- | P a g e
pg. 1
TNCC EXAM/ TNCC WRITTEN EXAM LATEST
2025 TEST BANK| COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| TNCC FINAL
EXAM PREP 2025 (NEWEST!!)
Which of the following is an expected finding in a pt with a tube thoracostomy connected to a chest drainage system? - ANSWER - fluctuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing interventions should be performed next? - ANSWER - insert an oropharyngeal airway if there is no gag reflex
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? - ANSWER - globe rupture
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? - ANSWER - compensated
When is the tertiary survey completed fora trauma pt - ANSWER - within 24 hrs. of trauma 1 / 4
- | P a g e
pg. 2 An unresponsive trauma pt has an oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? - ANSWER -ventilate with a bag mask device
An intubated and sedated pt in the ED has multiple extremity injuries with the potential for causing compartment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? - ANSWER - pressure
Which of the following is possible complication of positive-pressure ventilation? - ANSWER - worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? - ANSWER - pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - ANSWER - narrowed
Patients with a crush injury should be monitored for which of the following conditions? - ANSWER - dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? - ANSWER - subdural hematoma
- / 4
- | P a g e
pg. 3 What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness of ventilation? – ANSWER - pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? - ANSWER - padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER - bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When significant Abd and pelvic injuries are noted in the primary survey, which of the following is the priority interventions? - ANSWER
- Initiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? - ANSWER - bradycardia and absent motor function below the level of injury
a 49 y/o restrained driver involved in an MVC presents to the trauma center complaining of Abd, pelvic, and bilateral lower extremity pain.VS is stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? – ANSWER - serial FAST exams
- / 4
- | P a g e
pg. 4 Which of the following is NOT considered goal-directed therapy for cardiogenic shock? - ANSWER - pericardiocentesis
The trauma nurse knows that placing a bariatric patient in a cramped position providers better visualization during the insertion of which device? - ANSWER - endotracheal tube
which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax - ANSWER - increased work of breathing
if a pt has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? - ANSWER - calcium
You are treating a 27 y/o M in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred due to the need for emergent intubation. At what rate should you begin fluid resuscitation? - ANSWER -500 mL/hr.
Which of the following is most likely to contribute to inadequate oxygenation and ventilation? - ANSWER - advanced age
Which of the following is a late sign of increased intracranial pressure? - ANSWER - nausea and vomiting
- / 4