TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A 5-year-old child presents to the emergency department with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ansA.Report your suspicion of maltreatment in
accordance with local regulations
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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
A driver involved in a high-speed motor vehicle collision arrives in the emergency department.
The vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of
chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive
with no evidence of uncontrolled bleeding. Cardiac monitor shows premature ventricular
contractions. Which of the following is the most appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ansC.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during
a staffing crisis. The nurse expresses anger stating that the patients did not receive quality
care and begins exhibiting aggression toward colleagues. This is most consistent with which
condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ansD.Moral injury
A patient arrives following prolonged exposure of their left hand to the cold. The patient is
awake and alert and complains of a tingling sensation to the fingers. Assessment reveals
swelling and bright red skin to the left hand and a 1-inch round clear blister to the dorsum of
that hand. Which of the following nursing interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30 minutes
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?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ansD.Prepare the patient for surgery to
remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it on three
sides. The patient is now showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate
immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ansC.Dressing removal
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
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
A patient has been in the emergency department for several hours waiting to be admitted.
They sustained multiple rib fractures and a femur fracture after a fall. The patient has been
awake, alert, and complaining of leg pain. Their spouse reported that the patient 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 co - ansfat embolism
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the
priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ansC.Apply direct pressure to the wound
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in the left lower chest
A patient is brought to the emergency department following a snowmobile crash with
prolonged exposure time prior to transport. The patient is confused. Vital signs are BP 96/54
mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on
oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6
mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
A patient is brought to the emergency department with chest pain and shortness of breath
following a high-speed motor vehicle collision in which they were the unrestrained driver.
There is crepitus to the left chest with clear and equal breath sounds. The vital signs are BP
80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus
tachycardia with premature ventricular contractions. These findings are most consistent with
which type of shock?
A.Cardiogenic
B.Neuroge - ansA.Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin - ansB.Loss of reflexes
A patient is thrown against a car during a tornado and presents with obvious bilateral femur
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?
, TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the n - ansInitiate two large-caliber
intravenous lines for isotonic crystalloid administration.
A patient who sustained severe injuries was brought to the emergency department following a
high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated.
What component of the trauma triad of death is most likely to have begun at the time of
injury?
A.Acidosis
B.Hypothermia
C.Hypocalcemia
D.Coagulopathy - ansD.Coagulopathy
A patient who weighs 120 kg is brought to the emergency department after sustaining partial
thickness burns to both upper extremities and chest with a total body surface area burned of
27%. How much intravenous fluid should be administered in the first 8 hours?
A.1620 mL
B.2160 mL
C.3240 mL
D.6480 mL - ansC.3240 mL
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?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ansC.Elevating the leg to the level of the
heart
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66
kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an
indication of the body's response to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ansD.Widening pulse pressure
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A 5-year-old child presents to the emergency department with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ansA.Report your suspicion of maltreatment in
accordance with local regulations
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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
A driver involved in a high-speed motor vehicle collision arrives in the emergency department.
The vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of
chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive
with no evidence of uncontrolled bleeding. Cardiac monitor shows premature ventricular
contractions. Which of the following is the most appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ansC.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during
a staffing crisis. The nurse expresses anger stating that the patients did not receive quality
care and begins exhibiting aggression toward colleagues. This is most consistent with which
condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ansD.Moral injury
A patient arrives following prolonged exposure of their left hand to the cold. The patient is
awake and alert and complains of a tingling sensation to the fingers. Assessment reveals
swelling and bright red skin to the left hand and a 1-inch round clear blister to the dorsum of
that hand. Which of the following nursing interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30 minutes
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?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ansD.Prepare the patient for surgery to
remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it on three
sides. The patient is now showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate
immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ansC.Dressing removal
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
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
A patient has been in the emergency department for several hours waiting to be admitted.
They sustained multiple rib fractures and a femur fracture after a fall. The patient has been
awake, alert, and complaining of leg pain. Their spouse reported that the patient 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 co - ansfat embolism
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the
priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
,TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ansC.Apply direct pressure to the wound
A patient involved in a high-speed rollover is complaining of increased difficulty breathing.
There is a small penetrating wound to the sixth intercostal space in the left lateral chest.
Which finding is most consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in the left lower chest
A patient is brought to the emergency department following a snowmobile crash with
prolonged exposure time prior to transport. The patient is confused. Vital signs are BP 96/54
mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on
oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6
mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
A patient is brought to the emergency department with chest pain and shortness of breath
following a high-speed motor vehicle collision in which they were the unrestrained driver.
There is crepitus to the left chest with clear and equal breath sounds. The vital signs are BP
80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus
tachycardia with premature ventricular contractions. These findings are most consistent with
which type of shock?
A.Cardiogenic
B.Neuroge - ansA.Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is
consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin - ansB.Loss of reflexes
A patient is thrown against a car during a tornado and presents with obvious bilateral femur
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?
, TNCC 14th Edition TNP LATEST 2025 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the n - ansInitiate two large-caliber
intravenous lines for isotonic crystalloid administration.
A patient who sustained severe injuries was brought to the emergency department following a
high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated.
What component of the trauma triad of death is most likely to have begun at the time of
injury?
A.Acidosis
B.Hypothermia
C.Hypocalcemia
D.Coagulopathy - ansD.Coagulopathy
A patient who weighs 120 kg is brought to the emergency department after sustaining partial
thickness burns to both upper extremities and chest with a total body surface area burned of
27%. How much intravenous fluid should be administered in the first 8 hours?
A.1620 mL
B.2160 mL
C.3240 mL
D.6480 mL - ansC.3240 mL
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?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ansC.Elevating the leg to the level of the
heart
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66
kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an
indication of the body's response to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ansD.Widening pulse pressure
