TNCC PRACTICE ASSESSMENT Q AND A
STUDY SHEET 2026
◉ What are some anatomical or physiological differences in a
pediatric patient that can affect the components of the primary
survey? What are some cognitive and developmental considerations
that increased risk of injury?
Answer: *look at Table 13-2 on pg 270,271*
pediatric patient's tend to regress developmentally when under
extreme stress.
◉ What are some steps at your facility to implement to improve
pediatric readiness?
Answer: - have more pediatric supplies
- have more pediatric sensitivity training
- provide more pediatric readiness classes
◉ What are some differences in pediatric compensatory
mechanisms compared to adult patients?
Answer: Cardiovascular compensatory methods are greater in
children than adults. Ped's trauma patients survival rate is directly
related to their rapid airway management, initiation of ventilatory
support, and early recognition of intracranial and intra-abdominal
hemorrhage
,◉ what special considerations are needed for pediatric fluid volume
and medication administration and pediatric pain assessment?
Answer: since children can only take 20mL/kg of warmed isotonic
fluids for hypovolemic shock, a good method to deliver is push pull
method. administer each bolus in a 20mL syringe. count out how
many you need to deliver to keep track of volume
◉ What are possible signs of child maltreatment? What is the TEN -
4 pneumonic
Answer: Signs of maltreatment:
- injuries inconsistent with developmental stages
- injuries inconsistent with hx
- hx of repeated injuries
- prolonged time wit injury
- injuries in various stages of healing
-rib fractures in children younger 18
*TEN-4: bruising to torso, ears, or neck in children under 4*
◉ What injuries are more common and should be anticipated in an
obese patient?
Answer: most common injuries are orthopedic injuries (pelvic
fractures, extremity fractures, pulmonary contusions, or rib
fractures
, ◉ What airway ventilation differences should be consider
considered when caring for an obese patient?
Answer: consider narrow airway, larger tongue, relaxed pharyngeal
muscle
respiratory insufficiency due to chest-wall weight, decreased chest
wall compliance and increased airway resistance
◉ What differences in equipment or it's use might be necessary in
obese patients?
Answer: specialized imaging devices
bariatric beds
bariatric commodes
◉ What considerations may be appropriate to keep the patient in
the staff safe when caring for an obese patient?
Answer: -having multiple people stand them up or sit them up in
bed
◉ What are some ways to provide sensitivity care for obese patient?
Answer: - try not to be judgmental about weight
-develop trusting relationships with them
STUDY SHEET 2026
◉ What are some anatomical or physiological differences in a
pediatric patient that can affect the components of the primary
survey? What are some cognitive and developmental considerations
that increased risk of injury?
Answer: *look at Table 13-2 on pg 270,271*
pediatric patient's tend to regress developmentally when under
extreme stress.
◉ What are some steps at your facility to implement to improve
pediatric readiness?
Answer: - have more pediatric supplies
- have more pediatric sensitivity training
- provide more pediatric readiness classes
◉ What are some differences in pediatric compensatory
mechanisms compared to adult patients?
Answer: Cardiovascular compensatory methods are greater in
children than adults. Ped's trauma patients survival rate is directly
related to their rapid airway management, initiation of ventilatory
support, and early recognition of intracranial and intra-abdominal
hemorrhage
,◉ what special considerations are needed for pediatric fluid volume
and medication administration and pediatric pain assessment?
Answer: since children can only take 20mL/kg of warmed isotonic
fluids for hypovolemic shock, a good method to deliver is push pull
method. administer each bolus in a 20mL syringe. count out how
many you need to deliver to keep track of volume
◉ What are possible signs of child maltreatment? What is the TEN -
4 pneumonic
Answer: Signs of maltreatment:
- injuries inconsistent with developmental stages
- injuries inconsistent with hx
- hx of repeated injuries
- prolonged time wit injury
- injuries in various stages of healing
-rib fractures in children younger 18
*TEN-4: bruising to torso, ears, or neck in children under 4*
◉ What injuries are more common and should be anticipated in an
obese patient?
Answer: most common injuries are orthopedic injuries (pelvic
fractures, extremity fractures, pulmonary contusions, or rib
fractures
, ◉ What airway ventilation differences should be consider
considered when caring for an obese patient?
Answer: consider narrow airway, larger tongue, relaxed pharyngeal
muscle
respiratory insufficiency due to chest-wall weight, decreased chest
wall compliance and increased airway resistance
◉ What differences in equipment or it's use might be necessary in
obese patients?
Answer: specialized imaging devices
bariatric beds
bariatric commodes
◉ What considerations may be appropriate to keep the patient in
the staff safe when caring for an obese patient?
Answer: -having multiple people stand them up or sit them up in
bed
◉ What are some ways to provide sensitivity care for obese patient?
Answer: - try not to be judgmental about weight
-develop trusting relationships with them
