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TNCC Test 01: Trauma Assessment and Management

Use our TNCC practice test to test your skills and review key concepts before exam day for your ENA Trauma Nursing Core Course certification.

TNCC Test 01: Key Themes

This exam reviews Primary Survey, Hemorrhagic Shock, and Critical Trauma Interventions.

Airway Safety: Never use a nasopharyngeal airway if you suspect a basilar skull fracture. Look for Battle sign or raccoon eyes as warnings.
Circulation: For trauma patients, balanced crystalloids like Lactated Ringer's are the preferred initial choice for fluid resuscitation.
Pediatric PAT: Use the Pediatric Assessment Triangle to quickly check appearance, breathing, and skin color before touching the patient.
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Q:1A 5-year-old patient with an isolated closed femur fracture has a hemoglobin drop of 4 g/dL. What is the most appropriate action?
Q:2The brother of a patient, who states he is a physician, asks to see the patient's chart. What is the most appropriate action?
Q:3Which clinical presentation in a patient with a head injury does NOT urgently require a brain CT scan?
Q:4A patient with multiple long bone fractures develops a petechial rash, dyspnea, and altered mental status. This clinical triad is most consistent with which complication?
Q:5In the United States, which age group is the largest consumer of prescription and nonprescription medications?
Q:6Which of the following statements about inhalation burn injury is FALSE?
Q:7Which of the following is typically NOT included in serial neurological checks for a patient following a concussion?
Q:8What ECG tracing represents the electrical depolarization and contraction of the atria?
Q:9What is the initial treatment for hyperkalemia with ECG changes, such as a widened QRS complex?
Q:10What is the most common cause of fat embolism syndrome?
Q:11Which of the following are the most appropriate clinical uses of opioids?
Q:12What is the drug of choice for the treatment of anaphylaxis?
Q:13Which of the following is NOT typically associated with an epidural hematoma (EDH)?
Q:14A patient with a tension pneumothorax has a chest tube inserted. What is the most expected finding on the chest X-ray afterward?
Q:15What type of skull injury is consistent with Battle sign?
Q:16According to ATLS, a patient who has lost 30-40% of their blood volume is in which class of hemorrhagic shock?
Q:17In which patient is the insertion of a nasopharyngeal airway contraindicated?
Q:18What is the most important aspect of clinical evaluation after a house fire?
Q:19Which fluid is the preferred initial choice for resuscitation in a hypovolemic trauma patient?
Q:20What is the first step when assessing a pediatric trauma patient using the Pediatric Assessment Triangle (PAT)?
Test 02 »

Test 01 Study Summary

1. Shock Classes Class III hemorrhage involves 30% to 40% blood loss and usually requires blood products to stabilize.
2. Fat Embolism Watch for the triad of respiratory distress, brain changes, and a petechial rash after long bone breaks.
3. Tension Pneumothorax A chest tube should fix a shifted mediastinum by releasing trapped air and letting the heart return to the center.
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