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TNCC Test 02: Secondary Survey and Clinical Complications

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

TNCC Test 02: Key Themes

This exam evaluates Thoracic Trauma, Neurological Emergencies, and Secondary Assessment protocols.

Chest Trauma: Open pneumothorax requires a three-sided dressing to prevent air from entering the chest while allowing it to escape.

Cardiac Rhythms: Pulseless Ventricular Tachycardia and Ventricular Fibrillation are treated with the same immediate shock protocol.

Geriatric Care: Be aware that older adults may not show a fast heart rate during shock because of medications like beta-blockers.

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Edited by: Test-Questions.com Editorial Team

Last Updated: June 24, 2026

Q:1Which statement about a pulmonary contusion is FALSE?

It usually presents with hypoxemia.

Radiographic signs are visible almost immediately after the injury.

It can take several weeks to resolve.

The treatment is supportive oxygen therapy.

Q:2What is the goal oxygen saturation when giving COPD patients supplemental oxygen?

75%

85%

80%

90%

Q:3Which of the following is NOT typically seen with a spinal cord injury?

Neurogenic shock.

Spinal shock.

Autonomic dysfunction.

Diuresis and diaphoresis.

Q:4Release of which neurotransmitter is inhibited by tetanus toxin?

Serotonin.

Acetylcholine.

Norepinephrine.

GABA.

Q:5Which finding is NOT typically present in a patient with fat embolism syndrome?

Dyspnea.

Fever.

Petechial rash.

Bradycardia.

Q:6What is a common side effect of morphine?

All of the above

Slow breathing.

Constipation.

Itching.

Q:7What is the initial treatment for an open pneumothorax?

Administer a non-rebreather mask.

Perform needle decompression.

Apply a three-sided occlusive dressing.

Insert a chest tube immediately.

Q:8What is the most common cause of traumatic brain injury (TBI) in the United States?

Falls.

Assaults.

Motor vehicle crashes.

Gunshot wounds.

Q:9Which component of the Glasgow Coma Scale (GCS) is used to assess motor response?

Eye opening.

Motor response.

Verbal response.

Pupillary response.

Q:10An 18-year-old male presents after a fall with his left arm abducted and externally rotated. Sensation is intact, but he resists any range of motion. What is his most likely diagnosis?

Inferior glenohumeral dislocation.

Acromioclavicular separation.

Anterior glenohumeral dislocation.

Posterior glenohumeral dislocation.

Q:11During the secondary survey of a trauma patient, which of the following is the most appropriate action?

Perform a head-to-toe examination.

Assess the patient's airway and breathing.

Evaluate for life-threatening hemorrhage.

Provide immediate fluid resuscitation.

Q:12Which of the following is true regarding aspiration pneumonia in a trauma patient?

It is typically caused by gram-negative organisms alone.

Aspiration is most likely to affect the left lung.

It is a rare occurrence during anesthesia.

It can occur after head injuries.

Q:13Which scenario will NOT compromise the airway after endotracheal intubation?

A massive bronchopleural fistula.

An unrecognized tension pneumothorax.

Endotracheal tube placement in the right mainstem bronchus.

Placement of the endotracheal tube 2 cm above the carina.

Q:14Which injury is produced by a force that drives the trunk forward while the head lags behind?

Whiplash.

Herniated disk.

Epidural hemorrhage.

Humeral fracture.

Q:15Ventricular fibrillation (VF) is treated the same as which other cardiac rhythm?

Asystole.

Pulseless ventricular tachycardia.

Atrial tachycardia.

None of the above.

Q:16What is the goal urine output for an adult burn patient during resuscitation?

30 ml per hour.

50 ml per hour.

5 ml per hour.

10 ml per hour.

Q:17Which of the following is the most serious consequence of ventricular tachycardia (VT)?

Sudden cardiac death.

Myocardial infarction (MI).

COPD exacerbation.

Pulmonary embolism (PE).

Q:18If a trauma patient has clear fluid draining from their nose, the provider should do which of the following?

Tilt the head back.

Apply pressure to the nose.

Collect the fluid for testing.

Insert nasal tampons.

Q:19Entrapment of which nerve is a common complication of a Smith fracture?

Radial.

Median.

Ulnar.

Lower brachial plexus.

Q:20What is a key consideration when assessing an older adult with a traumatic injury?

They have increased physiological reserve.

They may have blunted signs of shock.

They always present with a typical pain response.

They are less likely to experience fractures.

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Test 02 Study Summary

1. Pulmonary Contusions Bruised lungs often do not show up on early X-rays. Clinical signs like low oxygen usually appear before imaging changes.

2. Secondary Survey Only start the head-to-toe check after the primary survey (ABCDE) is finished and the patient is stable.

3. Airway Management A breathing tube is in the right place if it sits about 2 to 5 centimeters above the spot where the lungs divide.

About This Practice Module

This test contains 20 practice questions covering key topics in Trauma Systems and Specialized Injuries. Use our TNCC exam questions to assess your knowledge and prepare for your official certification exam for your ENA Trauma Nursing Core Course. Immediate scoring and answer rationales are provided for every question.

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