TNCC 9TH EDITION TNP – COMPLETE STUDY
GUIDE & TRAUMA REVIEW (2025 EDITION)
TNCC 9th Edition: 100-Question Trauma Nursing Review
1. What is the primary objective of the primary survey in trauma care?
A. To obtain a full medical history
B. To identify and treat immediate life-threatening injuries ✓
C. To perform a full head-to-toe assessment
D. To prepare the patient for surgery
2. During the primary survey, the "A" in the A-I mnemonic stands for:
A. Alertness
B. Airway with cervical spine protection ✓
C. Assessment
D. Artery
3. A patient with a Glasgow Coma Scale (GCS) score of 7 would be categorized as having what
level of consciousness?
A. Alert
B. Verbal
C. Painful
D. Unresponsive ✓
4. The "E" in the A-I mnemonic stands for:
A. Ejection
B. Exposure/Environmental Control ✓
C. Examination
D. Edema
5. Which of the following findings is a late sign of shock?
A. Tachycardia
B. Hypotension ✓
C. Anxiety
D. Cool, clammy skin
,6. The most common cause of shock in the trauma patient is:
A. Neurogenic
B. Cardiogenic
C. Hypovolemic ✓
D. Septic
7. When assessing a patient's airway, the first action should be to:
A. Suction
B. Listen
C. Look, listen, and feel ✓
D. Insert an oropharyngeal airway
8. A key clinical sign of a tension pneumothorax is:
A. Bilateral breath sounds
B. Tracheal deviation to the unaffected side ✓
C. Muffled heart sounds
D. JVD that resolves with fluid administration
9. Beck's triad, associated with cardiac tamponade, includes all of the following EXCEPT:
A. Muffled heart sounds
B. JVD
C. Hypertension ✓
D. Hypotension
10. The minimum initial IV fluid bolus for an adult trauma patient in shock is:
A. 500 mL
B. 1,000 mL ✓
C. 2,000 mL
D. 250 mL
11. During the secondary survey, the nurse should:
A. Manage the airway
B. Perform a focused head-to-toe assessment ✓
C. Initiate fluid resuscitation
D. Obtain a chest x-ray
12. The "H" in the H's and T's of the ACLS algorithm for a trauma arrest most likely refers to:
A. Hyperthermia
B. Hypovolemia ✓
,C. Hypertension
D. Hyperkalemia
13. A patient with a flail chest will demonstrate:
A. Symmetrical chest expansion
B. Paradoxical chest wall movement ✓
C. Decreased respiratory rate
D. Absent breath sounds
14. The preferred initial method for confirming endotracheal tube placement is:
A. Chest X-ray
B. Capnography ✓
C. Auscultation of breath sounds
D. Observation of chest rise
15. Neurogenic shock is characterized by:
A. Bradycardia and hypotension ✓
B. Tachycardia and fever
C. Pink, warm, dry skin
D. Decreased urine output
16. The Cushing's Triad of increased intracranial pressure includes all EXCEPT:
A. Bradycardia
B. Hypertension
C. Cheyne-Stokes respirations ✓
D. Widening pulse pressure
17. In a patient with a suspected spinal cord injury, the priority is:
A. Log-rolling the patient
B. Immobilization of the entire spine ✓
C. Assessing motor function
D. Removing the cervical collar
18. The recommended fluid for initial resuscitation in trauma is:
A. 5% Dextrose in Water
B. Lactated Ringer's or 0.9% Normal Saline ✓
C. Hypertonic Saline
D. Packed Red Blood Cells
19. A patient with a pelvic fracture is at high risk for:
A. Myocardial infarction
, B. Exsanguination ✓
C. Liver laceration
D. Tension pneumothorax
20. The "Golden Hour" concept refers to:
A. The time to administer antibiotics
B. The critical first hour after injury for definitive care ✓
C. The time to complete the secondary survey
D. The window for thrombolytic therapy
21. When a patient presents with Battle's sign, the nurse should suspect:
A. A basilar skull fracture ✓
B. A mandibular fracture
C. A cervical spine injury
D. A thoracic spine injury
22. The mnemonic "DCAP-BTLS" is used during which part of the assessment?
A. Primary Survey
B. Secondary Survey ✓
C. Triage
D. Report
23. What does the "P" in DCAP-BTLS stand for?
A. Pain
B. Puncture/Petechiae ✓
C. Pallor
D. Pulse
24. A patient with a sucking sound from a chest wound should be treated immediately with:
A. A sterile gauze dressing
B. A non-porous occlusive dressing taped on three sides ✓
C. A chest tube insertion
D. A pressure dressing
25. The most sensitive indicator of adequate organ perfusion is:
A. Blood pressure
B. Heart rate
C. Urine output ✓
D. Skin color
GUIDE & TRAUMA REVIEW (2025 EDITION)
TNCC 9th Edition: 100-Question Trauma Nursing Review
1. What is the primary objective of the primary survey in trauma care?
A. To obtain a full medical history
B. To identify and treat immediate life-threatening injuries ✓
C. To perform a full head-to-toe assessment
D. To prepare the patient for surgery
2. During the primary survey, the "A" in the A-I mnemonic stands for:
A. Alertness
B. Airway with cervical spine protection ✓
C. Assessment
D. Artery
3. A patient with a Glasgow Coma Scale (GCS) score of 7 would be categorized as having what
level of consciousness?
A. Alert
B. Verbal
C. Painful
D. Unresponsive ✓
4. The "E" in the A-I mnemonic stands for:
A. Ejection
B. Exposure/Environmental Control ✓
C. Examination
D. Edema
5. Which of the following findings is a late sign of shock?
A. Tachycardia
B. Hypotension ✓
C. Anxiety
D. Cool, clammy skin
,6. The most common cause of shock in the trauma patient is:
A. Neurogenic
B. Cardiogenic
C. Hypovolemic ✓
D. Septic
7. When assessing a patient's airway, the first action should be to:
A. Suction
B. Listen
C. Look, listen, and feel ✓
D. Insert an oropharyngeal airway
8. A key clinical sign of a tension pneumothorax is:
A. Bilateral breath sounds
B. Tracheal deviation to the unaffected side ✓
C. Muffled heart sounds
D. JVD that resolves with fluid administration
9. Beck's triad, associated with cardiac tamponade, includes all of the following EXCEPT:
A. Muffled heart sounds
B. JVD
C. Hypertension ✓
D. Hypotension
10. The minimum initial IV fluid bolus for an adult trauma patient in shock is:
A. 500 mL
B. 1,000 mL ✓
C. 2,000 mL
D. 250 mL
11. During the secondary survey, the nurse should:
A. Manage the airway
B. Perform a focused head-to-toe assessment ✓
C. Initiate fluid resuscitation
D. Obtain a chest x-ray
12. The "H" in the H's and T's of the ACLS algorithm for a trauma arrest most likely refers to:
A. Hyperthermia
B. Hypovolemia ✓
,C. Hypertension
D. Hyperkalemia
13. A patient with a flail chest will demonstrate:
A. Symmetrical chest expansion
B. Paradoxical chest wall movement ✓
C. Decreased respiratory rate
D. Absent breath sounds
14. The preferred initial method for confirming endotracheal tube placement is:
A. Chest X-ray
B. Capnography ✓
C. Auscultation of breath sounds
D. Observation of chest rise
15. Neurogenic shock is characterized by:
A. Bradycardia and hypotension ✓
B. Tachycardia and fever
C. Pink, warm, dry skin
D. Decreased urine output
16. The Cushing's Triad of increased intracranial pressure includes all EXCEPT:
A. Bradycardia
B. Hypertension
C. Cheyne-Stokes respirations ✓
D. Widening pulse pressure
17. In a patient with a suspected spinal cord injury, the priority is:
A. Log-rolling the patient
B. Immobilization of the entire spine ✓
C. Assessing motor function
D. Removing the cervical collar
18. The recommended fluid for initial resuscitation in trauma is:
A. 5% Dextrose in Water
B. Lactated Ringer's or 0.9% Normal Saline ✓
C. Hypertonic Saline
D. Packed Red Blood Cells
19. A patient with a pelvic fracture is at high risk for:
A. Myocardial infarction
, B. Exsanguination ✓
C. Liver laceration
D. Tension pneumothorax
20. The "Golden Hour" concept refers to:
A. The time to administer antibiotics
B. The critical first hour after injury for definitive care ✓
C. The time to complete the secondary survey
D. The window for thrombolytic therapy
21. When a patient presents with Battle's sign, the nurse should suspect:
A. A basilar skull fracture ✓
B. A mandibular fracture
C. A cervical spine injury
D. A thoracic spine injury
22. The mnemonic "DCAP-BTLS" is used during which part of the assessment?
A. Primary Survey
B. Secondary Survey ✓
C. Triage
D. Report
23. What does the "P" in DCAP-BTLS stand for?
A. Pain
B. Puncture/Petechiae ✓
C. Pallor
D. Pulse
24. A patient with a sucking sound from a chest wound should be treated immediately with:
A. A sterile gauze dressing
B. A non-porous occlusive dressing taped on three sides ✓
C. A chest tube insertion
D. A pressure dressing
25. The most sensitive indicator of adequate organ perfusion is:
A. Blood pressure
B. Heart rate
C. Urine output ✓
D. Skin color
