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TNCC PRACTICE QUESTIONS EXAM QUESTIONS

Exam (elaborations) Jan 9, 2026
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TNCC PRACTICE QUESTIONS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -54 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Effective pain management in the patient with rib fractures will promote which of the following?

Answer:

Cough with ability to clear secretions.Question 2: Your patients father arrives to the ER and needs to be told his son is severely injured in an MVA and is in surgery. The father is agitated, yelling, and smells of alcohol. In

planning to talk with the father the trauma nurse will:

Answer:

Deliver information regarding the sons care and a calm voice.Question 3: And unrestrained driver was involved in a frontal collision without an airbag deployment . She is hypotensive and tachycardic with shallow respirations distended jugular vein's, and muffled heart tones. The nurse prepares for which immediate intervention?

Answer:

Pericardiocentesis Question 4: And occlusive dressing has been applied to a patient with a penetrating injury to the chest. Upon assessment, the nurse notes that the patient is in respiratory distress and has absent breath sounds on the affected side. What is the priority intervention?

Answer:

Remove the dressing to the wound

Question 5: An older adult patient fell in the bathtub three days ago. Now she is exhibiting decreased level of consciousness's and difficulty with speaking and walking. Which of the following injuries is most likely?

Answer:

Subdural hematoma.Question 6: The trauma nurse would prepare for a definitive airway for which condition?

Answer:

GCS score of eight or less Question 7: In mass casualty triage, "doing the greatest good for the greatest number" refers to

dealing with a situation where:

Answer:

There are more patience than resources Question 8: And unrestrained front seat passenger in a MVA develops a ecchymosis around the

umbilicus. This assessment finding is most commonly associated with:

Answer:

Bleeding in the peritoneal cavity

Question 9: What is Cushing response?

Answer:

Widening pulse pressure, reflex bradycardia, and decreased respiratory effort.Question 10: During the primary survey, which of the following assessment findings has the greatest priority?

Answer:

Cervical spine injury Question 11: When providing care for pediatric patient with Burns in the post resuscitation care., How are intravenous fluids administered?

Answer:

Administer fluids as per the Parkland formula with maintenance fluids.

Question 12: Which of the following structures would be the most affected by the energy transfer concept of cavitation?

Answer:

Liver.Question 13: Identification of vulnerabilities is an example of which phase of disaster management?

Answer:

Mitigation.Question 14: During the assessment of an extremity with suspected compartment syndrome,

pulses's:

Answer:

Can be normal Question 15: A properly restrained six week old was involved in the MVA. After Intial assessment stabilization, the patient becomes more difficult to arouse, responding with a weak cry to painful simulation. The pupils remain equal and briskly reactive. The anterior fontanel is soft and flat. What is most likely cause for this change?

Answer:

Hypoglycemia

Question 16: Elevated compartment pressure can be the result of

Answer:

Haemorrhage from with in the muscle.Question 17: In the primary survey, AVPU is performed to determine if the patient can:

Answer:

Protect his or her airway Question 18: Which of the following diagnostic interventions is most appropriate for the unstable patient with a suspected internal hemorrhage?

Answer:

Focussed assessment with sonography for trauma

Question 19: A patient arrives with an amputation of an index finger from a knife. The amputated part is brought in with the patient. It is wrapped in a sterile, saline moistened gauze and a sealed plastic bag. The next step in the care of the amputated part is?

Answer:

Place the bag onto ice Question 20: A patient involved in MVA to develops asymmetric pupillary reactivity, bilateral pupillary nonreactive dilation, and abnormal motor posturing. What does the nurse expect as the most likely cause?

Answer:

Herniation syndrome Question 21: What is an early assessment finding of increased ICP in the patient with a brain injury?

Answer:

Vomiting

Question 22: What is a sign of herniation syndrome?

Answer:

A unilateral fixed and dilated

Question 23: What does bilateral fix and pinpoint pupils mean?

Answer:

It could be an injury to the ponds or effects of opioids Question 24: If pregnant trauma patient develops tachycardia, hypertension, rigid board like uterus, and dark, red vaginal bleeding. She reports constant back pain, which is increasing. The

most likely cause of these signs and symptoms is:

Answer:

Placental abruption.Question 25: A restrained driver involved in a severe head on MVA presents with a seatbelt Mark along the neck and upper chest area, bilateral decreased breath sounds, hemophysis, and a few subcutaneous emphysema to the neck and upper chest area. which of the following is associated with this injury pattern?

Answer:

Tracheobronchial injury

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