TNCC TEST PREP 8TH EDITION QUESTIONS
AND ANSWERS UPDATED 2024 - 2025
Expedite,transfer,to,the,closest,trauma,center,ANS,-
A,56,y/o,M,involved,in,a,MVC,is,brought,to,the,ED.,He,complains,of,neck,pain,,SOB,,and,diffuse,abdomina
l,pain.,His,GCS,is,15,,VS:,BP,98/71,,HR,125,,RR,26,,SpO2,94%,on,high-
flow,O2,via,NRB,mask.,Which,is,the,priority,intervention,for,this,patient?
a,pertinent,medical,hx,is,crucial,ANS,-
Which,of,the,following,considerations,is,the,most,important,when,caring,for,a,geriatric,trauma,pt?
Mitigation,ANS,-
Following,a,review,of,recent,drills,and,a,real,disaster,event,,a,hospital,has,identified,deficiencies,and,is,ta
king,steps,to,minimize,the,impact,of,a,future,disaster,.,Which,phase,of,the,disaster,life,cycle,does,this,des
cribe?
smell,of,alcohol,on,breath,ANS,-
EMS,brings,a,pt,who,fell,while,riding,his,bicycle.,Using,the,American,College,of,Surgeobs,screening,guideli
nes,,which,assessment,finding,would,prompt,the,RN,to,prepare,the,pt,for,a,radiologic,spine,clearance?
hemoglobin,does,not,readily,release,O2,for,use,by,the,tissues,ANS,-
What,is,the,effect,of,hypothermia,on,the,oxyhemoglobin,dissociation,curve?
acidosis,ANS,-Which,of,the,following,is,a,component,of,the,trauma,triad,of,death?
Complete,ANS,-
EMS,brings,a,pt,from,MVC.,VS:,BP,90/49,,HR,48,,RR,12,,temp,97.2F,(36.2,C).,The,pt,exhibits,urinary,incont
inence,and,priapism.,These,assessment,findings,are,most,consistent,with,which,of,the,following,types,of,
spinal,cord,injury?
flucuation,in,the,water,seal,chamber,ANS,-
Which,of,the,following,is,an,expected,finding,in,a,pt,with,a,tube,thoracstomy,connected,to,a,chest,draina
ge,system?
, insert,an,oropharyngeal,airway,if,there,is,no,gag,reflex,ANS,-
During,the,primary,survey,of,an,unconscious,pt,with,multi-
system,trauma,,the,nurse,notes,snoring,respirations.,What,priority,nursing,interventions,should,be,prefo
rmed,next?
globe,rupture,ANS,-
A,35,y/o,M,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?
compensated,ANS,-
A,trauma,pt,is,restless,and,repeatedly,asking,"where,am,i?",VS,upon,arrival:,BP,110/60,,HR96,,RR,24.,Her,
skin,is,cool,and,dry.,Current,VS,are,BP,104/84,,HR,108,,RR,28.,The,pt,is,demonstrating,s/sx,of,which,stage,
of,shock?
ventilate,with,a,bag,mask,device,ANS,-
An,unresponsive,trauma,pt,has,an,oropharygeal,airway,in,place,,shallow,and,labored,respirations,,and,du
sky,skin.,The,trauma,team,has,administered,medications,for,drug-
assisted,intubation,and,attempted,intubation,but,was,unsuccessful.,What,is,the,most,appropriate,immed
iate,next,step?
within,24,hrs,of,trauma,ANS,-When,is,the,tertiary,survey,completed,fora,trauma,pt?
pressure,ANS,-
An,intubated,and,sedated,pt,in,the,ED,has,multiple,extremity,injuries,with,the,potential,for,causing,comp
artment,syndrome.,What,is,the,most,reliable,indication,of,compartment,syndrome,in,a,patient,who,is,un
conscious?
worsening,pneumothorax,ANS,-Which,of,the,following,is,possible,complication,of,positive-
pressure,ventilation?
pelvic,stability,ANS,-
the,most,reassuring,finding,for,a,male,pt,with,hip,pain,after,a,fall,is,which,of,the,following?
narrowed,ANS,-Which,of,the,following,pulse,pressures,indicate,early,hypovolemic,shock?