TNCC 2025 EXAM QUESTIONS

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TNCC 2025 EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -75 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A 5-month pregnant patient arrives in the emergency department stating she tripped and fell, landing on her abdomen. Assessment reveals bruising to the abdomen, both arms, and her neck. She states she does not take any medications and has not had any prenatal care. The nurse suspects the findings are most likely related to which of the following?A.Intentional violence B.Pregnancy-related changes C.Undiagnosed embolus D.Iron deficiency

Answer:

• Intentional violence

Question 2: While performing an assessment on a 13-month old involved in a motor vehicle collision, the nurse identifies which of the following findings from the patient as a sign of possible altered mental status?

• sunken fontanel
• crying, but consolable
• spontaneous movement of arms and legs
• cooperation with the assessment

Answer:

• cooperation with the assessment

Question 3: 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?

• Alert with no neurologic deficits or neck pain
• Multiple abrasions to the extremities
• Ecchymosis to the flank
• Responds to verbal stimulation using AVPU

Answer:

• Responds to verbal stimulation using AVPU

Question 4: A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of the following methods will the nurse use to remove small pieces of bark and debris from the wound?A.Low-pressure irrigation B.High-pressure irrigation C.Scrubbing with normal saline D.Scrubbing with tap water

Answer:

A.Low-pressure irrigation Question 5: An adult patient was a restrained passenger involved in a high-speed motor vehicle collision. The patient complained of generalized abdominal and left leg pain. A FAST exam was negative for fluid in the abdominal cavity. While awaiting inpatient bed placement, the patient develops increased abdominal pain with rebound tenderness, fever, and an elevated white blood cell count. These findings are most consistent with an injury to which organ?A.Spleen B.Kidney C.Small bowel D.Liver

Answer:

C.Small bowel Question 6: A trauma patient is being resuscitated in the emergency department when the radiology staff notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma team's communication?A.Brief B.Closed-loop

C.Debrief D.Huddle

Answer:

• Huddle

Question 7: What is the best measure of the adequacy of cellular perfusion and can help predict the outcome of resuscitation?

• end tidal CO2
• Hematocrit level
• Base deficit
• Oxygen saturation

Answer:

• end tidal CO2

Question 8: An older adult presents to the emergency department with complaints of dizziness, headache, and nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no loss of consciousness and a hematoma is noted to the forehead. The patient is currently on anticoagulant therapy. What is most likely the cause of their symptoms?

• Intracerebral hemorrhage
• Epidural hematoma
• Diffuse axonal injury
• Post-concussive syndrome

Answer:

• Post-concussive syndrome

Question 9: A patient presents to the emergency department with a degloving injury involving the entire forearm. What should the nurse consider when planning care for a patient with this injury?A.Wound edges can be easily approximated for suturing.B.Surgical intervention will be needed C.Extent of tissue damage does not affect potential limb salvage D.Only soft tissue has been damaged

Answer:

• Surgical intervention will be needed

Question 10: A patient presents with chest pain and shortness of breath following a motor vehicle collision. An electrocardiogram shows sinus tachycardia and ischemic changes with an elevated troponin. The nurse should be highly suspicious for which injury?A.Cardiac tamponade B.Blunt cardiac injury C.Aortic disruption D.Pulmonary contusion

Answer:

B.Blunt cardiac injury Question 11: A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?A.Oculomotor nerve palsy B.Globe rupture C.Retrobulbar hematoma D.Retinal detachment

Answer:

• Globe rupture

Question 12: The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following?

• decompensated shock
• normal vital signs in pregnancy
• compensated shock
• supine hypotension syndrome

Answer:

• normal vital signs in pregnancy

Question 13: A trauma patient is being held in the emergency department because there are no available inpatient beds. The patient sustained a femur fracture and required multiple blood products. The patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is most consistent with these findings?A.Rhabdomyolysis