TNCC test prepA, TNCC Notes for
Written exams ,pass guide notes
1.
- ANSWER-Describe common patterns and severity of injuries in the bariatric
trauma patient.
- ANSWER-Describe effects of common medications in relation to the older adult
trauma patient.
- ANSWER-Describe specific injuries associated with interpersonal violence and
abuse.
- ANSWER-Describe steps to maintain the forensic chain of custody.
- ANSWER-Describe techniques to improve the intubation process for the bariatric
trauma patient.
- ANSWER-Describe the activities and associated factors related to low-energy
trauma in the older adult.
- ANSWER-Describe the fluid resuscitation of an older adult patient related to fluid
overload, when to administer red blood cells, and the use of anticoagulant
medication.
- ANSWER-Describe the pathophysiologic changes of the systems of the bariatric
patient and the effects on trauma resuscitation efforts.
, - ANSWER-Describe the types of abuse and the associated signs of each.
- ANSWER-Differentiate family and intimate partner violence from community
violence.
- ANSWER-Discuss the use and insertion of nasogastric tubes in the bariatric
patient.
- ANSWER-List common injuries from falls in the older adult population.
- ANSWER-List the basic components of evidence collection.
- ANSWER-List the populations at higher risk for interpersonal violence.
- ANSWER-Review the age-related anatomic and physiologic change of the older
adult in relation to the components of the
2. initial assessment.
- ANSWER-What 4 environmental and pathophysiologic factors are considered
when the mechanism of injury is a fall?
- ANSWER-What assessment findings differentiate a placental abruption from a
uterine rupture?
- ANSWER-What condition is associated with a fall from which the older adult
cannot rise? What complications result from
3. this condition?
,- ANSWER-What cues to abuse may be obtained during the history portion of the
initial assessment?
- ANSWER-What intervention is used to treat hypotension from aortocaval
compression?
- ANSWER-Which comorbid conditions factor into the risks of the bariatric trauma
patient? And how?
- Administer oxygen
- For facial trauma, place pt in high-fowler's position if no spinal injury is present.
- Insert OG or NGT. OGT should be used if basilar skull fx or severe midface fx's are
suspected
- Monitor for progressive airway assessment
- Prepare for intubation, PRN.
- Cannulate 2 large IV's, initiate isotonic crystalloid IV solution
- Control external bleeding w/direct pressure
- Monitor for continued bleeding + expanding hematomas
- Apply cold compresses to face to minimize edema
- Assist w/repair of oral lac's, PRN
- Admin antibiotics
- Stabilize impaled objects
- Admin analgesic meds - ANSWER-What are the nursing interventions for a
patient with a maxillofacial or neck injury?
- Administer oxygen
- For facial trauma, place pt in high-fowler's position if no spinal injury is present.
- Insert OG or NGT. OGT should be used if basilar skull fx or severe midface fx's are
suspected
- Monitor for progressive airway assessment
- Prepare for intubation, PRN.
- Cannulate 2 large IV's, initiate isotonic crystalloid IV solution
- Control external bleeding w/direct pressure
- Monitor for continued bleeding + expanding hematomas
, - Apply cold compresses to face to minimize edema
- Assist w/repair of oral lac's, PRN
- Admin antibiotics
- Stabilize impaled objects
- Admin analgesic meds - ANSWER-What are the nursing interventions for a
patient with a maxillofacial or neck injury?
- AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated
- Anticipate definitive airway management to support ventilation. - ANSWER-What
are signs of ineffective breathing?
- AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated
- Anticipate definitive airway management to support ventilation. - ANSWER-What
are signs of ineffective breathing?
- AMS
- LOC
- Neurologic injury
- Spinal Cord Injury
Written exams ,pass guide notes
1.
- ANSWER-Describe common patterns and severity of injuries in the bariatric
trauma patient.
- ANSWER-Describe effects of common medications in relation to the older adult
trauma patient.
- ANSWER-Describe specific injuries associated with interpersonal violence and
abuse.
- ANSWER-Describe steps to maintain the forensic chain of custody.
- ANSWER-Describe techniques to improve the intubation process for the bariatric
trauma patient.
- ANSWER-Describe the activities and associated factors related to low-energy
trauma in the older adult.
- ANSWER-Describe the fluid resuscitation of an older adult patient related to fluid
overload, when to administer red blood cells, and the use of anticoagulant
medication.
- ANSWER-Describe the pathophysiologic changes of the systems of the bariatric
patient and the effects on trauma resuscitation efforts.
, - ANSWER-Describe the types of abuse and the associated signs of each.
- ANSWER-Differentiate family and intimate partner violence from community
violence.
- ANSWER-Discuss the use and insertion of nasogastric tubes in the bariatric
patient.
- ANSWER-List common injuries from falls in the older adult population.
- ANSWER-List the basic components of evidence collection.
- ANSWER-List the populations at higher risk for interpersonal violence.
- ANSWER-Review the age-related anatomic and physiologic change of the older
adult in relation to the components of the
2. initial assessment.
- ANSWER-What 4 environmental and pathophysiologic factors are considered
when the mechanism of injury is a fall?
- ANSWER-What assessment findings differentiate a placental abruption from a
uterine rupture?
- ANSWER-What condition is associated with a fall from which the older adult
cannot rise? What complications result from
3. this condition?
,- ANSWER-What cues to abuse may be obtained during the history portion of the
initial assessment?
- ANSWER-What intervention is used to treat hypotension from aortocaval
compression?
- ANSWER-Which comorbid conditions factor into the risks of the bariatric trauma
patient? And how?
- Administer oxygen
- For facial trauma, place pt in high-fowler's position if no spinal injury is present.
- Insert OG or NGT. OGT should be used if basilar skull fx or severe midface fx's are
suspected
- Monitor for progressive airway assessment
- Prepare for intubation, PRN.
- Cannulate 2 large IV's, initiate isotonic crystalloid IV solution
- Control external bleeding w/direct pressure
- Monitor for continued bleeding + expanding hematomas
- Apply cold compresses to face to minimize edema
- Assist w/repair of oral lac's, PRN
- Admin antibiotics
- Stabilize impaled objects
- Admin analgesic meds - ANSWER-What are the nursing interventions for a
patient with a maxillofacial or neck injury?
- Administer oxygen
- For facial trauma, place pt in high-fowler's position if no spinal injury is present.
- Insert OG or NGT. OGT should be used if basilar skull fx or severe midface fx's are
suspected
- Monitor for progressive airway assessment
- Prepare for intubation, PRN.
- Cannulate 2 large IV's, initiate isotonic crystalloid IV solution
- Control external bleeding w/direct pressure
- Monitor for continued bleeding + expanding hematomas
, - Apply cold compresses to face to minimize edema
- Assist w/repair of oral lac's, PRN
- Admin antibiotics
- Stabilize impaled objects
- Admin analgesic meds - ANSWER-What are the nursing interventions for a
patient with a maxillofacial or neck injury?
- AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated
- Anticipate definitive airway management to support ventilation. - ANSWER-What
are signs of ineffective breathing?
- AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated
- Anticipate definitive airway management to support ventilation. - ANSWER-What
are signs of ineffective breathing?
- AMS
- LOC
- Neurologic injury
- Spinal Cord Injury
