2026 blueprint · updated for this cycle

A new standard in TNCC exam prep.

800 exam-style questions mapped to the 9th Edition curriculum, timed full-length mock papers, 475 flashcards, and a tutor who explains every answer — all scored by one readiness number you can trust.

Full access · every feature included · cancel anytime

11:10

Good morning, Sam

60 days to exam day

SA
76readiness
🔥 12 day streak 76% accuracy
Today's quest +226 XP
Practice Initial Assessment5/5 Spend time in the study guide1/1 Finish a session at 80%+ accuracy0/1
🎓5

Practice

to hit today's target

🔒0

Mock exam

unlocks at 70

1

Mistakes

to review — clear them

Mad Minute

your free play is ready

11:33LTE
4 / 10
Initial Assessment Initial Assessment

A hemodynamically unstable patient with suspected pelvic hemorrhage is in a pelvic binder and has a negative FAST; massive transfusion is underway. No other source of bleeding is identified in the primary survey. What is the most appropriate immediate nursing action to support hemorrhage control?

ARemove binder; check skin; palpate pelvis thoroughlyBMaintain binder; keep warm; secure access; prepare angio transferCSend to CT; localize pelvic vessel injury before interventionDPlace sitting; relieve back pain; improve ventilation
Correct · +12 XP

Every answer comes with a written explanation of why the correct option is correct — and why each of the other three is not.

Next question
11:41LTE
Shock Card 14 of 62
Question

What is the earliest reliable sign of hypovolaemic shock in a trauma patient?

Answer

Tachycardia with narrowing pulse pressure. Blood pressure often stays normal until roughly 30% of blood volume is lost, so a falling systolic is a late finding.

Memory aid — the heart speeds up long before the pressure drops — trust the rate, not the cuff.

How well did you know it?

Again

10 min

Hard

2 days

Good

6 days

Easy

3 weeks

48 cards mastered · 14 in review today

11:33LTE
59 seconds 1/10

60-second round · question 3 of 10

AAnswer ABAnswer BCAnswer CDAnswer D

Head to head

You

7

VS

Friend

5

Send the challenge
11:41LTE
Tess Your tutor · always on History

Why does breathing come before circulation if the patient is clearly bleeding out?

They describe two different things:

The primary survey is ordered by what kills fastest, not by what looks worst. An obstructed airway or tension pneumothorax kills in minutes; most haemorrhage takes longer. That's why life-threatening external bleeding is controlled alongside A and B, not instead of them.

Exam tip — work the survey in order — the sequence is the answer.

Give me a practice question Explain a confused concept
Ask anything…
11:10LTE

Progress

Last 30 days +21 pts

Accuracy by section

Initial Assessment 84%
Airway & Ventilation 79%
Shock 72%
Head & Neck 67%
Thoracic Trauma 62%
Last 90 days 38 active days

Everything included in every plan

800

Exam-style questions

600 practice + 200 in mocks

2

Full-length mock exams

unlock at 70 readiness

475

Flashcards

with spaced repetition

60s

Mad Minute battles

race a friend on the same set

How it works

Three steps, and the app does the deciding for you.

No study plan to build, no guessing what to review. Answer questions, and your readiness score tells you exactly where you stand and what to do next.

1

Take the diagnostic

Ten questions across the blueprint set your real starting score in about eight minutes — no self-assessment, no guessing where you stand.

8 minutesSets your baseline
2

Practice in short sessions

Ten-minute sets pulled from your weakest sections. Every answer comes with the reasoning and why each wrong option is wrong — the part that actually moves your score.

Explained answersWeak-area targeting
3

Level up to Exam Ready

Each section climbs from Novice to Exam Ready as coverage and accuracy build. Mock exams unlock at 70 readiness, so your first full attempt actually means something.

12 curriculum chapters trackedMocks at 70 readiness
11:10HOME
27readiness

Take the diagnostic to set your starting score.

🔥 1 day streak 29% accuracy
Today's quest +226 XP
Practice Initial Assessment0/5 Spend time in the study guide0/1 Finish a session at 80%+ accuracy0/1
Initial Assessment Item 7 of 10

Your center notes high pediatric head CT utilization for minor blunt head trauma without abnormal exams; PI finds variable decision-making among providers. What change best addresses the variability while preserving safety?

AMandate attending approval before any pediatric head CT can be ordered.BRequire head CT for all children with any LOC to avoid misses.CPost the PECARN algorithm in trauma bays without altering ordering.DEmbed PECARN-based clinical decision support in the EHR.
Correct · +12 XP

Every answer comes with a written explanation of why the correct option is correct — and why each of the other three is not.

Practice

Mock exams Timed, full-length papers · 80% to pass

Your level path

Level up each area from Novice to Exam Ready — coverage and accuracy both count.

Initial Assessment Strong

78 of 96 answered · 84% accuracy

Airway & Ventilation Proficient

56 of 92 answered · 79% accuracy

Shock Developing

31 of 84 answered · 72% accuracy

Head & Neck Developing

18 of 80 answered · 67% accuracy

Thoracic Trauma Novice

Not started · 74 questions waiting

Everything you get

Nine ways the app keeps you moving.

Questions are the core. Everything around them exists to keep you honest about where you stand and coming back tomorrow.

11:10

Progress

DA
0 readiness 0 day streak 29% accuracy

Holding steady at 0%. One extra session this week moves the needle.

60 days to exam day

Readiness trajectory

Your trajectory appears after a few days of practice.

Accuracy trend

FriWed

14

questions answered

3

study days

10

mistakes to review

Activity

3 study days · 14 questions in the last 6 months

HomePracticeCardsProgress

Progress report

Accuracy trend, study days, mistakes waiting for you, and every active day on one screen. It tells you the truth even when the truth is "not yet".

11:12

Progress

DA

Mastery by area

Initial AssessmentNeeds review
Airway & VentilationNot started
ShockNot started
Head & NeckNot started
Thoracic TraumaNot started
Special PopulationsNot started
HomePracticeCardsProgress

Mastery by area

Every content area, tracked. "Needs review" is flagged in gold so you always know which one to open next.

11:14
0 day streak29% accuracy

Today's quest

+226 XP
Practice Initial Assessment0/5
Spend time in the study guide0/1
Finish a session at 80%+ accuracy0/1

5

Practice

to hit today's target

0

Mock exam

Unlocks at 70% readiness

Tess

×

History

Hi, I'm Tess — your personal trauma nurse tutor. 60 days to your exam — ask me anything you're unsure about.

Give me a quick practice question What topic should I focus on today? Explain a commonly confused concept
Ask a question...

Instant tutor help

Tess sits one tap away on every screen. Ask why an answer is right, or what to study next, without leaving your session.

11:16
×

Shock

Card 1 of 17

ANSWER

Tachycardia with narrowing pulse pressure. Blood pressure often stays normal until roughly 30% of blood volume is lost, so a falling systolic is a late finding.

Rate your recall

shock

MEMORY AID

the heart speeds up long before the pressure drops — trust the rate, not the cuff.

Again Hard Good Easy

Flashcards with memory aids

Spaced repetition on the concepts you keep missing — each card comes with a mnemonic written for the way this exam actually asks it.

11:18

Mad Minute

Beat the clock. Beat a friend.

You both get the same questions — answer as many as you can in 60 seconds. Most correct wins; the faster run breaks a tie.

Create a challenge

Have a challenge code?

A B C 2 3 4 Play

Codes last 14 days. Playing a friend's challenge is always free.

Mad Minute

Sixty seconds, same ten questions, one shared link. Most correct wins and the faster run breaks the tie.

11:20

League

STUDENT

You're in Student — 25 pts from Candidate.

121 nurses preparing for TNCC this week · ranked by readiness

1Malik F.89 readiness
2Troy P.86 readiness
3Heather F.86 readiness
4Eric J.84 readiness
5Melissa H.80 readiness
6Omar A.80 readiness
7Jasmine N.79 readiness
8Miguel W.78 readiness
121You0 readiness

League

Ranked by readiness against everyone sitting the same exam this week. A quiet, effective reason to open the app again tomorrow.

11:22

Achievements

Badge Progress

1 of 14 earned

7%

You are on your way — every badge counts.

EARNED (1)

First Steps

Answer your first 10 questions

Jun 26

LOCKED (13)

Half Century

Answer 50 questions

Centurion

Answer 100 questions

Powerhouse

Answer 500 questions

Sharp Shooter

Score 80%+ accuracy in any category

Achievements

Fourteen badges tied to real milestones — questions answered, accuracy held, days in a row. Earned, never given.

11:24
🔥 0 day streak29% accuracy

Today's quest

+226 XP
Practice Initial Assessment0/5
Spend time in the study guide0/1
Finish a session at 80%+ accuracy0/1

5

Practice

to hit today's target

0

Mock exam

Unlocks at 70% readiness

Daily quests, XP and streaks

Three small targets a day, worth 226 XP. Enough structure to start, short enough to actually finish.

11:26

Practice

Mock exams

Timed, full-length papers · 80% to pass

Bookmarked questions

Jump back into anything you saved

Your level path

Level up each area from Novice to Exam Ready — coverage and accuracy both count.

Initial Assessment

Not started

10 answers to Novice

Airway & Ventilation

Not started

10 answers to Novice

Shock

Not started

1 answers to Novice

Mock exams

Two timed, full-length papers scored against the same 80% mark you need on the written exam. They stay locked until 70 readiness, so your first attempt actually means something.

Coverage

Every chapter of the 9th Edition curriculum. Nothing padded.

We mapped the current TNCC curriculum chapter by chapter, then wrote questions until each one had enough to matter — weighted toward the assessment and resuscitation content the course tests hardest.

12

Curriculum chapters

800

Questions

Initial Assessment

96

Special Populations

92

Airway & Ventilation

84

Shock

80

Head & Neck Trauma

74

Thoracic Trauma

68

Abdominal & Pelvic Trauma

64

Spinal & Musculoskeletal Trauma

62

Psychosocial, Disaster & Transition of Care

60

Surface & Burn Trauma

56

Interpersonal Violence

34

Post-Resuscitation Care

30

Question counts per chapter are approximate and shift as the bank grows. Chapter names follow the 9th Edition curriculum.

Pricing

One plan. Every feature. Pick your billing.

800 questions2 full mocks475 flashcardsMad Minute

Sprint

$7.99/week

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Every plan includes

800

Exam-style questions

2

Timed full-length mock papers

475

Flashcards

12

Curriculum chapters

Your personal tutor — instant explanations and topic help

Mad Minute — 60-second battles against a friend

Daily quests, XP, streaks and the Novice → Exam Ready level path

Two timed, full-length mock papers

Spaced-repetition flashcards with generated memory aids

Readiness score, weak-area drills and leaderboard

Every plan includes the tutor, mock exams, flashcards, Mad Minute, quests and the readiness score. Cancel anytime.

Pass Bonus

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Pass your exam and we'll pay you $100 for your story. We're funding 40 spots.

  1. Subscribe

    Start your subscription and begin studying.

  2. Reserve your spot

    Email your subscription confirmation number to support@thehealthexams.com, at least 30 days before your exam date.

  3. Pass your exam

    Send us your official score report within 30 days of your test date.

  4. Send your story and get paid

    Record a short video about how you prepared. We send $100 by PayPal.

40 spots, first come, first served. Full terms below.

Terms

  • Open to new subscribers aged 18 or over. Not available if you have subscribed to The Health Exams before.
  • 40 spots are available, first come, first served. Registering does not guarantee a spot — we'll confirm by email whether you're in.
  • To register: subscribe, then email your subscription confirmation number to support@thehealthexams.com. You must register at least 30 days before your exam date.
  • Your subscription must be active on the day you sit your exam.
  • After you pass, email us your official score report within 30 days of your exam date. It must clearly show your name, the exam name, the test date, and the result.
  • You must also send a video of 60 to 90 seconds, filmed vertically, with your face visible and audio clear. Tell us which exam you passed, what you found hardest, and what helped you prepare.
  • By taking part you grant us permission to use your video and first name in our marketing, including paid advertising, worldwide and without time limit. We'll ask you to confirm this in writing before we pay.
  • Once verified, we send $100 by PayPal within 5 business days. You'll need a PayPal account that can receive US dollars. Any PayPal fees are deducted from the payment.
  • One claim per person, per exam.
  • Any taxes on the payment are your responsibility.
  • Not available on subscriptions issued by an instructor, school, or employer, or on accounts with a prior refund or chargeback.
  • You can't claim both the Pass Bonus and the Pass Guarantee for the same exam attempt.
  • We may close registration or end this programme at any time. Anyone already confirmed keeps their spot.

Pass Guarantee

Didn't pass? We'll give you three more months, free.

We'd rather you pass on the second attempt than lose you. If you studied with us and the result didn't go your way, your access keeps going — no charge.

  1. Sit your exam

    Take the exam while your subscription is active.

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    Email your official score report to support@thehealthexams.com within 30 days.

  3. Keep studying

    We add 3 months of free access to your account, usually within 2 business days.

Eligibility terms apply — see below.

Who writes the questions

Written by trauma nurses, not scraped from the internet.

Every question is written and reviewed by experienced emergency and trauma nurses working from the current curriculum — then rewritten when the edition changes. If an item is ambiguous, we cut it. That is why the bank is 800 questions and not 5,000.

Blueprint-mapped

Each item is tagged to a chapter of the current curriculum before it ever reaches you.

Reviewed, not generated

Questions are drafted by trauma nurses, checked against the current curriculum, and retired when guidance changes.

Explanations first

Nothing ships without the reasoning and a note on why each distractor fails.

Frequently asked

Everything about TNCC.

How do I sign up for TNCC?
You register through the Emergency Nurses Association or an ENA-approved course provider — often your own hospital or state trauma education body. The course combines pre-course study, in-person teaching, an online multiple-choice exam and evaluated Trauma Nursing Process skill stations. Seats fill early, so book before you start studying.
What does the verification process involve?
Two parts: an online multiple-choice written exam and a hands-on, evaluated Trauma Nursing Process (TNP) skill station. ENA does not publish a fixed public question count or time limit for the written exam, so we don't quote one — we build timed full-length papers instead of guessing at exam-day mechanics.
What score do I need to pass?
You need at least 80% on the multiple-choice exam, plus completion of all critical steps and at least 70% of total points on the evaluated TNP skill station. Both parts must be passed.
How long is TNCC valid?
Four years from course completion, and the provider card is recognised internationally. ENA also offers a renewal pathway — self-directed study followed by a practical test and the online exam — instead of repeating the full course.
Who is the course for?
Nurses at all levels. ENA-licensed providers generally recommend around six months of clinical experience in emergency or trauma nursing first, because the course assumes you're comfortable with core nursing knowledge and terminology.
What does the course cover?
The 9th Edition curriculum: initial assessment, airway and ventilation, shock, head, thoracic and neck trauma, abdominal and pelvic trauma, spinal and musculoskeletal trauma, surface and burn trauma, interpersonal violence, psychosocial aspects of trauma care, disaster management, transition of care, post-resuscitation considerations, and special populations — the LGBTQ+, pediatric, obese, older and pregnant trauma patient — plus eight TNP skill stations.
How does this app help me pass?
It removes the decision of what to study. The readiness score weighs coverage and accuracy across every chapter of the current curriculum, then routes each session at your weakest ones. Every answer is explained — including why the other three options fail — so the TNP mnemonics stop being memorised and start being understood.
What do the plans cost?
Monthly is $29.99, charged today and renewed monthly. Weekly is $7.99 — good for a short sprint before your course date. Annual is $149.99, about $12.50 a month. Every plan unlocks everything: Tess, mock papers, flashcards, Mad Minute, and the readiness score. No tiers, no upsells.
How do I cancel?
Open your account settings and tap Cancel subscription. It takes effect at the end of your current period and you keep access until then. No email, no support ticket.
How does the $100 Pass Bonus work?
  • Open to new subscribers aged 18 or over. Not available if you have subscribed to The Health Exams before.
  • 40 spots are available, first come, first served. Registering does not guarantee a spot — we'll confirm by email whether you're in.
  • To register: subscribe, then email your subscription confirmation number to support@thehealthexams.com. You must register at least 30 days before your exam date.
  • Your subscription must be active on the day you sit your exam.
  • After you pass, email us your official score report within 30 days of your exam date. It must clearly show your name, the exam name, the test date, and the result.
  • You must also send a video of 60 to 90 seconds, filmed vertically, with your face visible and audio clear. Tell us which exam you passed, what you found hardest, and what helped you prepare.
  • By taking part you grant us permission to use your video and first name in our marketing, including paid advertising, worldwide and without time limit. We'll ask you to confirm this in writing before we pay.
  • Once verified, we send $100 by PayPal within 5 business days. You'll need a PayPal account that can receive US dollars. Any PayPal fees are deducted from the payment.
  • One claim per person, per exam.
  • Any taxes on the payment are your responsibility.
  • Not available on subscriptions issued by an instructor, school, or employer, or on accounts with a prior refund or chargeback.
  • You can't claim both the Pass Bonus and the Pass Guarantee for the same exam attempt.
  • We may close registration or end this programme at any time. Anyone already confirmed keeps their spot.
How does the Pass Guarantee work?
  • You must have been an active paid subscriber for at least 60 consecutive days before your exam date.
  • You must have completed at least one full-length mock exam in the app or portal before sitting the real thing.
  • Email your official score report from the awarding body to support@thehealthexams.com within 30 days of your exam date. It must clearly show your name, the exam name, the test date, and the result.
  • Once verified, we add three months of free access to the same exam on your account. We'll confirm by email, usually within two business days.
  • The guarantee provides additional access only. It is not a refund and has no cash value.
  • One claim per person, per exam.
  • Not available on licences issued by an instructor, school, or employer, or on accounts with a prior refund or chargeback.
  • This is separate from our 14-day refund policy, which still applies to new subscriptions.

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