TNCC TEST PREP A 8TH EDITION COMPLETE
TEST PAPER WITH CORRECT ANSWERS
◉ ask pt to pen his or her mouth.
Answer: While assessing airway the patient is alert and responds to
verbal stimuli you should.
◉ jaw thrust maneuver to open airway and assess for obstruction. If
pt has a suspected csi, the jaw thrust procedure should be done by
two providers. One provider can maintain c-spine and the other can
perform the jaw thrust maneuver.
Answer: While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
◉ 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
,1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema.
Answer: Inspect the mouth for:
◉ 1. Check the presence of adequate rise and fall of the chest with
assisted ventilation
2. Absence of gurgling on auscultation over the epigastrium
3. Bilateral breath sounds present on auscultation
4. Presence of carbon dioxide (CO2) verified by a CO2 device or
monitor.
Answer: If the pt has a definitive airway in what should you do?
◉ 1. Suction the airway
2, Use care to avoid stimulating the gag reflex
3. If the airway is obstructed by blood or vomitus secretions, use a
rigid suction device
If foreign body is noted, remove it carefully with forceps or another
appropriate method.
Answer: If Airway is not patent
◉ 1. Apnea
2. GCS 8 or less
, 3. Maxillary fractures
4. Evidence of inhalation injury (facial burns)
5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspiration and patients inability to protect the airway
7. Compromised or ineffective ventilation.
Answer: Following conditions might require a definitive airway
◉ Breathing: To assess breathing expose the chest:
1. Inspect for
a. spontaneous breathing
b. symmetrical rise and fall
c. depth, pattern, and rate of respiration
d. signs of difficulty breathing such as accessory muscle use
e. skin color (normal, pale, flushed, cyanotic)
f. contusions, abrasions, deformities (flail chest)
g. open pneumothoraces (sucking chest wounds)
h. JVD
i. signs of inhalation injury (singed nasal hairs, carbonaceous
sputum).
Answer: B
◉ tracheal deviation and jvd.
TEST PAPER WITH CORRECT ANSWERS
◉ ask pt to pen his or her mouth.
Answer: While assessing airway the patient is alert and responds to
verbal stimuli you should.
◉ jaw thrust maneuver to open airway and assess for obstruction. If
pt has a suspected csi, the jaw thrust procedure should be done by
two providers. One provider can maintain c-spine and the other can
perform the jaw thrust maneuver.
Answer: While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
◉ 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
,1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema.
Answer: Inspect the mouth for:
◉ 1. Check the presence of adequate rise and fall of the chest with
assisted ventilation
2. Absence of gurgling on auscultation over the epigastrium
3. Bilateral breath sounds present on auscultation
4. Presence of carbon dioxide (CO2) verified by a CO2 device or
monitor.
Answer: If the pt has a definitive airway in what should you do?
◉ 1. Suction the airway
2, Use care to avoid stimulating the gag reflex
3. If the airway is obstructed by blood or vomitus secretions, use a
rigid suction device
If foreign body is noted, remove it carefully with forceps or another
appropriate method.
Answer: If Airway is not patent
◉ 1. Apnea
2. GCS 8 or less
, 3. Maxillary fractures
4. Evidence of inhalation injury (facial burns)
5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspiration and patients inability to protect the airway
7. Compromised or ineffective ventilation.
Answer: Following conditions might require a definitive airway
◉ Breathing: To assess breathing expose the chest:
1. Inspect for
a. spontaneous breathing
b. symmetrical rise and fall
c. depth, pattern, and rate of respiration
d. signs of difficulty breathing such as accessory muscle use
e. skin color (normal, pale, flushed, cyanotic)
f. contusions, abrasions, deformities (flail chest)
g. open pneumothoraces (sucking chest wounds)
h. JVD
i. signs of inhalation injury (singed nasal hairs, carbonaceous
sputum).
Answer: B
◉ tracheal deviation and jvd.
