TNCC ENA 9TH EDITION EXAMINATION TEST
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ A patient is brought to the emergency department of a rural hospital
following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, what is
the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter. Answer: A. Initiate transfer to a
trauma center
◉ An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is confused with
unlabored respirations and has strong, palpable radial pulses. There is an
open wound in proximity to an obvious deformity of the left lower
extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
,B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board. Answer: A. Initiate cervical
spine stabilization
◉ An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at a
rate of 18 breaths/minute. The patient has received one intravenous fluid
bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is
30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm
Hg. What is the most important intervention to manage the cerebral
blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. Answer: A. Decrease the
rate of manual ventilation.
◉ An adult patient is brought to the emergency department following a
vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal pulse.
Skin is pale, cool, and moist. What is the most appropriate initial
intervention?
, A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa).
Answer: B. Application of a pelvic binder
◉ An adult arrives at the emergency department with superficial burns
to the extremities following a house fire. The patient is reporting a
headache with nausea and is drowsy and confused. What is the most
likely cause of these symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia. Answer:
◉ Using the American College of Surgeons Guidelines for Screening
Patients with Suspected Spine Injury, what assessment finding would
prompt the nurse to prepare a patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU. Answer:
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ A patient is brought to the emergency department of a rural hospital
following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, what is
the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter. Answer: A. Initiate transfer to a
trauma center
◉ An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is confused with
unlabored respirations and has strong, palpable radial pulses. There is an
open wound in proximity to an obvious deformity of the left lower
extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
,B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board. Answer: A. Initiate cervical
spine stabilization
◉ An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at a
rate of 18 breaths/minute. The patient has received one intravenous fluid
bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is
30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm
Hg. What is the most important intervention to manage the cerebral
blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. Answer: A. Decrease the
rate of manual ventilation.
◉ An adult patient is brought to the emergency department following a
vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal pulse.
Skin is pale, cool, and moist. What is the most appropriate initial
intervention?
, A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa).
Answer: B. Application of a pelvic binder
◉ An adult arrives at the emergency department with superficial burns
to the extremities following a house fire. The patient is reporting a
headache with nausea and is drowsy and confused. What is the most
likely cause of these symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia. Answer:
◉ Using the American College of Surgeons Guidelines for Screening
Patients with Suspected Spine Injury, what assessment finding would
prompt the nurse to prepare a patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU. Answer:
