TNCC final exam test open book
TNCC FINAL EXAM TEST OPEN BOOK NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A patient with lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart
D) Preparing the patient for ultrasound - Correct Answer-C) Elevating the
extremity to the level of the heart
Which of the following is a late sign of increased intracranial pressure?
A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort
D) Amnesia and anxiety - Correct Answer-C) Decreased respiratory effort
A patient is thrown against a car during a tornado and presents with obvious
bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed
cap refill. Which of the following interventions would be most appropriate for this
patient based on the disaster triage principle?
1|Page
, TNCC final exam test open book
A) initiate two large bore intravenous lines for Ringers lactate solution
administration
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few hours
D) Contact the command center for the personnel to notify next of kin. - Correct
Answer-A) initiate two large bore intravenous lines for Ringers lactate solution
administration
Which of the following mnemonics can help the nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
A) ABC
B) MARCH
C) AVPU
D) VIPP - Correct Answer-B) MARCH
A patient arrives with a large open chest wound after being assaulted with a
machete, Prehospital providers placed a nonporous dressing over the chest
wound and tapes it on 3 sides. He is now showing signs of anxiety, restlessness,
severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the
following is the MOST appropriate interventions?
A) needle decompression
B) tube thoracostomy
2|Page
, TNCC final exam test open book
C) dressing removal
D) surgical repair - Correct Answer-C) dressing removal
A patient is found lying on the floor after falling 13 hours ago. Which of the
following lab values is expected with a musculoskeletal complication associated
with this presentation?
A) elevated creatine kinase
B) decreased potassium level
C) decreased WBC
D) elevated GFR - Correct Answer-A) elevated creatine kinase
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The
patient is awake and crying with increased work of breathing and pale skin. which
of the following interventions has the highest priority?
A) padding the upper back while stabilizing the cervical spine ***
B) applying a tight-fitting NRB mask with an attached resevior
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation - Correct Answer-A) padding the upper
back while stabilizing the cervical spine
A 35-year old male presents with facial trauma after bring struck in the face with a
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
suspected?
3|Page
TNCC FINAL EXAM TEST OPEN BOOK NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A patient with lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart
D) Preparing the patient for ultrasound - Correct Answer-C) Elevating the
extremity to the level of the heart
Which of the following is a late sign of increased intracranial pressure?
A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort
D) Amnesia and anxiety - Correct Answer-C) Decreased respiratory effort
A patient is thrown against a car during a tornado and presents with obvious
bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed
cap refill. Which of the following interventions would be most appropriate for this
patient based on the disaster triage principle?
1|Page
, TNCC final exam test open book
A) initiate two large bore intravenous lines for Ringers lactate solution
administration
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few hours
D) Contact the command center for the personnel to notify next of kin. - Correct
Answer-A) initiate two large bore intravenous lines for Ringers lactate solution
administration
Which of the following mnemonics can help the nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
A) ABC
B) MARCH
C) AVPU
D) VIPP - Correct Answer-B) MARCH
A patient arrives with a large open chest wound after being assaulted with a
machete, Prehospital providers placed a nonporous dressing over the chest
wound and tapes it on 3 sides. He is now showing signs of anxiety, restlessness,
severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the
following is the MOST appropriate interventions?
A) needle decompression
B) tube thoracostomy
2|Page
, TNCC final exam test open book
C) dressing removal
D) surgical repair - Correct Answer-C) dressing removal
A patient is found lying on the floor after falling 13 hours ago. Which of the
following lab values is expected with a musculoskeletal complication associated
with this presentation?
A) elevated creatine kinase
B) decreased potassium level
C) decreased WBC
D) elevated GFR - Correct Answer-A) elevated creatine kinase
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The
patient is awake and crying with increased work of breathing and pale skin. which
of the following interventions has the highest priority?
A) padding the upper back while stabilizing the cervical spine ***
B) applying a tight-fitting NRB mask with an attached resevior
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation - Correct Answer-A) padding the upper
back while stabilizing the cervical spine
A 35-year old male presents with facial trauma after bring struck in the face with a
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
suspected?
3|Page
