Practice Test Geeks(TNCC) Trauma Nursing Core Course Certified Practice Test
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Core Content and Skills Flashcards

7 cards from real TNCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which description best characterizes a coup-contrecoup brain injury?

    Answer: Brain injury at the impact site and the opposite pole from deceleration

    Coup-contrecoup injury results in brain contusions at the site of impact (coup) and at the opposite pole where the brain rebounds against the skull (contrecoup).

  2. A patient presents with a stab wound to zone II of the neck with active pulsatile bleeding. What is the immediate priority?

    Answer: Direct manual pressure to control hemorrhage

    Direct manual pressure is the immediate life-saving intervention for external hemorrhage control before any imaging or surgical intervention.

  3. What does the 'lethal triad' in trauma refer to?

    Answer: Hypothermia, acidosis, and coagulopathy

    The lethal triad of hypothermia, metabolic acidosis, and coagulopathy creates a self-perpetuating cycle that dramatically increases trauma mortality.

  4. Which pharmacological agent is recommended by the CRASH-2 trial when given within 3 hours of injury to reduce trauma mortality?

    Answer: Tranexamic acid (TXA)

    Tranexamic acid (TXA) inhibits fibrinolysis and significantly reduces mortality when given within 3 hours of injury per the CRASH-2 trial.

  5. A trauma patient with a suspected spinal injury needs emergent intubation. Which technique is preferred?

    Answer: Rapid sequence intubation (RSI) with manual inline stabilization

    RSI with manual inline stabilization (MILS) maintains cervical alignment while allowing controlled, rapid airway securement in the trauma patient.

  6. A patient arrives after a fall from 30 feet with absent breath sounds on the right and dullness to percussion. BP is 90/60. What injury is most likely?

    Answer: Massive hemothorax

    Absent breath sounds with dullness to percussion and hemodynamic instability indicate massive hemothorax, defined as >1500 mL blood in the pleural cavity.

  7. Which assessment finding indicates Cushing's triad, a late sign of severely elevated intracranial pressure?

    Answer: Hypertension, bradycardia, and irregular respirations

    Cushing's triad is hypertension with widened pulse pressure, bradycardia, and irregular respirations — a late, ominous sign of impending herniation.

Core Content and Skills Flashcards — TNCC Study Cards with Answers