book Graded A+ 100% SUCCESS
GUARANTEED.
TNCC final exam test 2025/2026 open book Graded A+
100% SUCCESS GUARANTEED.
TNCC final exam test
2025/2026 open book
LATEST UPDATED.
Why is a measure of serum lactate obtained in
the initial assessment of the trauma patient?
Answer: c
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular
perfusion
c) to gauge end-organ perfusion and tissue
hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly
asking "where am I?" vital signs upon arrival
were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR
108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which
stage of shock?
Answer: A
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of
anticoagulant use presents after a fall at
home that day. she denies any loss of
consciousness. She has a hematoma to her
forehead and complains of headache,
dizziness, and nausea. Which is a most likely
cause of her symptoms?
Answer: D
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle.
,Using the American College of Surgeons
screening guidelines, which assessment
finding would prompt the nurse to prepare the
patient for radiologic spine clearance?
Answer: D
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third
impact of a motor vehicle crash?
, TNCC final exam test 2025/2026 open book Graded
A+ 100% SUCCESS GUARANTEED.
Answer: C
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat
passenger *** A passenger is brought to the
emergency department of a rural hospital
following a high-speed MVC. When
significant abdominal and pelvic injuries are
noted in the primary survey, which of the
following is the priority interventions?
Answer: A
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely
to be promptly identified?
Answer: C
A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be
monitored for which of the following
conditions?
Answer: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete
spinal cord injury?
Answer: B
A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in
neurogenic shock will demonstrate hypotension
and which other clinical signs?
Answer: D
A) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression