TNCC practice exam questions with
verified answers (Rated A+)
what is the key to high performance trauma team? - Answer-effective communication
skilled communication, cooperation and coordination are the cornerstones of high-
performance teams and high-quality trauma care
when obtaining a history for an injured patient, understanding the kinematic concepts
associated with the mechanism of injury and energy transfer can initially assist the
trauma provider in what? - Answer-evaluating and anticipating the types of injury that
may be present
MOI and energy transfer can assist the provider in evaluating and anticipating damage
what is the major preventable cause of death in the trauma patient? - Answer-
uncontrolled haemorrhage
uncontrolled haemorrhage is the major cause of preventable death after injury so
assessment to identify uncontrolled haemorrhage is key to the initial assessment
process
across the room observation in initial assessment provides the opportunity to do what? -
Answer-reprioritise circulation before airway and breathing
across the room observation is done before the primary survey to rapidly assess the
need to reprioritise circulation before airway or breathing if there is uncontrolled external
bleeding
which of the following accurately describes ventilation principles associated with a bag-
mask device? - Answer-ventilate at a rate of 10 to 12 breaths/minute
if ventilation is ineffective assist ventilations at 10 to 12 breaths per minute or one every
5 to 6 seconds
what is the best measure of the adequacy of cellular perfusion which helps predict the
outcome of resuscitation? - Answer-base deficit
base deficits serve as an endpoint measurement of the adequacy of cellular perfusion
and when used in conjunction with serum lactate help predict the success of the
resuscitation
safe pharmacological alternative to opioids for rib fracture pain management in the
anticoagulated patient? - Answer-intercostal nerve blocks
, continuous intercostal nerve blocks use long acting anesthetics and can provide safe
and effective pain management for the anticoagulated patient
in a patient with severe traumatic brain injury, hypocapnia causes what? - Answer-
cerebral vasoconstriction
hypocapnia or low levels of carbon dioxide will cause vasoconstriction, especially in the
cerebral vasculature
patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. he complains of difficulty swallowing and speaking. further assessment is
indicated next for which of the following conditions? - Answer-spinal cord damage
penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or
vascular neck structures. with an intact airway and hemodynamic stability, the other
common concurrent injury is to the spinal cord
what is the appropriate technique for palpating the pelvis for stability? - Answer-apply
gentle pressure over the iliac crests downward and medially
to assess for pelvic instability, gentle pressure is applied over the iliac crests downward
and medially
a patient with a spinal cord injury at C5 requires what to be closely observed and why? -
Answer-maintain adequate respiratory status
C3 to C5 injuries can cause loss of phrenic nerve function resulting in a paralyzed
diaphram and inability to breath
what is the first step to stop bleeding of a penetrating injury to the lower extremity? -
Answer-initiate direct pressure
first step is direct pressure
second step is apply torniquet
treatment for frostbite includes what? - Answer-administer tissue plasminogen activator
thrombus formation is a risk of frostbite
tissue plasminogen activator or nonsteroidal antiinflammatory meds can be
administered
tissue plasminogen activator has been effective in maintaining perfusion and decreasing
the need for amputation when administered within 24 hours
30 week pregnant patients bp is 94/62, HR 92
verified answers (Rated A+)
what is the key to high performance trauma team? - Answer-effective communication
skilled communication, cooperation and coordination are the cornerstones of high-
performance teams and high-quality trauma care
when obtaining a history for an injured patient, understanding the kinematic concepts
associated with the mechanism of injury and energy transfer can initially assist the
trauma provider in what? - Answer-evaluating and anticipating the types of injury that
may be present
MOI and energy transfer can assist the provider in evaluating and anticipating damage
what is the major preventable cause of death in the trauma patient? - Answer-
uncontrolled haemorrhage
uncontrolled haemorrhage is the major cause of preventable death after injury so
assessment to identify uncontrolled haemorrhage is key to the initial assessment
process
across the room observation in initial assessment provides the opportunity to do what? -
Answer-reprioritise circulation before airway and breathing
across the room observation is done before the primary survey to rapidly assess the
need to reprioritise circulation before airway or breathing if there is uncontrolled external
bleeding
which of the following accurately describes ventilation principles associated with a bag-
mask device? - Answer-ventilate at a rate of 10 to 12 breaths/minute
if ventilation is ineffective assist ventilations at 10 to 12 breaths per minute or one every
5 to 6 seconds
what is the best measure of the adequacy of cellular perfusion which helps predict the
outcome of resuscitation? - Answer-base deficit
base deficits serve as an endpoint measurement of the adequacy of cellular perfusion
and when used in conjunction with serum lactate help predict the success of the
resuscitation
safe pharmacological alternative to opioids for rib fracture pain management in the
anticoagulated patient? - Answer-intercostal nerve blocks
, continuous intercostal nerve blocks use long acting anesthetics and can provide safe
and effective pain management for the anticoagulated patient
in a patient with severe traumatic brain injury, hypocapnia causes what? - Answer-
cerebral vasoconstriction
hypocapnia or low levels of carbon dioxide will cause vasoconstriction, especially in the
cerebral vasculature
patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. he complains of difficulty swallowing and speaking. further assessment is
indicated next for which of the following conditions? - Answer-spinal cord damage
penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or
vascular neck structures. with an intact airway and hemodynamic stability, the other
common concurrent injury is to the spinal cord
what is the appropriate technique for palpating the pelvis for stability? - Answer-apply
gentle pressure over the iliac crests downward and medially
to assess for pelvic instability, gentle pressure is applied over the iliac crests downward
and medially
a patient with a spinal cord injury at C5 requires what to be closely observed and why? -
Answer-maintain adequate respiratory status
C3 to C5 injuries can cause loss of phrenic nerve function resulting in a paralyzed
diaphram and inability to breath
what is the first step to stop bleeding of a penetrating injury to the lower extremity? -
Answer-initiate direct pressure
first step is direct pressure
second step is apply torniquet
treatment for frostbite includes what? - Answer-administer tissue plasminogen activator
thrombus formation is a risk of frostbite
tissue plasminogen activator or nonsteroidal antiinflammatory meds can be
administered
tissue plasminogen activator has been effective in maintaining perfusion and decreasing
the need for amputation when administered within 24 hours
30 week pregnant patients bp is 94/62, HR 92
