Written Exam, TNCC final exam test
TNCC TEST. TNCC TEST PREPA, 8TH EDITION, TNCC TEST PREP 8TH EDITION,
TNCC WRITTEN EXAM, TNCC FINAL EXAM TEST NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing
hard on the bicycle cross bars while preforming an aerial BMX maneuver.
Secondary assessment reveals lower abd tenderness and scrotal ecchymosis.
Which of the following orders would the RN question? - Correct Answer-straight
cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal ht at the
costal margin, and some dark bloody show. Varying accelerations and
decelerations are noted on cariocgraphy. These findings are most consistent with
which of the following? - Correct Answer-placental abruption
Which of the following is true about the log-roll? - Correct Answer-it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - Correct Answer-defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - Correct Answer-pulse oximetry and capnography
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Written Exam, TNCC final exam test
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The
pt is awake and crying with increased work of breathing and pale skin. Which of
the following interventions has the highest priority? - Correct Answer-padding the
upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - Correct
Answer-bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant abd and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions? - Correct Answer-Initiate transfer to a
trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - Correct Answer-bardycardia and
absent motor function below the level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention? -
Correct Answer-apply splint and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? -
Correct Answer-the aorta is torn at its attachment with the ligamentum
arteriosum
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Written Exam, TNCC final exam test
a 5 y/o child presents to the ED with bruises to the upper arm 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 triangle or primary
survey. Which of the following is the priority survey. Which of the following is the
priority nursing intervention? - Correct Answer-Report your suspicion of
maltreatment in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - Correct Answer-to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his
calf, minimally by pain medications. Which of the following is the priority nursing
intervention? - Correct Answer-elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? - Correct
Answer-velocity
An elderly patient with a history of anticoagulant use presents after a fall at home
today. She denies any loss of consciousness. She has a hematoma to her forehead
and complains of headache, dizziness, and nausea. What is the most likely cause
of her symptoms? - Correct Answer-subdural hematoma
a pt has been in the ED for several hrs waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert,
and complaining of leg pain. His wife reported that he suddenly became anxious
and confused. Upon reassessment, the pt is restless with respiratory distress and
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Written Exam, TNCC final exam test
petechiae to his neck. The pt is exhibiting s/sx most commonly associated with
which of the following conditions? - Correct Answer-fat embolism
Which of the following is a late sign of increased intracranial pressure? - Correct
Answer-Late signs of increased intracranial pressure include: dilated nonreactive
pupils, unresponsive to verbal or painful stimuli, abnormal motor posturing, and
Cushing response (widening pulse pressure, reflex bradycardia, decreased
respiratory effort)
a 49 y/o restrained driver involved in a MVC presents to the trauma center
complaining of abd, pelvic, and bilateral lower extremity pain. VS are stable. The
nurse can anticipate all of these after a negative FAST exam EXCEPT which of the
following? - Correct Answer-serial FAST exams
Which of the following is NOT considered goal-directed therapy for cardiogenic
shock? - Correct Answer-pericardiocentesis
The trauma nurse knows that placing a bariatric patient in a ramped position
providers better visualization during the insertion of which device? - Correct
Answer-endotracheal tube
which of the following assessment findings differentiates a tension pneumothorax
from a simple pneumothorax? - Correct Answer-increased work of breathing
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