TNCC 9th Edition TNP | Questions with 100% Verified
Answers | Latest Update 2026/2027
Question: What does the J stand for at the end of the secondary
survery?
Answer: just keep evaluating - vipp
Question: What does VIPP stand for?
Answer: vital signs, injuries/interventions, primary survey, pain
Question: During the head-to-toe, where would you find Grey-Turner's
sign?
Answer: flank
Question: During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
Question: What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
Question: 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)
Question: What three items are obtained during the pertinent history
assessment?
Answer: Medical records, prehospital report, SAMPLE
Question: What are examples of nonpharmacologic measures? (must
identify at least one during testing)
Answer: Distraction, family presence, padding bony prominences, repositioning, splinting,
verbal
reassurance
Question: For whom is capnography highly recommended?
Answer: all patients
Question: In step M of "Get Adjuncts", what else might be indicated
besides cardiac monitor?
Answer: EKG
, Question: 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
Question: At what point PRIOR TO the head-to-toe is the patient
inspected for obvious injuries?
Answer: In Step 15 of "Exposure and Environment"
Question: In Step 13 of "Disability", what is assessed if pt is altered?
Answer: glucose
Question: To assess circulation, you must do these two main tasks:
Answer: 1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
Question: What do you do when alterations are identified in any of the
steps in the primary survery?
Answer: intervene as appropriate and reassess
Question: 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
Question: 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
Question: 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
Question: When should 2 IV sites be established?
Answer: During "Circulation" assessment
Question: 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
Question: What should you verbalize after completing all ETT
assessments?
Answer: moving patient from assisted ventilation to mechanical
Answers | Latest Update 2026/2027
Question: What does the J stand for at the end of the secondary
survery?
Answer: just keep evaluating - vipp
Question: What does VIPP stand for?
Answer: vital signs, injuries/interventions, primary survey, pain
Question: During the head-to-toe, where would you find Grey-Turner's
sign?
Answer: flank
Question: During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
Question: What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
Question: 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)
Question: What three items are obtained during the pertinent history
assessment?
Answer: Medical records, prehospital report, SAMPLE
Question: What are examples of nonpharmacologic measures? (must
identify at least one during testing)
Answer: Distraction, family presence, padding bony prominences, repositioning, splinting,
verbal
reassurance
Question: For whom is capnography highly recommended?
Answer: all patients
Question: In step M of "Get Adjuncts", what else might be indicated
besides cardiac monitor?
Answer: EKG
, Question: 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
Question: At what point PRIOR TO the head-to-toe is the patient
inspected for obvious injuries?
Answer: In Step 15 of "Exposure and Environment"
Question: In Step 13 of "Disability", what is assessed if pt is altered?
Answer: glucose
Question: To assess circulation, you must do these two main tasks:
Answer: 1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
Question: What do you do when alterations are identified in any of the
steps in the primary survery?
Answer: intervene as appropriate and reassess
Question: 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
Question: 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
Question: 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
Question: When should 2 IV sites be established?
Answer: During "Circulation" assessment
Question: 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
Question: What should you verbalize after completing all ETT
assessments?
Answer: moving patient from assisted ventilation to mechanical
