TNCC 9TH EDITION EXAM LATEST 2025- 2026 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWER, Exams of Nursing

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TNCC 9

TH

EDITION EXAM LATEST 202 5 -

2026 COMPLETE 80

QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES

(VERIFIED ANSWERS)

|ALREADY GRADED A+

You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Finding of your secondary survey include abdominal pain on palpitation, fundal height at the costalmargin, and some dark bloody show. Varying acceleration and decelerations are noted on cardiotocography. These finding are most consistent with which of the following? a. Placental abruption b. Preterm labor c. Uterine rupture d. Fetal demise

2. Which of the following is a possible complication of positive-pressure ventilation? a. Worsening pneumothorax b. Worsening flail chest c. Reabsorption of pleural air d. Negative intrapleural pressure

3. Which of the following is a component of the trauma triad of death? a. Acidosis b. Hyperthermia TNCC 9TH^ EDITION EXAM LATEST 2023- 2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIEDANSWERS) |ALREADY GRADED A+ c. Hemorrhage d. Sepsis
4. Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster. Which phase of the disaster life cycle does this describe? a. Mitigation b. Preparedness c. Response d. Recovery

b. Apply ice to the bruises and consult wound care. c. Engage in therapeutic communication to determine the mechanism of injury. d. Provide the family with injury prevention resources.

11. EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver’s side of the car. The patient is asking to have the cervical collar removed. When is it appropriate to remove the cervical collar? a. After a physical examination if the patient has no radiologic abnormalities on CT b. After physician evaluation if the patient has no neurologic abnormalities on exam c. After palpation of the spine if the patient has no point tenderness to the vertebral column d. After a physical examination if the patient has no neck pain and movement
12. Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? a. To measure oxygenation and ventilation b. To quantify the base deficit for the adequacy of cellular perfusions c. To gauge end-organ perfusion and tissue hypoxia d. To determine the underlying cause of shock
13. Which of the following is NOT considered goal-directed therapy for cardiogenic shock? a. Controlled fluid boluses b. Antidysrhythmic administration c. Pericardiocentesis d. Cardiac catheterization

c. Obtain imaging studies. d. Place a gastric tube.

15. A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? a. Bradycardia and ipsilateral absence of motor function b. Tachycardia and respiratory depression c. Tachycardia and absent motor function below the level of injury d. Bradycardia and absent motor function below the level of the injury
16. You are treating a 27-year-old male in respiratory distress who was involved in a house fire. Calculation total body surface area (TBSA) burned is deferred due to the need for emergent intubation. At what rate do y begin fluid resuscitation? a. 1000ml/hour b. 500 ml/hour c. 250 ml/hour d. 125 ml/hour
17. An intubated and sedated patient in the emergency department has multiple extremity injuries with eh potential for causing compartment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? a. Pulselessness b. Pressure c. Paranesthesia d. Pallor
18. Which of the following patients warrants referral to a burn center? a. A 21-year-old female with a partial-thickness burn to her right forearm.

19. Tearing of the bridging veins is most frequently associated with which brain injury? a. Epidural hematoma b. Subdural hematoma c. Diffuse axonal injury d. Intracerebral hematoma
20. Which of the follow assessment finding differentiates a tension pneumothorax from a simple pneumothorax? a. Increased work of breathing b. Unilaterally diminished breath sounds c. Pleuritic chest pain d. Hypotension that worsens with inspiration.
21. Which of the following pulse pressures indicate early hypovolemic shock? a. Widened b. Narrowed c. Greater than 50 d. Increased
22. The nurse is caring for a 120kg male brought in after a warehouse fire and is calculating the patient’s fluid resuscitation needs, He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate ethe total body surface area burned. How much IV fluid would be administered in the first 8 hours? a. 2280 ml

b. 3840 ml c. 4560 ml d. 7680 ml

26. A 20-year-old male presents to the ED complaining of sever lower abdominal pain after landing hard on the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower

abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question? a. FAST exam b. CT scan c. Straight catheter for urine sample d. Ice and elevation of the scrotum

27. Which of the following is NOT considered a benefit of debriefings? a. Identifying individuals who made mistakes during the traumatic event. b. Promoting improved communication and patient safety c. Providing an opportunity to review performance and reflect on areas for improvement. d. Supporting the perceived psychological safety of team members
28. A trauma patient is restless and repeatedly asking “Where am I?” Vital signs upon arrival were BP 110/60, HR 96 beats/minute, and RR 24 breaths/minute. Her skin is cool and dry. Current vital signs are Bp104/84 mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is demonstrating signs and symptoms of which stage of shock? a. Compensated b. Progressive c. Irreversible d. Decompensated
29. Which of the following mnemonics can help the nurse prioritize care for a trauma patient with massive uncontrolled hemorrhage? a. ABC

33. An unresponsive trauma patient 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?

a. Ventilate with a bag-mask device. b. Prepare for cricothyroidotomy. c. Administer reversal medications. d. Contact anesthesia for assistance.

34. Patients with a crush injury should be monitored for which of the following conditions? a. Hypernatremia b. Hypercalcemia c. Dysrhythmias d. Polyuria
35. A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention? a. Elevating the extremity above the level of the heart b. Repositioning and applying ice c. Elevating the extremity to the level of the heart d. Preparing the patient for ultrasound
36. The most reassuring finding for a male patient with hip pain after a fall is which of the following? a. A normal prostate exam b. Absence of abdominal distention c. A normal FAST exam d. Pelvic stability

d. a. Acceleration b. Mass Velocity

c. Inertia

38. A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood pressure. Which of following is the MOST appropriate immediate intervention? a. Needle decompression b. Tube thoracostomy c. Dressing removal d. Surgical repair
39. If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? a. Potassium b. Magnesium c. Sodium d. Calcium
40. A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention? a. Apply a sling and elevate the extremity to the level of the heart. b. Apply a splint and elevate the extremity above the level of the heart. c. Apply a sling and elevate the extremity above the level of the heart. d. Apply a splint and elevate the extremity to the level of the heart.