TNCC FINAL STUDY GUIDE 2026 TEST PAPER
QUESTIONS AND SOLUTIONS
● a pertinent medical hx is crucial . Answer: Which of the following
considerations is the most important when caring for a geriatric trauma
pt?
● Mitigation . Answer: Following a review of recent drills and a real
disaster event, a hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the disaster
life cycle does this describe?
● Multiple requests for water . Answer: EMS brings a pt who fell while
riding his bicycle. Using the American College of Surgeobs screening
guidelines, which assessment finding would prompt the RN to prepare
the pt for a radiologic spine clearance?
● hemoglobin does not readily release O2 for use by the tissues .
Answer: What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
● acidosis . Answer: Which of the following is a component of the
trauma triad of death?
, ● Complete . Answer: EMS brings a pt from MVC. VS: BP 90/49, HR
48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent with which
of the following types of spinal cord injury?
● flucuation in the water seal chamber . Answer: Which of the following
is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system?
● insert an oropharyngeal airway if there is no gag reflex . Answer:
During the primary survey of an unconscious pt with multi-system
trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
● globe rupture . Answer: A 35 y/o M presents with facial trauma after
being struck in the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
● compensated . Answer: A trauma pt is restless and repeatedly asking
"where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is
cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
demonstrating s/sx of which stage of shock?
● ventilate with a bag mask device . Answer: An unresponsive trauma pt
has an oropharygeal airway in place, shallow and labored respirations,
and dusky skin. The trauma team has administered medications for drug-
QUESTIONS AND SOLUTIONS
● a pertinent medical hx is crucial . Answer: Which of the following
considerations is the most important when caring for a geriatric trauma
pt?
● Mitigation . Answer: Following a review of recent drills and a real
disaster event, a hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the disaster
life cycle does this describe?
● Multiple requests for water . Answer: EMS brings a pt who fell while
riding his bicycle. Using the American College of Surgeobs screening
guidelines, which assessment finding would prompt the RN to prepare
the pt for a radiologic spine clearance?
● hemoglobin does not readily release O2 for use by the tissues .
Answer: What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
● acidosis . Answer: Which of the following is a component of the
trauma triad of death?
, ● Complete . Answer: EMS brings a pt from MVC. VS: BP 90/49, HR
48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent with which
of the following types of spinal cord injury?
● flucuation in the water seal chamber . Answer: Which of the following
is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system?
● insert an oropharyngeal airway if there is no gag reflex . Answer:
During the primary survey of an unconscious pt with multi-system
trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
● globe rupture . Answer: A 35 y/o M presents with facial trauma after
being struck in the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
● compensated . Answer: A trauma pt is restless and repeatedly asking
"where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is
cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
demonstrating s/sx of which stage of shock?
● ventilate with a bag mask device . Answer: An unresponsive trauma pt
has an oropharygeal airway in place, shallow and labored respirations,
and dusky skin. The trauma team has administered medications for drug-
