MINDPLUG SOLUTIONS — EMPOWERING MINDS, BUILDING FUTURES
TNCC ENA 9TH EDITION EXAM PREP (2025) –
COMPLETE TRAUMA NURSING PRE-TEST & PRACTICE
QUESTIONS
Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters
C. Administer tissue plasminogen activator
Rationale: With frostbite, thrombus formation is a risk. Tissue plasminogen activator, a
thrombolytic medication, has been effective in maintaining perfusion and decreasing the
need for amputation when administered within 24 hours of rewarming.
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
B. Brachial plexus injury
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS — EMPOWERING MINDS, BUILDING FUTURES
Rationale: First and second rib fractures are most commonly associated with great vessel,
head and spinal cord, and brachial plexus injuries.
Understanding the kinematic concepts associated with the mechanism of injury and
energy transfer can initially assist the trauma care provider in which of the following?
A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure
A. Anticipating the types of injuries that may be present
Rationale: Mechanism of injury and energy transfer can assist the provider in anticipating
and evaluating the types of injuries that may be present and their severity.
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. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
TNCC ENA 9TH EDITION EXAM PREP (2025) –
COMPLETE TRAUMA NURSING PRE-TEST & PRACTICE
QUESTIONS
Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters
C. Administer tissue plasminogen activator
Rationale: With frostbite, thrombus formation is a risk. Tissue plasminogen activator, a
thrombolytic medication, has been effective in maintaining perfusion and decreasing the
need for amputation when administered within 24 hours of rewarming.
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
B. Brachial plexus injury
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS — EMPOWERING MINDS, BUILDING FUTURES
Rationale: First and second rib fractures are most commonly associated with great vessel,
head and spinal cord, and brachial plexus injuries.
Understanding the kinematic concepts associated with the mechanism of injury and
energy transfer can initially assist the trauma care provider in which of the following?
A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure
A. Anticipating the types of injuries that may be present
Rationale: Mechanism of injury and energy transfer can assist the provider in anticipating
and evaluating the types of injuries that may be present and their severity.
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. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
