TNCC 10TH EDITION
350+ Practice Questions Exam
Questions with Rationales Answers
Passing Score of 95%
This Pdf contains:
350+ Practice Questions
Each Question Includes The Correct Answer
& Expert Rationale
Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. You are caring for a pa ent 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 co on- pped applicator
B. Pack the ear with gauze
C. No fy the physician
D. Document and con nue the exam
Correct Answer: C. No fy the physician
- Expert Ra onale:
- Clear drainage from the ear following trauma may indicate a basilar
skull fracture with cerebrospinal fluid (CSF) leak. Immediate no fica on
of the physician is vital.
- Inser ng objects or packing the ear may increase intracranial
pressure or introduce infec on.
- Documenta on is important, but ac ve communica on with the
provider is cri cal for prompt management.
---
,2. A pa ent arrives with a large open chest wound a'er being
assaulted with a machete. Prehospital providers placed a nonporous
dressing over the chest wound and taped it on three sides. The pa ent
is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the
following is the most appropriate immediate interven on?
A. Needle decompression
B. Tube thoracotomy
C. Dressing removal
D. Surgical repair
Correct Answer: C. Dressing removal
- Expert Ra onale:
- Taping the dressing on three sides can create a valve effect,
poten ally resul ng in a tension pneumothorax.
- Immediate removal of the dressing allows air to escape, allevia ng
life-threatening respiratory and hemodynamic compromise.
- Needle decompression or tube thoracostomy may be necessary next,
but the priority is to resolve the obstruc ve process urgently.
---
, 3. A pa ent has a closed fracture to the le' lower leg. Which
symptoms are consistent with compartment syndrome?
A. Shortness of breath, tachypnea, petechiae
B. Pain, numbness, bounding peripheral pulses
C. Pain, diminished pedal pulse, pressure
D. Erythema, warmth, purpura
Correct Answer: C. Pain, diminished pedal pulse, pressure
- Expert Ra onale:
- The classic signs of compartment syndrome include severe pain out
of propor on to injury, especially with passive stretch, diminished distal
pulses, and elevated compartment pressures (“6 Ps”: pain, pallor,
pulselessness, paresthesia, paralysis, and pressure).
- Bounding pulses and symptoms such as shortness of breath or
petechiae are not typical of compartment syndrome in an extremity
fracture.
---
350+ Practice Questions Exam
Questions with Rationales Answers
Passing Score of 95%
This Pdf contains:
350+ Practice Questions
Each Question Includes The Correct Answer
& Expert Rationale
Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. You are caring for a pa ent 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 co on- pped applicator
B. Pack the ear with gauze
C. No fy the physician
D. Document and con nue the exam
Correct Answer: C. No fy the physician
- Expert Ra onale:
- Clear drainage from the ear following trauma may indicate a basilar
skull fracture with cerebrospinal fluid (CSF) leak. Immediate no fica on
of the physician is vital.
- Inser ng objects or packing the ear may increase intracranial
pressure or introduce infec on.
- Documenta on is important, but ac ve communica on with the
provider is cri cal for prompt management.
---
,2. A pa ent arrives with a large open chest wound a'er being
assaulted with a machete. Prehospital providers placed a nonporous
dressing over the chest wound and taped it on three sides. The pa ent
is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the
following is the most appropriate immediate interven on?
A. Needle decompression
B. Tube thoracotomy
C. Dressing removal
D. Surgical repair
Correct Answer: C. Dressing removal
- Expert Ra onale:
- Taping the dressing on three sides can create a valve effect,
poten ally resul ng in a tension pneumothorax.
- Immediate removal of the dressing allows air to escape, allevia ng
life-threatening respiratory and hemodynamic compromise.
- Needle decompression or tube thoracostomy may be necessary next,
but the priority is to resolve the obstruc ve process urgently.
---
, 3. A pa ent has a closed fracture to the le' lower leg. Which
symptoms are consistent with compartment syndrome?
A. Shortness of breath, tachypnea, petechiae
B. Pain, numbness, bounding peripheral pulses
C. Pain, diminished pedal pulse, pressure
D. Erythema, warmth, purpura
Correct Answer: C. Pain, diminished pedal pulse, pressure
- Expert Ra onale:
- The classic signs of compartment syndrome include severe pain out
of propor on to injury, especially with passive stretch, diminished distal
pulses, and elevated compartment pressures (“6 Ps”: pain, pallor,
pulselessness, paresthesia, paralysis, and pressure).
- Bounding pulses and symptoms such as shortness of breath or
petechiae are not typical of compartment syndrome in an extremity
fracture.
---
