TNCC 9th Edition Final Exam | 100 Questions
with Correct and Verified Answers | Graded A+ |
2025/2026 Edition
Section 1: Introduction
This document features the TNCC (Trauma Nursing Core Course) 9th Edition Final Exam,
including 100 fully verified questions with 100% correct answers, based on the latest
2025/2026 content standards. It covers the trauma nursing process, initial and secondary
assessment, airway and breathing management, shock recognition, spinal precautions,
neurologic assessment, and team dynamics in trauma care. Graded A+ and structured to align
with the Emergency Nurses Association (ENA) TNCC guidelines, this resource is essential
for nurses preparing for trauma certification.
Section 2: Exam Questions and Answers
Format: 100 multiple-choice questions
Four answer choices per question (A–D)
Correct answer highlighted in green
1. What is the primary goal of the primary survey in trauma care?
A) Detailed physical examination
B) Identification of life-threatening conditions
C) Documentation of injuries
D) Patient history collection
B) Identification of life-threatening conditions
2. Which assessment tool is used to evaluate airway patency?
A) Glasgow Coma Scale
B) Look, Listen, Feel approach
C) AVPU scale
D) Pain assessment
B) Look, Listen, Feel approach
3. What is the first step in managing a compromised airway?
A) Administer oxygen
B) Perform endotracheal intubation
C) Clear the airway of obstructions
D) Initiate chest compressions
C) Clear the airway of obstructions
4. Which sign indicates a tension pneumothorax?
A) Equal breath sounds bilaterally
B) Tracheal deviation to the affected side
C) Increased oxygen saturation
D) Normal jugular vein distension
B) Tracheal deviation to the affected side
, 5. What is the initial treatment for a tension pneumothorax?
A) Chest tube insertion
B) Needle decompression
C) Positive pressure ventilation
D) Administration of antibiotics
B) Needle decompression
6. Which type of shock is characterized by severe blood loss?
A) Cardiogenic shock
B) Hypovolemic shock
C) Septic shock
D) Neurogenic shock
B) Hypovolemic shock
7. What is the primary indicator of hypovolemic shock?
A) Hypertension
B) Tachycardia
C) Bradypnea
D) Warm extremities
B) Tachycardia
8. Which fluid is recommended for initial resuscitation in hemorrhagic shock?
A) 5% dextrose in water
B) Normal saline or lactated Ringer’s
C) 5% albumin
D) Hypertonic saline
B) Normal saline or lactated Ringer’s
9. What is the purpose of the secondary survey?
A) Rapid identification of life threats
B) Detailed head-to-toe assessment
C) Immediate surgical intervention
D) Monitoring vital signs only
B) Detailed head-to-toe assessment
10. Which spinal precaution is used to immobilize the cervical spine?
A) Log roll technique
B) Cervical collar
C) Backboard only
D) Traction splint
B) Cervical collar
11. What is a key component of the neurologic assessment in trauma?
A) Pulse oximetry
B) Glasgow Coma Scale
C) Blood pressure measurement
D) Temperature check
B) Glasgow Coma Scale
12. Which finding suggests a basilar skull fracture?
A) Clear nasal discharge
B) Battle’s sign
C) Normal pupil response
D) Absence of bruising
B) Battle’s sign
13. What is the initial step in managing a patient with suspected spinal injury?
A) Perform a CT scan
with Correct and Verified Answers | Graded A+ |
2025/2026 Edition
Section 1: Introduction
This document features the TNCC (Trauma Nursing Core Course) 9th Edition Final Exam,
including 100 fully verified questions with 100% correct answers, based on the latest
2025/2026 content standards. It covers the trauma nursing process, initial and secondary
assessment, airway and breathing management, shock recognition, spinal precautions,
neurologic assessment, and team dynamics in trauma care. Graded A+ and structured to align
with the Emergency Nurses Association (ENA) TNCC guidelines, this resource is essential
for nurses preparing for trauma certification.
Section 2: Exam Questions and Answers
Format: 100 multiple-choice questions
Four answer choices per question (A–D)
Correct answer highlighted in green
1. What is the primary goal of the primary survey in trauma care?
A) Detailed physical examination
B) Identification of life-threatening conditions
C) Documentation of injuries
D) Patient history collection
B) Identification of life-threatening conditions
2. Which assessment tool is used to evaluate airway patency?
A) Glasgow Coma Scale
B) Look, Listen, Feel approach
C) AVPU scale
D) Pain assessment
B) Look, Listen, Feel approach
3. What is the first step in managing a compromised airway?
A) Administer oxygen
B) Perform endotracheal intubation
C) Clear the airway of obstructions
D) Initiate chest compressions
C) Clear the airway of obstructions
4. Which sign indicates a tension pneumothorax?
A) Equal breath sounds bilaterally
B) Tracheal deviation to the affected side
C) Increased oxygen saturation
D) Normal jugular vein distension
B) Tracheal deviation to the affected side
, 5. What is the initial treatment for a tension pneumothorax?
A) Chest tube insertion
B) Needle decompression
C) Positive pressure ventilation
D) Administration of antibiotics
B) Needle decompression
6. Which type of shock is characterized by severe blood loss?
A) Cardiogenic shock
B) Hypovolemic shock
C) Septic shock
D) Neurogenic shock
B) Hypovolemic shock
7. What is the primary indicator of hypovolemic shock?
A) Hypertension
B) Tachycardia
C) Bradypnea
D) Warm extremities
B) Tachycardia
8. Which fluid is recommended for initial resuscitation in hemorrhagic shock?
A) 5% dextrose in water
B) Normal saline or lactated Ringer’s
C) 5% albumin
D) Hypertonic saline
B) Normal saline or lactated Ringer’s
9. What is the purpose of the secondary survey?
A) Rapid identification of life threats
B) Detailed head-to-toe assessment
C) Immediate surgical intervention
D) Monitoring vital signs only
B) Detailed head-to-toe assessment
10. Which spinal precaution is used to immobilize the cervical spine?
A) Log roll technique
B) Cervical collar
C) Backboard only
D) Traction splint
B) Cervical collar
11. What is a key component of the neurologic assessment in trauma?
A) Pulse oximetry
B) Glasgow Coma Scale
C) Blood pressure measurement
D) Temperature check
B) Glasgow Coma Scale
12. Which finding suggests a basilar skull fracture?
A) Clear nasal discharge
B) Battle’s sign
C) Normal pupil response
D) Absence of bruising
B) Battle’s sign
13. What is the initial step in managing a patient with suspected spinal injury?
A) Perform a CT scan
