TNCC ACTUAL EXAM
TNCC ACTUAL EXAM 2025/2026 COMPLETE 70 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY
GRADED A+||BRAND NEW VERSION!!
1. A trauma patient presents with paradoxical chest wall movement and
severe respiratory distress. What is the most immediate intervention?
a) Needle decompression
b) Chest tube insertion
c) Endotracheal intubation
d) Administer analgesia
2. During the primary survey of a trauma patient, which action takes priority?
a) Assessing pupil response
b) Ensuring airway patency
c) Checking capillary refill
d) Palpating the abdomen
3. A patient with a pelvic fracture presents with hypotension. What is the
most appropriate initial intervention?
a) Apply a pelvic binder
b) Administer IV fluids
c) Perform FAST exam
d) Prepare for OR
4. Which finding is most suggestive of a tension pneumothorax?
a) Wheezing
b) Tracheal deviation + hypotension
c) Subcutaneous emphysema
d) Pleuritic chest pain
5. A trauma patient has a Glasgow Coma Scale (GCS) score of 6. What is the
most urgent action?
a) Secure the airway
b) Obtain CT head
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, TNCC ACTUAL EXAM
c) Administer mannitol
d) Assess reflexes
6. Which sign is most indicative of basilar skull fracture?
a) Battle's sign
b) Cullen's sign
c) Grey Turner's sign
d) Kehr's sign
7. A patient with penetrating abdominal trauma is hypotensive. What is the
next step?
a) Immediate surgical consult
b) NG tube placement
c) Diagnostic peritoneal lavage
d) Ultrasound-guided IV access
8. Which burn patient requires immediate intubation?
a) Facial burns with singed nasal hairs
b) 10% TBSA partial-thickness burns
c) Electrical burn to the hand
d) Sunburn on 20% TBSA
9. A trauma patient has a heart rate of 130 bpm and BP 70/40 mmHg. What
fluid resuscitation strategy is best?
a) Warm LR or NS bolus
b) D5W infusion
c) Colloids only
d) Slow maintenance fluids
10.Which finding suggests cardiac tamponade?
a) Beck's triad
b) Homan's sign
c) Chvostek's sign
d) Trousseau's sign
2|Page
TNCC ACTUAL EXAM 2025/2026 COMPLETE 70 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY
GRADED A+||BRAND NEW VERSION!!
1. A trauma patient presents with paradoxical chest wall movement and
severe respiratory distress. What is the most immediate intervention?
a) Needle decompression
b) Chest tube insertion
c) Endotracheal intubation
d) Administer analgesia
2. During the primary survey of a trauma patient, which action takes priority?
a) Assessing pupil response
b) Ensuring airway patency
c) Checking capillary refill
d) Palpating the abdomen
3. A patient with a pelvic fracture presents with hypotension. What is the
most appropriate initial intervention?
a) Apply a pelvic binder
b) Administer IV fluids
c) Perform FAST exam
d) Prepare for OR
4. Which finding is most suggestive of a tension pneumothorax?
a) Wheezing
b) Tracheal deviation + hypotension
c) Subcutaneous emphysema
d) Pleuritic chest pain
5. A trauma patient has a Glasgow Coma Scale (GCS) score of 6. What is the
most urgent action?
a) Secure the airway
b) Obtain CT head
1|Page
, TNCC ACTUAL EXAM
c) Administer mannitol
d) Assess reflexes
6. Which sign is most indicative of basilar skull fracture?
a) Battle's sign
b) Cullen's sign
c) Grey Turner's sign
d) Kehr's sign
7. A patient with penetrating abdominal trauma is hypotensive. What is the
next step?
a) Immediate surgical consult
b) NG tube placement
c) Diagnostic peritoneal lavage
d) Ultrasound-guided IV access
8. Which burn patient requires immediate intubation?
a) Facial burns with singed nasal hairs
b) 10% TBSA partial-thickness burns
c) Electrical burn to the hand
d) Sunburn on 20% TBSA
9. A trauma patient has a heart rate of 130 bpm and BP 70/40 mmHg. What
fluid resuscitation strategy is best?
a) Warm LR or NS bolus
b) D5W infusion
c) Colloids only
d) Slow maintenance fluids
10.Which finding suggests cardiac tamponade?
a) Beck's triad
b) Homan's sign
c) Chvostek's sign
d) Trousseau's sign
2|Page
