TNCC 10TH EDITION EXAM
3 VERSIONS EXAM
Actual Questions with Rationales Answers
Each Exam consists of 50 MCQ
Passing Score of 95%
This Exam contains:
3 VERSIONS EXAM
Each Exam with Actual 50 Qs and Ans
Each Question Includes The Correct Answer
& Expert Rationale
Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,SAMPLE TNCC 10TH ED. EXAM 1 QS & ANS
1. 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 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
Correct Answer: C. Notify the physician
Expert Rationale:
- Clear drainage from the ear following trauma may indicate a basilar
skull fracture with cerebrospinal fluid (CSF) leak. Immediate
notification of the physician is vital.
- Inserting objects or packing the ear may increase intracranial
pressure or introduce infection.
- Documentation is important, but active communication with the
provider is critical for prompt management.
,12. A seriously injured patient is noted to have a weak, thready
pulse and cool, clammy skin. There is instability of the pelvis on
palpation and blood at the urinary meatus. A pelvic binder is
appropriately applied and balanced fluid resuscitation is being
managed by the team. What is the priority diagnostic intervention?
A. Retrograde urethrogram
B. Plain pelvic radiographs
C. Abdominal CT scan
D. Focused assessment sonography for trauma (FAST)
Correct Answer: D. Focused assessment sonography for trauma
(FAST)
Expert Rationale:
- The critically unstable patient requires rapid, noninvasive
assessment for intra-abdominal hemorrhage; FAST exam is the best
first imaging modality in this scenario.
- Plain radiographs or further invasive/genitourinary studies should
not delay assessment and ongoing resuscitation.
50. Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
, A. It has higher sensitivity than diagnostic peritoneal lavage for fluid
detection
B. It can be used in hypotensive patients too unstable for CT scan
C. It can detect as little as 30mL of fluid in the abdominal cavity
D. It has high sensitivity in pediatric patients for identifying fluid in the
peritoneum.
Answer: B. It can be used in hypotensive patients too unstable for CT
scan
Expert Rationale:
- FAST is rapid, noninvasive, and suitable for unstable patients in whom
transport to imaging would be unsafe.
- Although highly useful, FAST is less sensitive than DPL for minimal
fluid detection and is less sensitive in pediatric patients.
- The lower limit of fluid detection is generally higher than 30 mL
(typically 200-500 mL).
SAMPLE TNCC 10TH ED. EXAM 2 QS & ANS
1. A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, initially 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
3 VERSIONS EXAM
Actual Questions with Rationales Answers
Each Exam consists of 50 MCQ
Passing Score of 95%
This Exam contains:
3 VERSIONS EXAM
Each Exam with Actual 50 Qs and Ans
Each Question Includes The Correct Answer
& Expert Rationale
Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,SAMPLE TNCC 10TH ED. EXAM 1 QS & ANS
1. 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 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
Correct Answer: C. Notify the physician
Expert Rationale:
- Clear drainage from the ear following trauma may indicate a basilar
skull fracture with cerebrospinal fluid (CSF) leak. Immediate
notification of the physician is vital.
- Inserting objects or packing the ear may increase intracranial
pressure or introduce infection.
- Documentation is important, but active communication with the
provider is critical for prompt management.
,12. A seriously injured patient is noted to have a weak, thready
pulse and cool, clammy skin. There is instability of the pelvis on
palpation and blood at the urinary meatus. A pelvic binder is
appropriately applied and balanced fluid resuscitation is being
managed by the team. What is the priority diagnostic intervention?
A. Retrograde urethrogram
B. Plain pelvic radiographs
C. Abdominal CT scan
D. Focused assessment sonography for trauma (FAST)
Correct Answer: D. Focused assessment sonography for trauma
(FAST)
Expert Rationale:
- The critically unstable patient requires rapid, noninvasive
assessment for intra-abdominal hemorrhage; FAST exam is the best
first imaging modality in this scenario.
- Plain radiographs or further invasive/genitourinary studies should
not delay assessment and ongoing resuscitation.
50. Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
, A. It has higher sensitivity than diagnostic peritoneal lavage for fluid
detection
B. It can be used in hypotensive patients too unstable for CT scan
C. It can detect as little as 30mL of fluid in the abdominal cavity
D. It has high sensitivity in pediatric patients for identifying fluid in the
peritoneum.
Answer: B. It can be used in hypotensive patients too unstable for CT
scan
Expert Rationale:
- FAST is rapid, noninvasive, and suitable for unstable patients in whom
transport to imaging would be unsafe.
- Although highly useful, FAST is less sensitive than DPL for minimal
fluid detection and is less sensitive in pediatric patients.
- The lower limit of fluid detection is generally higher than 30 mL
(typically 200-500 mL).
SAMPLE TNCC 10TH ED. EXAM 2 QS & ANS
1. A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, initially 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
