracture to the second rib of the anterior left
chest. Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ANSWER-b. first and second rib fractures are commonly associated with great
vessel, head and spinal cord and brachial plexus injuries.
a. blunt cardiac injury-sternal fractures;
c. pneumothorax is most commonly associated with sternal fractures, multiple rib fractures, flail
chest
d. Hemothorax is most commonly associated with flail chest of multiple rib fractures
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 that may be present
b. deciding whether law enforcement should be notified
c. determining the need for lab tests
d. predicting the need for a surgical procedure - ANSWER-a. anticipating the types of injuries
that may be present
mechanism of injury and energy transfer can assist the provider in anticipating the types of
injuries that may be present and their severity
,2|Page
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. respiratory acidosis
b. metabolic acidosis
c. neurogenic shock
d. cerebral vasoconstriction - ANSWER-***d. hypocapnia, cause vasoconstriction especially in
the cerebral vasculature
a. hypercapnia from inadequate ventilation causes respiratory acidosis, not hypocapnia
b. metabolic acidosis results from tissue hypoperfusion and oxygen deficit, not hypocapnia
c. neurogenic shock is associated with spinal cord injuries and results in generalized
vasodilation. Hypocapnia causes vasoconstriction.
Which of the following 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 six seconds
b. delivers 100 % oxygen
c. squeeze the bag completely for each breath
d. maintain - ANSWER-a. compress the bag-mask at a rate of one breath every six seconds
What is the best measure of the adequacy of cellular perfusion and can help predict the
outcome of resuscitation?
a. end tidal CO2
b. Hematocrit level
c. Base deficit
d. Oxygen saturation - ANSWER-c. base deficit- serves as an endpoint measurement of the
adequacy of cellular perfusion and, when used in conjunction with serum lactate, helps predict
the success of resuscitation.
,3|Page
a. End tidal CO2-end product of ventilation and a reflection of metabolism and pulmonary fxn.
What technique is most appropriate when obtaining a history?
a. sitting next to the patient
b. ensuring the patient answers all questions
c. asking for information only related to the assault
d. applying active listening - ANSWER-d. applying active listening
While performing an assessment on a 13-month old involved in a motor vehicle collision, the
nurse identifies which of the following findings from the patient as a sign of possible altered
mental status?
a. sunken fontanel
b. crying, but consolable
c. spontaneous movement of arms and legs
d. cooperation with the assessment - ANSWER-d. cooperation with the assessment
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has
been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient
has been anxious, restless, shaky, and vomited twice during the night. The patient states they
couldn't sleep because a young child kept coming into the room. What is the most likely cause
for these signs and symptoms? - ANSWER-B: Alcohol withdrawal is a common delayed condition
because symptoms are difficult to identify early. Signs include autonomic hyperactivity, hand
tremors, nausea or vomiting, psychomotor agitation, anxiety, insomnia, transient hallucinations,
or seizures
A: Signs of increased intracranial pressure include headache, nausea and vomiting, amnesia,
behavioral changes, and altered level of consciousness..
, 4|Page
C: Signs of rhabdomyolysis include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels.
D: Signs of pulmonary embolus include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds, jugular vein
distension, or hypotension.
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While
performing the head-to-toe assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
C. Notify the physician
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
A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by private
vehicle. The patient is confused with unlabored respirations and has strong, palpable radial
pulses. There is an open wound in proximity to an obvious deformity of the left lower extremity.
What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
