Page 1 of 40
NEW TNCC EXAM PRACTICE QUESTIONS AND
ANSWERS TESTED AND APPROVED 2025/2026
LATEST
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? 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
--ANSWER---A. Initiate cervical spine stabilization
What is the most important consideration during the initial assessment when caring for an
older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
--ANSWER---B. Medical history including current medications
You are caring for a patient 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.
Page 1 of 40
,Which of the following is the most appropriate next step? A.
Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
--ANSWER---C. Notify the physician
In a motor vehicle collision, which injury pathway is most likely to increase the patient's
morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
--ANSWER---B. Ejection
A teenaged patient presents to the emergency department with left arm pain after a ground
level fall. The patient identifies as transgender and shares they are homeless. The ED staff are
concerned the patient is experiencing human trafficking. What is most consistent with human
trafficking?
A. The individual appears well nourished.
B. Those who are being trafficked rarely seek medical care.
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, Page 3 of 40
C. It is infrequently associated with substance abuse.
D. Those experiencing human trafficking rarely self-disclose.
--ANSWER---D. Those experiencing human trafficking rarely self-disclose.
An intubated trauma patient has just been transported back from CT scan. Upon arrival to
their room in the emergency department, resistance is noted with bag-mask ventilations and
auscultation reveals unequal breath sounds. What is the most appropriate initial intervention
for this patient?
A. Place the patient back on the ventilator.
B. Extubated the patient.
C. Reposition the endotracheal tube.
D. Suction the endotracheal tube.
--ANSWER---C. Reposition the endotracheal tube.
Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax?
A. Increased work of breathing
B. Unilaterally diminished breath sounds
C. Tachycardia
D. Hypotension
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, --ANSWER---D. Hypotension
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the
primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
--ANSWER---A. Initiate transfer to a trauma center
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the
priority intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Apply direct pressure to the wound
D. Use a tourniquet to control the bleeding
--ANSWER---C. Apply direct pressure to the wound
A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib
fractures on the right side, a small pneumothorax on the right, and a Grade III liver injury.
4
NEW TNCC EXAM PRACTICE QUESTIONS AND
ANSWERS TESTED AND APPROVED 2025/2026
LATEST
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? 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
--ANSWER---A. Initiate cervical spine stabilization
What is the most important consideration during the initial assessment when caring for an
older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician
--ANSWER---B. Medical history including current medications
You are caring for a patient 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.
Page 1 of 40
,Which of the following is the most appropriate next step? A.
Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
--ANSWER---C. Notify the physician
In a motor vehicle collision, which injury pathway is most likely to increase the patient's
morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
--ANSWER---B. Ejection
A teenaged patient presents to the emergency department with left arm pain after a ground
level fall. The patient identifies as transgender and shares they are homeless. The ED staff are
concerned the patient is experiencing human trafficking. What is most consistent with human
trafficking?
A. The individual appears well nourished.
B. Those who are being trafficked rarely seek medical care.
2
, Page 3 of 40
C. It is infrequently associated with substance abuse.
D. Those experiencing human trafficking rarely self-disclose.
--ANSWER---D. Those experiencing human trafficking rarely self-disclose.
An intubated trauma patient has just been transported back from CT scan. Upon arrival to
their room in the emergency department, resistance is noted with bag-mask ventilations and
auscultation reveals unequal breath sounds. What is the most appropriate initial intervention
for this patient?
A. Place the patient back on the ventilator.
B. Extubated the patient.
C. Reposition the endotracheal tube.
D. Suction the endotracheal tube.
--ANSWER---C. Reposition the endotracheal tube.
Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax?
A. Increased work of breathing
B. Unilaterally diminished breath sounds
C. Tachycardia
D. Hypotension
Page 3 of 40
, --ANSWER---D. Hypotension
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the
primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
--ANSWER---A. Initiate transfer to a trauma center
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the
priority intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Apply direct pressure to the wound
D. Use a tourniquet to control the bleeding
--ANSWER---C. Apply direct pressure to the wound
A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib
fractures on the right side, a small pneumothorax on the right, and a Grade III liver injury.
4
