1
TNCC EXAM NEWEST VERSION -2025/2026- 100+ Q AND ANS
MOST POPULAR EXAMS GUARANTEED SUCCESS
An adult arrives at the emergency department with superficial burns to the
extremities following a house fire. The patient is reporting a headache with
nausea and is drowsy and confused. What is the most likely cause of these
symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia
Using the American College of Surgeons Guidelines for Screening Patients with
Suspected Spine Injury, what assessment finding would prompt the nurse to
prepare a patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open wound in
proximity to an obvious deformity of the left lower extremity. What is the priority
intervention?
, 2
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
A. Initiate cervical 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.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-
over" with prolonged extrication. Assessment reveals swelling and bruising to the
right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is
the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
, 3
B. Application of a pelvic binder
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
a. respiratory acidosis
b. metabolic acidosis
c. neurogenic shock
d. cerebral vasoconstriction
***d. hypocapnia, cause vasoconstriction especially in the cerebral vasculature
a. hypercapnia from inadequate ventilation causes respiratory acidosis, not
hypocapnia
b. metabolic acidosis results from tissue hypoperfusion and oxygen deficit, not
hypocapnia
c. neurogenic shock is associated with spinal cord injuries and results in
generalized vasodilation. Hypocapnia causes vasoconstriction.
Which of the following describes ventilation principles associated with use of a
bag-mask device for an adult?
a. compress the bag-mask device at a rate of one breath every six seconds
b. delivers 100 % oxygen
c. squeeze the bag completely for each breath
d. maintain
a. compress the bag-mask at a rate of one breath every six seconds
What is the best measure of the adequacy of cellular perfusion and can help
predict the outcome of resuscitation?
a. end tidal CO2
, 4
b. Hematocrit level
c. Base deficit
d. Oxygen saturation
c. base deficit- serves as an endpoint measurement of the adequacy of cellular
perfusion and, when used in conjunction with serum lactate, helps predict the
success of resuscitation.
a. End tidal CO2-end product of ventilation and a reflection of metabolism and
pulmonary fxn.
What technique is most appropriate when obtaining a history?
a. sitting next to the patient
b. ensuring the patient answers all questions
c. asking for information only related to the assault
d. applying active listening
d. applying active listening
While performing an assessment on a 13-month old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a
sign of possible altered mental status?
a. sunken fontanel
b. crying, but consolable
c. spontaneous movement of arms and legs
d. cooperation with the assessment
d. cooperation with the assessment
TNCC EXAM NEWEST VERSION -2025/2026- 100+ Q AND ANS
MOST POPULAR EXAMS GUARANTEED SUCCESS
An adult arrives at the emergency department with superficial burns to the
extremities following a house fire. The patient is reporting a headache with
nausea and is drowsy and confused. What is the most likely cause of these
symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia
Using the American College of Surgeons Guidelines for Screening Patients with
Suspected Spine Injury, what assessment finding would prompt the nurse to
prepare a patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open wound in
proximity to an obvious deformity of the left lower extremity. What is the priority
intervention?
, 2
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
A. Initiate cervical 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.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle "roll-
over" with prolonged extrication. Assessment reveals swelling and bruising to the
right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is
the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
, 3
B. Application of a pelvic binder
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
a. respiratory acidosis
b. metabolic acidosis
c. neurogenic shock
d. cerebral vasoconstriction
***d. hypocapnia, cause vasoconstriction especially in the cerebral vasculature
a. hypercapnia from inadequate ventilation causes respiratory acidosis, not
hypocapnia
b. metabolic acidosis results from tissue hypoperfusion and oxygen deficit, not
hypocapnia
c. neurogenic shock is associated with spinal cord injuries and results in
generalized vasodilation. Hypocapnia causes vasoconstriction.
Which of the following describes ventilation principles associated with use of a
bag-mask device for an adult?
a. compress the bag-mask device at a rate of one breath every six seconds
b. delivers 100 % oxygen
c. squeeze the bag completely for each breath
d. maintain
a. compress the bag-mask at a rate of one breath every six seconds
What is the best measure of the adequacy of cellular perfusion and can help
predict the outcome of resuscitation?
a. end tidal CO2
, 4
b. Hematocrit level
c. Base deficit
d. Oxygen saturation
c. base deficit- serves as an endpoint measurement of the adequacy of cellular
perfusion and, when used in conjunction with serum lactate, helps predict the
success of resuscitation.
a. End tidal CO2-end product of ventilation and a reflection of metabolism and
pulmonary fxn.
What technique is most appropriate when obtaining a history?
a. sitting next to the patient
b. ensuring the patient answers all questions
c. asking for information only related to the assault
d. applying active listening
d. applying active listening
While performing an assessment on a 13-month old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a
sign of possible altered mental status?
a. sunken fontanel
b. crying, but consolable
c. spontaneous movement of arms and legs
d. cooperation with the assessment
d. cooperation with the assessment
