TNCC FINAL EXAM WITH PRACTICE TEST
QUESTIONS WITH CORRECT ANSWERS
NEWLY MODIFIED TESTED AND APPROVED
2025/2026 LATEST UPDATE
Which of the following occurs during the third impact of a motor vehicle crash?
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
Answer: C
A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Answer: A
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,Which of the following injuries is LEAST likely to be promptly identified?
A) spleen
B) lung
C) bowel ***
D) brain
Answer: C
Patients with a crush injury should be monitored for which of the following
conditions?
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
Answer: C
What finding raises suspicion of complete spinal cord injury?
A) Weakness in the lower extremities
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, B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
Answer: B
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate
hypotension and which other clinical signs?
A) Bradycardia and ipsilateral absences of motor
function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
Answer: D
A 5-year old child presents to the ED with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to
the back. There are no abnormalities found based on the pediatric assessment
Page 3 of 26
QUESTIONS WITH CORRECT ANSWERS
NEWLY MODIFIED TESTED AND APPROVED
2025/2026 LATEST UPDATE
Which of the following occurs during the third impact of a motor vehicle crash?
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
Answer: C
A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Answer: A
Page 1 of 26
,Which of the following injuries is LEAST likely to be promptly identified?
A) spleen
B) lung
C) bowel ***
D) brain
Answer: C
Patients with a crush injury should be monitored for which of the following
conditions?
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
Answer: C
What finding raises suspicion of complete spinal cord injury?
A) Weakness in the lower extremities
Page 2 of 26
, B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
Answer: B
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate
hypotension and which other clinical signs?
A) Bradycardia and ipsilateral absences of motor
function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
Answer: D
A 5-year old child presents to the ED with bruises to the upper arms and
buttocks in various stages of healing and multiple small, clean, round burns to
the back. There are no abnormalities found based on the pediatric assessment
Page 3 of 26
