1.TNCC 9th Edition TNP 2026 ACTUAL EXAM
QUESTIONS AND 100% CORRECT DETAILED
ANSWERS
C
Terms in this set (75)
What does the J stand for at the end of the just keep evaluating - vipp
secondary survery?
What does VIPP stand for? vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you flank
find Grey-Turner's sign?
During the head-to-toe, where would you umbilicus
find Cullen's sign?
What is sometimes deferred at the end of inspecting posterior
the head-to-toe?
Antibiotics, consults, head CT, imaging, law AFTER head-to-toe, BEFORE J (VIPP)
enforcement, mandatory reporting,
psychosocial support, social services,
splinting, tetanus, and wound care are all
interventions that you do AFTER and before
WHAT?
What three items are obtained during the Medical records, prehospital report, SAMPLE
pertinent history assessment?
What are examples of nonpharmacologic Distraction, family presence, padding bony prominences,
measures? (must identify at least one during repositioning, splinting, verbal reassurance
testing)
For whom is capnography highly all patients
recommended?
, In step M of "Get Adjuncts", what else might EKG
be indicated besides cardiac monitor?
In Step 16 of "Exposure and Environment", blankets, room temp increase, warmed fluids, warming lights
you must name at least one of these
interventions:
At what point PRIOR TO the head-to-toe is In Step 15 of "Exposure and Environment"
the patient inspected for obvious injuries?
In Step 13 of "Disability", what is assessed if glucose
pt is altered?
To assess circulation, you must do these 1. inspect AND palpate skin color, temp, moisture and 2.
two main tasks: palpate a pulse
What do you do when alterations are intervene as appropriate and reassess
identified in any of the steps in the
primary survery?
What three assessments must be done if the 1. attach CO2 detector and assess for evidence of exhaled
patient is intubated? CO2; 2. observe for rise and fall of the chest w/ assisted
ventilations; 3. auscultate over epigastrium for gurgling AND
lungs for bilateral breath sounds
Four of these must be identified to assess Breath sounds, depth/pattern/rate, spontaneous breathing,
breathing effectiveness: subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
What can be applied in step 12 of cardiac monitor
"Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section?
When should 2 IV sites be established? During "Circulation" assessment
If the patient is intubated and you've already assess ETT position by noting the number at teeth/gums AND
assessed ETT placement, what else needs secure ETT
to be done with the ETT? (step 10)
What should you verbalize after completing moving patient from assisted ventilation to mechanical
all ETT assessments?
During which part of the primary survey "Breathing and Ventilation"
would you anticipate the need for a chest
tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
Four of these must be identified to assess bony deformity, loose teeth, edema, inhalation injury, sounds,
patency and protection of the airway: tongue obstruction, burns, fluids, foreign objects, vocalization
QUESTIONS AND 100% CORRECT DETAILED
ANSWERS
C
Terms in this set (75)
What does the J stand for at the end of the just keep evaluating - vipp
secondary survery?
What does VIPP stand for? vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you flank
find Grey-Turner's sign?
During the head-to-toe, where would you umbilicus
find Cullen's sign?
What is sometimes deferred at the end of inspecting posterior
the head-to-toe?
Antibiotics, consults, head CT, imaging, law AFTER head-to-toe, BEFORE J (VIPP)
enforcement, mandatory reporting,
psychosocial support, social services,
splinting, tetanus, and wound care are all
interventions that you do AFTER and before
WHAT?
What three items are obtained during the Medical records, prehospital report, SAMPLE
pertinent history assessment?
What are examples of nonpharmacologic Distraction, family presence, padding bony prominences,
measures? (must identify at least one during repositioning, splinting, verbal reassurance
testing)
For whom is capnography highly all patients
recommended?
, In step M of "Get Adjuncts", what else might EKG
be indicated besides cardiac monitor?
In Step 16 of "Exposure and Environment", blankets, room temp increase, warmed fluids, warming lights
you must name at least one of these
interventions:
At what point PRIOR TO the head-to-toe is In Step 15 of "Exposure and Environment"
the patient inspected for obvious injuries?
In Step 13 of "Disability", what is assessed if glucose
pt is altered?
To assess circulation, you must do these 1. inspect AND palpate skin color, temp, moisture and 2.
two main tasks: palpate a pulse
What do you do when alterations are intervene as appropriate and reassess
identified in any of the steps in the
primary survery?
What three assessments must be done if the 1. attach CO2 detector and assess for evidence of exhaled
patient is intubated? CO2; 2. observe for rise and fall of the chest w/ assisted
ventilations; 3. auscultate over epigastrium for gurgling AND
lungs for bilateral breath sounds
Four of these must be identified to assess Breath sounds, depth/pattern/rate, spontaneous breathing,
breathing effectiveness: subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
What can be applied in step 12 of cardiac monitor
"Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section?
When should 2 IV sites be established? During "Circulation" assessment
If the patient is intubated and you've already assess ETT position by noting the number at teeth/gums AND
assessed ETT placement, what else needs secure ETT
to be done with the ETT? (step 10)
What should you verbalize after completing moving patient from assisted ventilation to mechanical
all ETT assessments?
During which part of the primary survey "Breathing and Ventilation"
would you anticipate the need for a chest
tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
Four of these must be identified to assess bony deformity, loose teeth, edema, inhalation injury, sounds,
patency and protection of the airway: tongue obstruction, burns, fluids, foreign objects, vocalization
