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TNCC 9th Edition Final Exam Test 2025 Open Book Questions and 100% Correct Answers, Exams of Nursing

TNCC 9th Edition Final Exam Test 2025 Open Book Questions and 100% Correct Answers This document provides the full set of open book final exam questions and verified correct answers from the TNCC 9th Edition, updated for the 2025 exam format. It is an essential resource for nursing students and trauma care professionals preparing for TNCC certification. The material reflects the most recent curriculum and clinical guidelines, ensuring accuracy and relevance.

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TNCC 9th Edition Final Exam Test 2025 Open Book
Questions and 100% Correct Answers
Whyqisqaqmeasureqofqserumqlactateqobtainedqinqtheqinitialqassessmentqofqtheqtraumaqpatient?
Answer:qcq-qAnswerqa)qtoqmeasureqoxygenationqandqventilation
b) toqquantifyqtheqbaseqdeficitqforqtheqadequacyqofqcellularqperfusion
c) *toqgaugeqend-organqperfusionqandqtissueqhypoxiaq**
d) toqdetermineqthequnderlyingqcauseqofqshock
Aqtraumaqpatientqisqrestlessqandqrepeatedlyqaskingq"whereqamqI?"qvitalqsignsquponqarrivalqwer
eqBPq100/60qmmqHg,qHRq96qbeats/min,qandqRRq24qbreaths/min.qHerqskinqisqcoolqandqdry.qCur
rentqvitalqsignsqareqBPq104/84mmqHg,qHRq108,qRRq28qbreaths/min.qTheqpatientqisqdemonstrat
ingqsignsqandqsymptomsqofqwhichqstageqofqshock?
Answer:qAq-qAnswerqA)qcompensatedq**
B) Progressive
C) irreversible
D) decompensated
Anqelderlyqpatientqwithqaqhistoryqofqanticoagulantquseqpresentsqafterqaqfallqatqhomeqthatqday.q
sheqdeniesqanyqlossqofqconsciousness.qSheqhasqaqhematomaqtoqherqforeheadqandqcomplainsq
ofqheadache,qdizziness,qandqnausea.qWhichqisqaqmostqlikelyqcauseqofqherqsymptoms?
Answer:qDq-qAnswerqA)qepiduralqhematoma
B) diffuseqaxonalqinjury
C) post-concussiveqsyndrome
D) subduralqhematomaq***
EMSqbringsqaqpatientqwhoqfellqridingqhisqbicycle.qUsingqtheqAmericanqCollegeqofqSurgeonsqscre
eningqguidelines,qwhichqassessmentqfindingqwouldqpromptqtheqnurseqtoqprepareqtheqpatientqfor
qradiologicqspineqclearance?
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TNCC 9 th Edition Final Exam Test 2025 Open Book

Questions and 100% Correct Answers

Whyqisqaqmeasureqofqserumqlactateqobtainedqinqtheqinitialqassessmentqofqtheqtraumaqpatient? Answer:qcq-qAnswerqa)qtoqmeasureqoxygenationqandqventilation b) toqquantifyqtheqbaseqdeficitqforqtheqadequacyqofqcellularqperfusion c) toqgaugeqend-organqperfusionqandqtissueqhypoxiaq* d) toqdetermineqthequnderlyingqcauseqofqshock Aqtraumaqpatientqisqrestlessqandqrepeatedlyqaskingq"whereqamqI?"qvitalqsignsquponqarrivalqwer eqBPq100/60qmmqHg,qHRq 96 qbeats/min,qandqRRq 24 qbreaths/min.qHerqskinqisqcoolqandqdry.qCur rentqvitalqsignsqareqBPq104/84mmqHg,qHRq108,qRRq 28 qbreaths/min.qTheqpatientqisqdemonstrat ingqsignsqandqsymptomsqofqwhichqstageqofqshock? Answer:qAq-qAnswerqA)qcompensatedq** B) Progressive C) irreversible D) decompensated Anqelderlyqpatientqwithqaqhistoryqofqanticoagulantquseqpresentsqafterqaqfallqatqhomeqthatqday.q sheqdeniesqanyqlossqofqconsciousness.qSheqhasqaqhematomaqtoqherqforeheadqandqcomplainsq ofqheadache,qdizziness,qandqnausea.qWhichqisqaqmostqlikelyqcauseqofqherqsymptoms? Answer:qDq-qAnswerqA)qepiduralqhematoma B) diffuseqaxonalqinjury C) post-concussiveqsyndrome D) subduralqhematomaq*** EMSqbringsqaqpatientqwhoqfellqridingqhisqbicycle.qUsingqtheqAmericanqCollegeqofqSurgeonsqscre eningqguidelines,qwhichqassessmentqfindingqwouldqpromptqtheqnurseqtoqprepareqtheqpatientqfor qradiologicqspineqclearance?

Answer:qDq-qAnswerqA)qAlertqwithqnoqneurologicqdeficits B) Multipleqabrasionsqtoqtheqextremities C) Multipleqrequestsqofqwater D) Smellqofqalcoholqonqbreathq*** Whichqofqtheqfollowingqoccursqduringqtheqthirdqimpactqofqaqmotorqvehicleqcrash? Answer:qCq-qAnswerqA)qTheqdriverqofqtheqvehicleqcollidesqwithqtheqsteeringqwheel B) theqvehicleqcollidesqwithqaqtree C) theqaortaqisqtornqatqitsqattachmentqwithqtheqligamentumqarteriosum D) theqairbagqdeploysqandqstrikesqtheqfrontqseatqpassengerq***

B) Tachycardiaqandqrespiratoryqdepression C) Tachycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqinjury D) Bradycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqtheqinjuryq*** Aq 5 - yearqoldqchildqpresentsqtoqtheqEDqwithqbruisesqtoqthequpperqarmsqandqbuttocksqinqvariousqstage sqofqhealingqandqmultipleqsmall,qclean,qroundqburnsqtoqtheqback.qThereqareqnoqabnormalitiesqfo undqbasedqonqtheqpediatricqassessmentqtriangleqorqprimaryqsurvey.qWhichqofqtheqfollowingqisqt heqpriorityqnursingqintervention? Answer:qAq- qAnswerqA)qreportqyourqsuspicionqofqtheqmaltreatmentqinqaccordanceqwithqlocalqregulationsq**

B) applyqiceqtoqtheqbruisesqandqconsultqwoundqcare C) engageqinqtherapeuticqcommunicationqtoqdetermineqtheqMOI D) provideqtheqfamilyqwithqinjuryqpreventionqresourse

Aqpatientqwithqlowerqextremityqfractureqcomplainsqofqsevereqpainqandqtightnessqinqhisqcalf,qmini mallyqrelievedqbyqpainqmedications.qWhichqofqtheqfollowingqisqtheqpriorityqnursingqintervention? Answer:qCq-qAnswerqA)qelevatingqtheqextremityqaboveqtheqlevelqofqtheqheart B) repositioningqandqapplyqice C) Elevatingqtheqextremityqtoqtheqlevelqofqtheqheartq*** D) Preparingqtheqpatientqforqultrasound Aq 36 - yearqoldqfemaleqhasqaqdeformityqofqtheqleftqwristqafterqaqfall.qSheqisqreluctantqtoqmoveqherqhandq dueqtoqpain.qWhichqofqtheqfollowingqisqtheqmostqappropriateqintervention? Answer:qBq-qAnswerqA)qapplyqaqslingqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart. B) applyqaqsplintqandqELEVATEqABOVEqTHEqLEVELqOFqTHEqHEARTq*** C) Applyqaqslingqandqelevateqtheqextremityqaboveqtheqlevelqofqtheqheart D) applyqaqsplintqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart. Whichqofqtheqfollowingqisqaqlateqsignqofqincreasedqintracranialqpressure? Answer:qC CushingqResponse qWideningqpulseqpressure qReflexqbradycardia qDecreasedqRRq-qAnswerqA)qRestlessnessqorqdrowsiness B) Nauseaqandqvomiting C) Decreasedqrespiratoryqeffort** D) amnesiaqandqanxiety Whichqofqtheqfollowingqmnemonicsqcanqhelpqtheqnurseqprioritizeqcareqforqaqtraumaqpatientqwith qmassivequncontrolledqhemorrhage? Answer:qBq-qAnswerqA)qABC B) MARCH***

Aqpatientqarrivesqwithqaqlargeqopenqchestqwoundqafterqbeingqassaultqedqwithqaqmachete,qPreho spitalqprovidersqplacedqaqnonporousqdressingqoverqtheqchestqwoundqandqtapesqitqonq 3 qsides.qH eqisqnowqshowingqsignsqofqanxiety,qrestlessness,qsevereqrespiratoryqdistress,qcyanosis,qandqdec reasingqbloodqpressure.qWhichqofqtheqfollowingqisqtheqMOSTqappropriateqinterventions? Answer:qCq-qAnswerqA)qneedleqdecompression B) tubeqthoracostomy C) dressingqremovalq** D) surgicalqrepair Aqpatientqisqfoundqlyingqonqtheqfloorqafterqfallingq 13 qhoursqago.qWhichqofqtheqfollowingqlabqvalue sqisqexpectedqwithqaqmusculoskeletalqcomplicationqassociatedqwithqthisqpresentation? Answer:qAq-qAnswerqA)qelevatedqcreatineqkinaseq*** B) decreasedqpotassiumqlevel C) decreasedqWBC D) elevatedqGFR Aq 56 - year- qmaleqpatientqinvolvedqinqaqMVCqisqbroughtqtoqtheqEDqofqaqruralqcriticalqaccessqfacility.qH eqc/oqneckqpain,qSOB,qandqdiffuseqabdqpain.qHisqGCSqisq15.qHisqvitalsqareqasqfollows: BPq98/ HRq 125 qbeats/min RRq 26 qbreaths/min SpO2q94%qonqhighqflowqO2qviaqNRBqmask whichqofqtheqfollowingqisqtheqpriorityqinterventionqforqthisqpatient? Answer:qCq-qAnswerqA)qExpediteqtransportqtoqtheqCTqscanner B) prepareqtheqpatientqforqspinalqradiographs C) expediteqtransferqtoqtheqclosestqtraumaqcenterq*** D) notifyqtheqpatientsqfamily Caregiversqcarryqaq 2 -

yearqoldqintoqtheqEDqwhoqfellqoutqofq2ndqstoryqwindow.qTheqpatientqisqawakeqandqcryingqwithqin creasedqworkqofqbreathingqandqpaleqskin.qwhichqofqtheqfollowingqinterventionsqhasqtheqhighestq priority? Answer:qAq-qAnswerqA)qpaddingqthequpperqbackqwhileqstabilizingqtheqcervicalqspineq*** B) applyingqaqtight-fittingqNRBqmaskqwithqanqattachedqresevior C) establishingqintravenousqaccessqandqadministeringqaq20mL/kgqbolus D) preparingqforqdrugqassistedqintubation Whichqofqtheqfollowingqisqaqcomponentqofqtheqtraumaqtriadqofqdeath? Answer:qA hypothermia,qmetabolicqacidosis,qcoagulopathyq-qAnswerqA)qAcidosisq**

Answer:qBq-qAnswerqA)qepiduralqhematoma B) subduralqhematomaq*** C) diffuseqaxonalqinjury D) intracerebralqhematoma Ifqaqpatientqhasqreceivedqmultipleqtransfusionsqofqbankedqbloodqpreservedqwithqcitrate,qwhichqe lectrolyteqisqmostqlikelyqtoqdropqandqrequireqsupplementation? Answer:qDq-qAnswerqA)qpotassium B) magnesium C) sodium D) calciumq*** AqtraumaqpatientqisqenqrouteqtoqaqruralqED.qRadiologyqnotifiesqtheqchargeqnurseqthatqtheqCTqsc annerqwillqbeqoutqofqserviceqforqseveralqofqhours.qTheqteamqgathersqtoqplanqaccordingly.qWhic hqofqtheqfollowingqtermsqbestqdescribesqthisqtraumaqteamsqcommunication?

Answer:qDq-qAnswerqA)qBrief B) loop C) debrief D) huddleq*** Theqnurseqisqcaringqforqaq 120 qkgqmaleqisqbroughtqinqafterqaqwarehouseqfireqandqisqcalculatingqt heqpatient'sqfluidqresuscitationqneeds.qHeqhasqpainfulqredqblisteringqtoqtheqentireqsurfaceqofqbo thqupperqextremitiesqandqsuperficialqburnsqtoqtheqanteriorqchest.qUsingqtheqmodifiedqLundqan dqBrowderqchartqtoqcalculateqtheqtotalqBSAqburned,qhowqmuchqIVqfluidsqwouldqbeqadministere dqinqtheqfirstq 8 qhours? (upperqarmq4+4q/qlowerqarmq3+3q/qhandq2.5+2.5)q=q19%qTBSA. 120 qkgqxq(2qmL)qxq(19%qTBSA)q=q 4560 qmL 4560 q/q 2 q(halfqofqfluidsqgivenqinqfirstq 8 qhours)q=q 2280 qmL Answer:qAq-qAnswerqA)q 2280 qmLq*** B) 3840 qmL C) 4560 qmL D) 7680 qmL WhichqofqtheqfollowingqassessmentqfindingsqdifferentiatesqaqtensionqPTXqfromqaqsimpleqPTX? answer:qD Assessmentqfindingsqassociatedqwithqtensionqpneumothoraxqincludeqanxiety,qsevereqrestlessn ess,qsevereqrespiratoryqdistress,qandqabsentqbreathqsoundsqonqtheqinjuredqside.qHypotensionqd ueqtoqcompressionqofqtheqheartqandqgreatqvesselsqisqconsistentqwithqobstructiveqshock.qHypot ensionqworsensqwithqinspirationqdueqtoqincreasedqintrathoracicqpressure.qLateqsignsqincludeqdi stendedqneckqveins,qtrachealqdeviation,qandqcyanosis.q- qAnswerqA)qincreasedqworkqofqbreathing B) unilaterallyqdiminishedqbreathqsounds

Answer:qDq-qAnswerqA)qcallqforqaqportableqCXRqstat B) chestqtoqmakeqsureqtheqventilatorqisqpluggedqin C) suctionqtheqETqtube D) confirmqETqtubeqplacement Whatqfactorqcontributesqmostqtheqkineticqenergyqofqaqbodyqinqmotion? answer:qCq-qAnswerqA)qacceleration B) mass C) velocityq*** D) inertia Duringqtheqprimaryqsurveyqofqanqunconsciousqpatientqwithqmulti- systemqtrauma,qtheqnurseqnotesqsnoringqrespirations.qWhichqpriorityqnursingqinterventionsqsho uldqbeqperformedqnext? Answer:qDq-qAnswerqA)qopenqtheqairwayqwithqtheqhead-tilt/chinqliftqmaneuver B) auscultateqbilateralqbreathqsoundsqtoqassessqventilatoryqstatus C) assistqrespirationsqusingqaqBVM D) insertqanqoropharyngealqairwayqifqthereqisqnoqgagqreflexq*** Followingqaqreviewqofqrecentqdrillsqandqaqrealqdisasterqevent,qaqhospitalqhasqidentifiedqdeficien ciesqandqisqtakingqstepsqtoqminimizeqtheqimpactqofqfutureqdisaster.qWhichqphaseqofqtheqdisast erqlifeqcycleqdoesqthisqdescribe? Answer:qAq-qAnswerqA)qmitigationq*** B) preparedness C) response D) recovery Whichqpulseqpressureqdescriptionqisqanqindicationqofqearlyqhypovolemicqshock? Answer:qBq-qAnswerqA)qwidened B) narrowedq***

C) bounding D) weak Theqmostqreassuringqfindingqforqaqmaleqpatientqwithqhopqpainqafterqaqfallqisqwhichqofqtheqfollo wing? Answer:qDq-qAnswerqA)qaqnormalqprostateqexam B) absenceqofqabdominalqdistension C) aqnormalqfastqexam D) pelvicqstabilityq*** Aq 49 - yearqoldqrestrainedqdriverqinvolvedqinqaqMVCqpresentsqtoqtheqtraumaqcenterqc/oqabd,qpelvic,qan dqbilqlowerqextremityqpainqVitalsqsignsqareqstable.qTheqnurseqcanqanticipateqallqofqtheseqnegativ eqfastqexamqexceptqwhichqofqtheqfollowing?

estless,qwithqrespiratoryqdistressqandqpetechiaeqtoqhisqneck.qtheqpatientqisqexhibitingqsignsqofqs ymptomsqcommonlyqassociatedqwithqwhichqofqtheqfollowingqconditions? Answer:qBq-qAnswerqA)qacuteqlungqinjury B) fatqembolismq*** C) PTX D) pulmonaryqcontusion Whichqisqtheqeffectqofqhypothermiaqonqtheqoxyhemoglobinqdissociationqcurve? Answer:qAq-qAnswerqA)qHemoglobinqdoesqnotqreadilyqreleaseqoxygenqforquseqbyqtheqtissuesq*** B) Theqamountqofqoxygenqavailableqtoqtheqtissuesqincreases

C) Tissueqoxygenationq(PaO2)qincreases D) Hemoglobinqmoleculeqsaturationq(SaO2)qdecreases Aq 20 - yearqoldqmaleqpresentsqtoqtheqEDqc/oqsevereqlowerqabdqpainqafterqlandingqhardqonqtheqbicycle qcrossqbarsqwhichqperformingqanqaerialqBMXqmaneuver.qSecondaryqassessmentqrevealsqlower qabdqtendernessqandqscrotalqecchymosis.qWhichqofqtheqfollowingqordersqwouldqtheqnurseqque stions? Answer:qCq-qAnswerqA)qFastqexam B) CTqscan C) straightqcathqforqurineqsampleq*** D) iceqandqelevationqofqtheqscrotum Youqareqtreatingqaq 27 - yearqoldqmaleqinqrespiratoryqdistressqwhoqwasqinvolvedqinqaqhouseqfire.qCalculatingqTBSAqburne dqisqdeferredqd/tqtheqneedqforqemergentqintubation.qAtqwhatqrateqshouldqyouqbeginqfluidqresusci tation? Answer:qBq-qAnswerqA)q 1000 qmL/hr B) 500 qmL/hrq*** C) 250 qmL/hr D) 125 qmL/hr Whichqofqtheqfollowingqisqpossibleqcomplicationqofqpositive-pressureqventilation? Answer:qAq-qAnswerqA)qworseningqpneumothorax B) worseningqflailqchest C) reabsorptionqofqpleuralqair D) negativeqintrapleuralqpressure WhichqofqtheqfollowingqisqNOTqconsideredqgoal-directedqtherapyqofqcardiogenicqshock? Answer:qCq-qAnswerqA)qcontrolledqfluidqboluses

D) heartqrateqofq 45 qbeats/min Anqunresponsiveqtraumaqpatientqhasqanqoropharyngealqairwayqinqplace,qshallowqandqlaboredq respiratory,qandqduskyqskin.qtheqtraumaqteamqhasqadministeredqmedicationsqforqdrugqassiste dqintubationqandqattemptedqintubationqbutqwasqunsuccessful.qWhatqisqtheqmostqappropriateq immediateqnextqstep? Answer:qAq-qAnswerqA)qVentilateqwithqaqBVMq*** B) Prepareqforqcricothyroidotomy C) administerqreversalqmedications D) contactqanesthesiaqforqassistance Theqtraumaqnurseqknowsqthatqplacingqaqbariatricqpatientsqinqaq"rampedqposition"qprovidesqbett erqvisualizationqduringqtheqinsertionqofqwhichqdevice? Answer:qCq-qAnswerqA)qIntraosseousqline B) orogastricqtube C) ETqtubeq*** D) urinaryqcatheter YouqareqcaringqforqaqpatientqwhoqwasqinvolvedqinqaqMVAqandqisq 32 qweeksqpregnant.qFindingsqof qyourqsecondaryqsurveyqincludeqabdqpainqonqpalpation,qfundalqhighqatqtheqcostalqmargin,qandqs omeqdarkqbloodyqshow.qVarying,qaccelerationsqandqdecelerationsqareqnotedqonqtheqcardiotoco graphy.qTheseqfindingsqareqmostqconsistentqwithqwhichqofqtheqfollowing? Answer:qAq-qAnswerqA)qplacentalqabruptionq*** B) pretermqlabor C) uterineqrupture D) fetalqdemise