TNCC 9TH EDITION 100 FINAL PAPER
COMPLETE QUESTIONS AND ANSWERS
VERIFIED PREPARATION
◉ —What does VIPP stand for?
Answer: vital signs, injuries/interventions, primary survey, pain
◉ —During the head-to-toe, where would you find Grey-Turner's
sign?
Answer: flank
◉ —During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
◉ -What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
◉ -Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT?
Answer: AFTER head-to-toe, BEFORE J (VIPP)
,◉ -What three items are obtained during the pertinent history
assessment?
Answer: Medical records, prehospital report, SAMPLE
◉ -What are examples of nonpharmacologic measures? (must
identify at least one during testing)
Answer: Distraction, family presence, padding bony prominences,
repositioning, splinting, verbal reassurance
◉ -For whom is capnography highly recommended?
Answer: all patients
◉ -In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor?
Answer: EKG
◉ -In Step 16 of "Exposure and Environment", you must name at
least one of these interventions:
Answer: blankets, room temp increase, warmed fluids, warming
lights
◉ -To assess circulation, you must do these two main tasks:
,Answer: 1. inspect AND palpate skin color, temp, moisture and 2.
palpate a pulse
◉ -What do you do when alterations are identified in any of the
steps in the primary survery?
Answer: intervene as appropriate and reassess
◉ -What three assessments must be done if the patient is intubated?
Answer: 1. attach CO2 detector and assess for evidence of exhaled
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 breathing effectiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing,
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 "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section?
Answer: cardiac monitor
◉ -When should 2 IV sites be established?
, Answer: During "Circulation" assessment
◉ -If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
Answer: assess ETT position by noting the number at teeth/gums
AND secure ETT
◉ -What should you verbalize after completing all ETT assessments?
Answer: moving patient from assisted ventilation to mechanical
◉ -During which part of the primary survey would you anticipate
the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
Answer: "Breathing and Ventilation"
◉ -Four of these must be identified to assess patency and protection
of the airway:
Answer: bony deformity, loose teeth, edema, inhalation injury,
sounds, tongue obstruction, burns, fluids, foreign objects,
vocalization
◉ -During which part of the primary survey would there be
anticipation for intubation, insertion of OPA/NPA, removal of any
loose teeth or foreign objects, or suctioning?
COMPLETE QUESTIONS AND ANSWERS
VERIFIED PREPARATION
◉ —What does VIPP stand for?
Answer: vital signs, injuries/interventions, primary survey, pain
◉ —During the head-to-toe, where would you find Grey-Turner's
sign?
Answer: flank
◉ —During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
◉ -What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
◉ -Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT?
Answer: AFTER head-to-toe, BEFORE J (VIPP)
,◉ -What three items are obtained during the pertinent history
assessment?
Answer: Medical records, prehospital report, SAMPLE
◉ -What are examples of nonpharmacologic measures? (must
identify at least one during testing)
Answer: Distraction, family presence, padding bony prominences,
repositioning, splinting, verbal reassurance
◉ -For whom is capnography highly recommended?
Answer: all patients
◉ -In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor?
Answer: EKG
◉ -In Step 16 of "Exposure and Environment", you must name at
least one of these interventions:
Answer: blankets, room temp increase, warmed fluids, warming
lights
◉ -To assess circulation, you must do these two main tasks:
,Answer: 1. inspect AND palpate skin color, temp, moisture and 2.
palpate a pulse
◉ -What do you do when alterations are identified in any of the
steps in the primary survery?
Answer: intervene as appropriate and reassess
◉ -What three assessments must be done if the patient is intubated?
Answer: 1. attach CO2 detector and assess for evidence of exhaled
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 breathing effectiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing,
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 "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section?
Answer: cardiac monitor
◉ -When should 2 IV sites be established?
, Answer: During "Circulation" assessment
◉ -If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
Answer: assess ETT position by noting the number at teeth/gums
AND secure ETT
◉ -What should you verbalize after completing all ETT assessments?
Answer: moving patient from assisted ventilation to mechanical
◉ -During which part of the primary survey would you anticipate
the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
Answer: "Breathing and Ventilation"
◉ -Four of these must be identified to assess patency and protection
of the airway:
Answer: bony deformity, loose teeth, edema, inhalation injury,
sounds, tongue obstruction, burns, fluids, foreign objects,
vocalization
◉ -During which part of the primary survey would there be
anticipation for intubation, insertion of OPA/NPA, removal of any
loose teeth or foreign objects, or suctioning?
