t
ne
sh
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST
ne
BANK | INCLUDES 3 TESTED VERSIONS OF THE EXAM
la
WITH 50 MULTIPLE CHOICE QUESTIONS AND ANSWERS
tz
sh
Sp
| ALREADY GRADED A
ne
la
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
sh
Sp
a. Blunt cardiac injury
ne
b. Brachial plexus injury
la
c. Pneumothorax
d. Hemothorax
tz
sh
Sp
b. Brachial plexus injury
ne
A patient arrives at the emergency department by private vehicle after sustaining an injury to the
la
right lower extremity while using a saw. There is a large gaping wound to the right thigh area
with significant bleeding. What is the priority intervention?
sh
Sp
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
ne
c. Apply a tourniquet
la
d. Cover the open wound with sterile saline dressings
tz
sh
Sp
b. Initiate direct pressure
ne
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine la
sh
c. Reverse Trendelenburg
Sp
d. Right lateral recumbent
c. Reverse Trendelenburg
ne
la
Understanding the kinematic concepts associated with the mechanism of injury and energy
tz
sh
Sp
transfer can initially assist the trauma care provider in which of the following?
a. Anticipating the types of injuries that may be present
ne
b. Deciding whether law enforcement should be notified
la
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure
sh
Sp
a. Anticipating the types of injuries that may be present
ne
la
What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
tz
sh
a. Airway compromise
Sp
b. Ineffective ventilation
ne
la
sh
Sp
la
, t
ne
sh
c. Secondary head injury
ne
d. Uncontrolled external hemorrhage
la
d. Uncontrolled external hemorrhage
tz
sh
Sp
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
ne
assessment is indicated next for which of the following conditions?
la
a. Damage to the cervical spine
b. An expanding pneumothorax
sh
Sp
c. Laceration of the carotid artery
d. Injury to the thyroid gland
ne
la
a. Damage to the cervical spine
tz
What is the best measure of the adequacy of cellular perfusion and can help to predict the
sh
Sp
outcome of resuscitation?
ne
a. End-tidal carbon dioxide
la
b. Hematocrit level
c. Base deficit
sh
d. Oxygen saturation
Sp
c. Base deficit
ne
la
Which of the following is considered a cornerstone of a high-performance trauma team?
a. Individual goals
tz
sh
Sp
b. Use of TeamSTEPPS
c. Identification of a single decision maker
ne
d. Effective communication
d. Effective communication la
sh
Sp
The nurse is obtaining a history for a patient who presents following sexual assault. This history
ne
is completed using which of the following techniques?
la
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
tz
sh
c. Obtain information specific only to the assault.
Sp
d. Provide food and drink to help create rapport.
ne
b. Use direct quotes to record information.
la
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
sh
Sp
a. Respiratory acidosis
b. Metabolic acidosis
ne
c. Neurogenic shock
la
d. Cerebral vasoconstriction
tz
sh
Sp
d. Cerebral vasoconstriction
ne
la
sh
Sp
la
, t
ne
sh
What is the appropriate technique for palpating the pelvis for stability?
ne
a. Apply gentle pressure over the iliac crests, downward and laterally.
la
b. Apply gentle pressure over the iliac crests, downward and medially.
c. Apply firm pressure over the iliac crests, downward and laterally.
tz
sh
d. Apply firm pressure over the iliac crests, downward and medially.
Sp
b. Apply gentle pressure over the iliac crests, downward and medially.
ne
la
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
sh
Sp
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
ne
sleep because a young child kept coming into the room. What is the most likely cause for these
la
signs and symptoms?
tz
a. increase intracranial pressure
sh
Sp
b. alcohol withdrawal
ne
c. rhabdomyolysis
d. pulmonary embolus
la
b. alcohol withdrawal
sh
Sp
Treatment for frostbite can include which of the following interventions?
ne
a. warm the affected part over 30-60 minutes
la
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
tz
sh
Sp
d. leave all of the blisters intact
ne
c. administer tissue plasminogen activator
la
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
sh
Sp
ongoing assessment and management for this patient?
ne
a. maintain adequate respiratory status.
la
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
tz
sh
d. maintain core temperature
Sp
a. maintain adequate respiratory status
ne
la
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
sh
Sp
a. primary
b. secondary
ne
c. tertiary
la
d. quaternary
tz
sh
Sp
b. secondary
ne
la
sh
Sp
la
, t
ne
sh
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
ne
for a couple of days and is now back working on the team. Which of the following behaviors
la
would indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
tz
sh
b. They keep requesting to be assigned to the walk-in/ambulatory area
Sp
c. They are impatient and snap at their coworkers.
ne
d. They are thinking about transferring out of the emergency department.
la
a. They are talking about taking the emergency nursing certification examination.
sh
Sp
Which of the following accurately describes ventilation principles associated with use of a bag-
mask device for an adult?
ne
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
la
b. Delivers 100% oxygen.
tz
c. Squeeze the bag-mask device completely for each breath.
sh
Sp
d. Maintain the oxygen saturation levels between 92% and 94%.
ne
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
la
The general impression step in the initial assessment provides the opportunity to do which of the
sh
following?
Sp
a. Assess for uncontrolled internal hemorrhage
ne
b. Accurately triage the patient
la
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team
tz
sh
Sp
c. Reprioritize circulation before airway or breathing.
ne
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm
la
Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency
nurse interprets the patient's hemodynamic findings as an indication of which of the following?
sh
Sp
a. Decompensated shock
ne
b. Normal vital signs in pregnancy
la
c. Compensated shock
d. Supine hypotension syndrome
tz
sh
Sp
b. Normal vital signs in pregnancy
ne
While performing an assessment on a 13-month-old involved in a motor vehicle collision, the
la
nurse identifies which of the following findings from the patient as a sign of possible altered
mental status?
sh
Sp
a. Sunken fontanel
b. Crying, but consolable
ne
c. Spontaneous movement of arms and legs
la
d. Cooperation with the assessment
tz
sh
Sp
d. Cooperation with the assessment
ne
la
sh
Sp
la
ne
sh
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST
ne
BANK | INCLUDES 3 TESTED VERSIONS OF THE EXAM
la
WITH 50 MULTIPLE CHOICE QUESTIONS AND ANSWERS
tz
sh
Sp
| ALREADY GRADED A
ne
la
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
sh
Sp
a. Blunt cardiac injury
ne
b. Brachial plexus injury
la
c. Pneumothorax
d. Hemothorax
tz
sh
Sp
b. Brachial plexus injury
ne
A patient arrives at the emergency department by private vehicle after sustaining an injury to the
la
right lower extremity while using a saw. There is a large gaping wound to the right thigh area
with significant bleeding. What is the priority intervention?
sh
Sp
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
ne
c. Apply a tourniquet
la
d. Cover the open wound with sterile saline dressings
tz
sh
Sp
b. Initiate direct pressure
ne
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine la
sh
c. Reverse Trendelenburg
Sp
d. Right lateral recumbent
c. Reverse Trendelenburg
ne
la
Understanding the kinematic concepts associated with the mechanism of injury and energy
tz
sh
Sp
transfer can initially assist the trauma care provider in which of the following?
a. Anticipating the types of injuries that may be present
ne
b. Deciding whether law enforcement should be notified
la
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure
sh
Sp
a. Anticipating the types of injuries that may be present
ne
la
What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
tz
sh
a. Airway compromise
Sp
b. Ineffective ventilation
ne
la
sh
Sp
la
, t
ne
sh
c. Secondary head injury
ne
d. Uncontrolled external hemorrhage
la
d. Uncontrolled external hemorrhage
tz
sh
Sp
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
ne
assessment is indicated next for which of the following conditions?
la
a. Damage to the cervical spine
b. An expanding pneumothorax
sh
Sp
c. Laceration of the carotid artery
d. Injury to the thyroid gland
ne
la
a. Damage to the cervical spine
tz
What is the best measure of the adequacy of cellular perfusion and can help to predict the
sh
Sp
outcome of resuscitation?
ne
a. End-tidal carbon dioxide
la
b. Hematocrit level
c. Base deficit
sh
d. Oxygen saturation
Sp
c. Base deficit
ne
la
Which of the following is considered a cornerstone of a high-performance trauma team?
a. Individual goals
tz
sh
Sp
b. Use of TeamSTEPPS
c. Identification of a single decision maker
ne
d. Effective communication
d. Effective communication la
sh
Sp
The nurse is obtaining a history for a patient who presents following sexual assault. This history
ne
is completed using which of the following techniques?
la
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
tz
sh
c. Obtain information specific only to the assault.
Sp
d. Provide food and drink to help create rapport.
ne
b. Use direct quotes to record information.
la
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
sh
Sp
a. Respiratory acidosis
b. Metabolic acidosis
ne
c. Neurogenic shock
la
d. Cerebral vasoconstriction
tz
sh
Sp
d. Cerebral vasoconstriction
ne
la
sh
Sp
la
, t
ne
sh
What is the appropriate technique for palpating the pelvis for stability?
ne
a. Apply gentle pressure over the iliac crests, downward and laterally.
la
b. Apply gentle pressure over the iliac crests, downward and medially.
c. Apply firm pressure over the iliac crests, downward and laterally.
tz
sh
d. Apply firm pressure over the iliac crests, downward and medially.
Sp
b. Apply gentle pressure over the iliac crests, downward and medially.
ne
la
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
sh
Sp
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
ne
sleep because a young child kept coming into the room. What is the most likely cause for these
la
signs and symptoms?
tz
a. increase intracranial pressure
sh
Sp
b. alcohol withdrawal
ne
c. rhabdomyolysis
d. pulmonary embolus
la
b. alcohol withdrawal
sh
Sp
Treatment for frostbite can include which of the following interventions?
ne
a. warm the affected part over 30-60 minutes
la
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
tz
sh
Sp
d. leave all of the blisters intact
ne
c. administer tissue plasminogen activator
la
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
sh
Sp
ongoing assessment and management for this patient?
ne
a. maintain adequate respiratory status.
la
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
tz
sh
d. maintain core temperature
Sp
a. maintain adequate respiratory status
ne
la
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
sh
Sp
a. primary
b. secondary
ne
c. tertiary
la
d. quaternary
tz
sh
Sp
b. secondary
ne
la
sh
Sp
la
, t
ne
sh
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
ne
for a couple of days and is now back working on the team. Which of the following behaviors
la
would indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
tz
sh
b. They keep requesting to be assigned to the walk-in/ambulatory area
Sp
c. They are impatient and snap at their coworkers.
ne
d. They are thinking about transferring out of the emergency department.
la
a. They are talking about taking the emergency nursing certification examination.
sh
Sp
Which of the following accurately describes ventilation principles associated with use of a bag-
mask device for an adult?
ne
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
la
b. Delivers 100% oxygen.
tz
c. Squeeze the bag-mask device completely for each breath.
sh
Sp
d. Maintain the oxygen saturation levels between 92% and 94%.
ne
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
la
The general impression step in the initial assessment provides the opportunity to do which of the
sh
following?
Sp
a. Assess for uncontrolled internal hemorrhage
ne
b. Accurately triage the patient
la
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team
tz
sh
Sp
c. Reprioritize circulation before airway or breathing.
ne
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm
la
Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency
nurse interprets the patient's hemodynamic findings as an indication of which of the following?
sh
Sp
a. Decompensated shock
ne
b. Normal vital signs in pregnancy
la
c. Compensated shock
d. Supine hypotension syndrome
tz
sh
Sp
b. Normal vital signs in pregnancy
ne
While performing an assessment on a 13-month-old involved in a motor vehicle collision, the
la
nurse identifies which of the following findings from the patient as a sign of possible altered
mental status?
sh
Sp
a. Sunken fontanel
b. Crying, but consolable
ne
c. Spontaneous movement of arms and legs
la
d. Cooperation with the assessment
tz
sh
Sp
d. Cooperation with the assessment
ne
la
sh
Sp
la
