1
TNCC 9TH EDITION FINAL EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
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
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.
, 2
D. Increase the amount of oxygen delivered.
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)
B. Application of a pelvic binder
A patient involved in an 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. first and second rib fractures are commonly associated with great vessel, head
and spinal cord and brachial plexus injuries.
a. blunt cardiac injury-sternal fractures;
c. pneumothorax is most commonly associated with sternal fractures, multiple rib
fractures, flail chest
, 3
d. Hemothorax is most commonly associated with flail chest of multiple rib
fractures
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 the need for lab tests
d. predicting the need for a surgical procedure
a. anticipating the types of injuries that may be present
7. A patient with a lower extremity fracture complains of severe pain and
tightness in his calf, minimally relieved by pain medications. Which of the
following is the priority nursing intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for ultrasound of the leg
C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
This patient is exhibiting signs of possible compartment syndrome which is a
dangerous complication of fractured extremities. The pain is often out of
proportion to the injury and might not respond to pain medications. Elevate the
limb to the level of the heart to decrease dependent edema but not above the
heart, which can cause increased venous congestion and pressure within the
compartment.
, 4
8. A teenaged patient presents to the emergency department with left arm pain
after a ground level fall. The patient identifies as transgender and shares they are
homeless. The ED staff are concerned the patient is experiencing human
trafficking. What is most consistent with human trafficking?
A. The individual appears well nourished.
B. Those who are being trafficked rarely seek medical care.
C. It is infrequently associated with substance abuse.
D. Those experiencing human trafficking rarely self-disclose.
D. Those experiencing human trafficking rarely self-disclose.
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
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
TNCC 9TH EDITION FINAL EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
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
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.
, 2
D. Increase the amount of oxygen delivered.
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)
B. Application of a pelvic binder
A patient involved in an 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. first and second rib fractures are commonly associated with great vessel, head
and spinal cord and brachial plexus injuries.
a. blunt cardiac injury-sternal fractures;
c. pneumothorax is most commonly associated with sternal fractures, multiple rib
fractures, flail chest
, 3
d. Hemothorax is most commonly associated with flail chest of multiple rib
fractures
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 the need for lab tests
d. predicting the need for a surgical procedure
a. anticipating the types of injuries that may be present
7. A patient with a lower extremity fracture complains of severe pain and
tightness in his calf, minimally relieved by pain medications. Which of the
following is the priority nursing intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for ultrasound of the leg
C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
This patient is exhibiting signs of possible compartment syndrome which is a
dangerous complication of fractured extremities. The pain is often out of
proportion to the injury and might not respond to pain medications. Elevate the
limb to the level of the heart to decrease dependent edema but not above the
heart, which can cause increased venous congestion and pressure within the
compartment.
, 4
8. A teenaged patient presents to the emergency department with left arm pain
after a ground level fall. The patient identifies as transgender and shares they are
homeless. The ED staff are concerned the patient is experiencing human
trafficking. What is most consistent with human trafficking?
A. The individual appears well nourished.
B. Those who are being trafficked rarely seek medical care.
C. It is infrequently associated with substance abuse.
D. Those experiencing human trafficking rarely self-disclose.
D. Those experiencing human trafficking rarely self-disclose.
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
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
