TNCC 9th Edition ACTUAL EXAM
TNCC 9TH EDITION ACTUAL EXAM 2025/2026 COMPLETE
150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)|ALREADY GRADED A+||BRAND NEW
VERSION!!
An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The patient was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma is
noted to the forehead. The patient is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome
D.Post-concussive syndrome
A patient with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally 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 C.Elevating the leg to the level of the
heart
D.Preparing the patient for ultrasound of the leg
C.Elevating the leg to the level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the
diaphragm? A.Severe left-sided abdominal pain B.Bowel sounds heard in the left
lower chest C.Pain radiating to the left shoulder. D.Decreased breath sounds on
the left side
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, TNCC 9th Edition ACTUAL EXAM
B.Bowel sounds heard in the left lower chest
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The patient has been awake, alert, and complaining of leg pain. Their spouse
reported that the patient suddenly became anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. The patient is exhibiting signs and symptoms most commonly associated
with which of the following conditions? A.Acute lung injury B.Fat embolism
C.Pneumothorax D.Pulmonary contusion
B.Fat embolism
Using the American College of Surgeons screening guidelines, what assessment
finding would prompt the nurse to prepare a patient for cervical spine imaging?
A.Alert with no neurologic deficits B.Multiple abrasions to the extremities
C.Ecchymosis to the flank D.Responds to verbal stimulation
A.Alert with no neurologic deficits
An adult was thrown against a concrete wall during a factory explosion and
sustained a femur fracture, liver laceration, and a small subdural hematoma.
These injuries most likely occurred during what level of blast trauma? A.Primary
B.Secondary C.Tertiary D.Quaternary
C.Tertiary
An adult patient was brought to the emergency department following a
motorcycle crash. On arrival, the patient is only responsive to pain, has bleeding
from the nose, and multiple abrasions and contusions to the face. What is the
priority intervention? A.Use a bulb syringe to suction out secretions from the
mouth. B.Insert a nasopharyngeal airway to maintain an open airway. C.Use a jaw
thrust to open the airway and look for signs of obstruction. D.Ask the patient to
open their mouth to inspect the airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
2|Page
, TNCC 9th Edition ACTUAL EXAM
An adult pedestrian was struck on the right side by a sport utility vehicle traveling
at 40 mph. The patient is awake and alert and the right leg is shortened. Following
initial resuscitation with fluids, the patient remains hypotensive. What would be
the priority intervention? A.Send blood for type and crossmatch B.Apply a pelvic
binder C.Prepare the patient for surgery D.Insert a urinary catheter
B.Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically
ventilated. The patient has received a balanced resuscitation including multiple
blood products. Under which circumstance will it be harder for the hemoglobin to
release oxygen to the tissues? A.Decreased pH B.Elevated carbon dioxide level
C.Decreased body temperature D.Increased metabolic demand
C.Decreased body temperature
A patient is thrown against a car during a tornado and presents with obvious
bilateral femur fractures. The patient is pale, alert, disoriented, and has delayed
capillary refill. Which of the following interventions would be most appropriate for
this patient based on the disaster triage principles? A.Initiate two large-caliber
intravenous lines for isotonic crystalloid administration. B.Administer intravenous
medications for pain. C.Place the patient in an observation area for care within the
next few hours. D.Contact the command center for personnel to notify next of kin.
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
A patient arrives with a large open chest wound after being assaulted with a
machete. Prehospital providers placed a nonporous dressing over the chest
wound and taped it on three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate immediate intervention?
A.Needle decompression B.Tube thoracostomy C.Dressing removal D.Surgical
repair
C.Dressing removal
3|Page
, TNCC 9th Edition ACTUAL EXAM
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but
arousable and complaining of chest pain with ecchymosis noted to the chest. The
patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding.
Cardiac monitor shows premature ventricular contractions. Which of the following
is the most appropriate intervention for this patient? A.Rapid fluid boluses
B.Tranexamic acid administration C.Inotropic support D.Hemostatic resuscitation
C.Inotropic support
A patient is diagnosed with a T12 spinal cord injury following a 20- foot fall. Which
finding is consistent with spinal shock? A.Bradycardia B.Loss of reflexes C.Widened
pulse pressure D.Warm skin
B.Loss of reflexes
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65
mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa).
Which finding is most likely an indication of the body's response to these findings?
A.Reflex hypotension B.Increased respiratory effort C.Reflex tachycardia
D.Widening pulse pressure
D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The patient is
on a backboard with a cervical collar in place and one intravenous line running.
Respirations are shallow and there is active brisk bleeding from a large leg wound.
What is the priority intervention for this patient? A.Check for a patent airway
B.Control the bleeding C.Start a second intravenous line D.Ventilate with a bag-
mask device
B.Control the bleeding
An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for insertion of
the endotracheal tube? A.Reverse Trendelenburg B.Lying on side C.Ramped
D.Supine
4|Page
TNCC 9TH EDITION ACTUAL EXAM 2025/2026 COMPLETE
150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)|ALREADY GRADED A+||BRAND NEW
VERSION!!
An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The patient was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma is
noted to the forehead. The patient is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome
D.Post-concussive syndrome
A patient with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally 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 C.Elevating the leg to the level of the
heart
D.Preparing the patient for ultrasound of the leg
C.Elevating the leg to the level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the
diaphragm? A.Severe left-sided abdominal pain B.Bowel sounds heard in the left
lower chest C.Pain radiating to the left shoulder. D.Decreased breath sounds on
the left side
1|Page
, TNCC 9th Edition ACTUAL EXAM
B.Bowel sounds heard in the left lower chest
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The patient has been awake, alert, and complaining of leg pain. Their spouse
reported that the patient suddenly became anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. The patient is exhibiting signs and symptoms most commonly associated
with which of the following conditions? A.Acute lung injury B.Fat embolism
C.Pneumothorax D.Pulmonary contusion
B.Fat embolism
Using the American College of Surgeons screening guidelines, what assessment
finding would prompt the nurse to prepare a patient for cervical spine imaging?
A.Alert with no neurologic deficits B.Multiple abrasions to the extremities
C.Ecchymosis to the flank D.Responds to verbal stimulation
A.Alert with no neurologic deficits
An adult was thrown against a concrete wall during a factory explosion and
sustained a femur fracture, liver laceration, and a small subdural hematoma.
These injuries most likely occurred during what level of blast trauma? A.Primary
B.Secondary C.Tertiary D.Quaternary
C.Tertiary
An adult patient was brought to the emergency department following a
motorcycle crash. On arrival, the patient is only responsive to pain, has bleeding
from the nose, and multiple abrasions and contusions to the face. What is the
priority intervention? A.Use a bulb syringe to suction out secretions from the
mouth. B.Insert a nasopharyngeal airway to maintain an open airway. C.Use a jaw
thrust to open the airway and look for signs of obstruction. D.Ask the patient to
open their mouth to inspect the airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
2|Page
, TNCC 9th Edition ACTUAL EXAM
An adult pedestrian was struck on the right side by a sport utility vehicle traveling
at 40 mph. The patient is awake and alert and the right leg is shortened. Following
initial resuscitation with fluids, the patient remains hypotensive. What would be
the priority intervention? A.Send blood for type and crossmatch B.Apply a pelvic
binder C.Prepare the patient for surgery D.Insert a urinary catheter
B.Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically
ventilated. The patient has received a balanced resuscitation including multiple
blood products. Under which circumstance will it be harder for the hemoglobin to
release oxygen to the tissues? A.Decreased pH B.Elevated carbon dioxide level
C.Decreased body temperature D.Increased metabolic demand
C.Decreased body temperature
A patient is thrown against a car during a tornado and presents with obvious
bilateral femur fractures. The patient is pale, alert, disoriented, and has delayed
capillary refill. Which of the following interventions would be most appropriate for
this patient based on the disaster triage principles? A.Initiate two large-caliber
intravenous lines for isotonic crystalloid administration. B.Administer intravenous
medications for pain. C.Place the patient in an observation area for care within the
next few hours. D.Contact the command center for personnel to notify next of kin.
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
A patient arrives with a large open chest wound after being assaulted with a
machete. Prehospital providers placed a nonporous dressing over the chest
wound and taped it on three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate immediate intervention?
A.Needle decompression B.Tube thoracostomy C.Dressing removal D.Surgical
repair
C.Dressing removal
3|Page
, TNCC 9th Edition ACTUAL EXAM
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but
arousable and complaining of chest pain with ecchymosis noted to the chest. The
patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding.
Cardiac monitor shows premature ventricular contractions. Which of the following
is the most appropriate intervention for this patient? A.Rapid fluid boluses
B.Tranexamic acid administration C.Inotropic support D.Hemostatic resuscitation
C.Inotropic support
A patient is diagnosed with a T12 spinal cord injury following a 20- foot fall. Which
finding is consistent with spinal shock? A.Bradycardia B.Loss of reflexes C.Widened
pulse pressure D.Warm skin
B.Loss of reflexes
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65
mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa).
Which finding is most likely an indication of the body's response to these findings?
A.Reflex hypotension B.Increased respiratory effort C.Reflex tachycardia
D.Widening pulse pressure
D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The patient is
on a backboard with a cervical collar in place and one intravenous line running.
Respirations are shallow and there is active brisk bleeding from a large leg wound.
What is the priority intervention for this patient? A.Check for a patent airway
B.Control the bleeding C.Start a second intravenous line D.Ventilate with a bag-
mask device
B.Control the bleeding
An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for insertion of
the endotracheal tube? A.Reverse Trendelenburg B.Lying on side C.Ramped
D.Supine
4|Page
