TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
TNCC 9th Edition – Questions and
Answers Graded A+ (SOLVED
2024/2025)
A adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and
speaking. In the primary survey, further assessment is indicated next for
which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after
sustaining an injury to the right lower extremity while using a saw. There is
a large gaping wound to the right thigh area with significant bleeding. What
is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct
pressure
A patient fell two weeks ago, striking their head. Today, the patient
presented with a persistent headache and nausea and was diagnosed with a
small subdural hematoma. The patient has been in the ED for 24 hours
awaiting an inpatient bed. The night shift nurse reports the patient has been
anxious, restless, shaky, and vomited twice during the night. The patient
states they couldn't sleep because a young child kept coming into the room.
What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ansb. alcohol withdrawal
A patient involved in a MVC has sustained a fracture to the second rib of the
anterior left chest. Which concurrent injury is most commonly associated with
this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ansb. Brachial plexus injury
,TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the
following represents the highest priority for ongoing assessment and
management for this patient?
a. maintain adequate respiratory status.
,TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ansa. maintain adequate respiratory status
, TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
A trauma nurse cared for a child with devastating burns two weeks ago. The
nurse called in sick for a couple of days and is now back working on the
team. Which of the following behaviors would indicate this nurse is coping
well?
a. They are talking about taking the emergency nursing certification
examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. -
ansa. They are talking about taking the emergency nursing certification
examination.
Following a bomb explosion, fragmentation injuries from the bomb or
objects in the environment are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
d. quaternary - ansb. secondary
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction
The general impression step in the initial assessment provides the
opportunity to do which of the following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ansc. Reprioritize circulation before airway or
breathing.
The nurse is obtaining a history for a patient who presents following sexual
assault. This history is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport. - ansb. Use direct
quotes to record information.
The vital signs of a pregnant trauma patient at 30 weeks include a blood
pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart
tones are 124 beats/minute. The emergency nurse interprets the patient's
hemodynamic findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
TNCC 9th Edition – Questions and
Answers Graded A+ (SOLVED
2024/2025)
A adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and
speaking. In the primary survey, further assessment is indicated next for
which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after
sustaining an injury to the right lower extremity while using a saw. There is
a large gaping wound to the right thigh area with significant bleeding. What
is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct
pressure
A patient fell two weeks ago, striking their head. Today, the patient
presented with a persistent headache and nausea and was diagnosed with a
small subdural hematoma. The patient has been in the ED for 24 hours
awaiting an inpatient bed. The night shift nurse reports the patient has been
anxious, restless, shaky, and vomited twice during the night. The patient
states they couldn't sleep because a young child kept coming into the room.
What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ansb. alcohol withdrawal
A patient involved in a MVC has sustained a fracture to the second rib of the
anterior left chest. Which concurrent injury is most commonly associated with
this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ansb. Brachial plexus injury
,TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the
following represents the highest priority for ongoing assessment and
management for this patient?
a. maintain adequate respiratory status.
,TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ansa. maintain adequate respiratory status
, TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED 2024/2025)
A trauma nurse cared for a child with devastating burns two weeks ago. The
nurse called in sick for a couple of days and is now back working on the
team. Which of the following behaviors would indicate this nurse is coping
well?
a. They are talking about taking the emergency nursing certification
examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. -
ansa. They are talking about taking the emergency nursing certification
examination.
Following a bomb explosion, fragmentation injuries from the bomb or
objects in the environment are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
d. quaternary - ansb. secondary
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction
The general impression step in the initial assessment provides the
opportunity to do which of the following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ansc. Reprioritize circulation before airway or
breathing.
The nurse is obtaining a history for a patient who presents following sexual
assault. This history is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport. - ansb. Use direct
quotes to record information.
The vital signs of a pregnant trauma patient at 30 weeks include a blood
pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart
tones are 124 beats/minute. The emergency nurse interprets the patient's
hemodynamic findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
