TNCC ENA 9TH EDITION ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ What technique is most appropriate when obtaining a history from a
patient who has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening. Answer: D. Applying active listening
Rationale: Therapeutic communication techniques such as active
listening decrease unintentional distress during the interaction.
◉ What is the appropriate technique for palpating the pelvis for
stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
, D. Apply firm pressure over the iliac crests, downward and medially.
Answer: B. Apply gentle pressure over the iliac crests, downward and
medially
Rationale: To assess for pelvic instability, gentle pressure is applied over
the iliac crests, downward and medially.
◉ 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 would indicate this nurse
is coping well?
A. They are talking about taking the emergency nursing certification
exam
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. Answer: A. They are talking about taking the emergency
nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to
advance their own practice, a sign of resilience. B indicates the nurse is
still not ready to return to their previous level of engagement in their job.
C shows signs of burnout, irritability and frustration. D shows decreased
satisfaction with the job, a sign of burnout.
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ What technique is most appropriate when obtaining a history from a
patient who has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening. Answer: D. Applying active listening
Rationale: Therapeutic communication techniques such as active
listening decrease unintentional distress during the interaction.
◉ What is the appropriate technique for palpating the pelvis for
stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
, D. Apply firm pressure over the iliac crests, downward and medially.
Answer: B. Apply gentle pressure over the iliac crests, downward and
medially
Rationale: To assess for pelvic instability, gentle pressure is applied over
the iliac crests, downward and medially.
◉ 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 would indicate this nurse
is coping well?
A. They are talking about taking the emergency nursing certification
exam
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. Answer: A. They are talking about taking the emergency
nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to
advance their own practice, a sign of resilience. B indicates the nurse is
still not ready to return to their previous level of engagement in their job.
C shows signs of burnout, irritability and frustration. D shows decreased
satisfaction with the job, a sign of burnout.
