1
TNCC 9TH EDITION TNP EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
What three assessments must be done if the patient is intubated?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise
and fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds
Four of these must be identified to assess breathing effectiveness:
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous
emphysema, increased work of breathing, symmetrical chest rise and fall, tracheal
deviation/JVD, open wounds/deformities, skin color
During the head-to-toe, where would you find Cullen's sign?
umbilicus
What is sometimes deferred at the end of the head-to-toe?
inspecting posterior
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section?
cardiac monitor
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting,
psychosocial support, social services, splinting, tetanus, and wound care are all
interventions that you do AFTER and before WHAT?
AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment?
, 2
Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one
during testing)
Distraction, family presence, padding bony prominences, repositioning, splinting,
verbal reassurance
At what point PRIOR TO the head-to-toe is the patient inspected for obvious
injuries?
In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered?
glucose
To assess circulation, you must do these two main tasks:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary
survery?
intervene as appropriate and reassess
When should 2 IV sites be established?
During "Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else
needs to be done with the ETT? (step 10)
assess ETT position by noting the number at teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments?
moving patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a chest
tube, intubation, decompression of pneumothorax, oxygen, or BVMs?
"Breathing and Ventilation"
, 3
Four of these must be identified to assess patency and protection of the airway:
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction,
burns, fluids, foreign objects, vocalization
During which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign objects, or
suctioning?
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
For whom is capnography highly recommended?
all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor?
EKG
In Step 16 of "Exposure and Environment", you must name at least one of these
interventions:
blankets, room temp increase, warmed fluids, warming lights
If c-spine stabilization is necessary, what need should be stated?
the need for a second person to provide manual c-spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to
manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
TNCC 9TH EDITION TNP EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
What three assessments must be done if the patient is intubated?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise
and fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds
Four of these must be identified to assess breathing effectiveness:
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous
emphysema, increased work of breathing, symmetrical chest rise and fall, tracheal
deviation/JVD, open wounds/deformities, skin color
During the head-to-toe, where would you find Cullen's sign?
umbilicus
What is sometimes deferred at the end of the head-to-toe?
inspecting posterior
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section?
cardiac monitor
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting,
psychosocial support, social services, splinting, tetanus, and wound care are all
interventions that you do AFTER and before WHAT?
AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment?
, 2
Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one
during testing)
Distraction, family presence, padding bony prominences, repositioning, splinting,
verbal reassurance
At what point PRIOR TO the head-to-toe is the patient inspected for obvious
injuries?
In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered?
glucose
To assess circulation, you must do these two main tasks:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary
survery?
intervene as appropriate and reassess
When should 2 IV sites be established?
During "Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else
needs to be done with the ETT? (step 10)
assess ETT position by noting the number at teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments?
moving patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a chest
tube, intubation, decompression of pneumothorax, oxygen, or BVMs?
"Breathing and Ventilation"
, 3
Four of these must be identified to assess patency and protection of the airway:
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction,
burns, fluids, foreign objects, vocalization
During which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign objects, or
suctioning?
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
For whom is capnography highly recommended?
all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor?
EKG
In Step 16 of "Exposure and Environment", you must name at least one of these
interventions:
blankets, room temp increase, warmed fluids, warming lights
If c-spine stabilization is necessary, what need should be stated?
the need for a second person to provide manual c-spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to
manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
