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.
,Table of Contents
TNCC 10th Edition Exam 1 ..................................... 9
TNCC 10th Edition Exam 2 ................................... 54
TNCC 10th Edition Exam 3 ................................... 92
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
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.
,Table of Contents
TNCC 10th Edition Exam 1 ..................................... 9
TNCC 10th Edition Exam 2 ................................... 54
TNCC 10th Edition Exam 3 ................................... 92
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
