TNCC: The Nursing Process Exam
Questions with Correct Answers
Preparation and Triage - Answer-1. Activate the trauma team.
2. Prepare the Trauma Room.
- Rapid infuser
- Chest trauma equipment
3. States the need to don PPE
Across-the-room Observation - Answer-Assess for obvious uncontrolled external
hemorrhage.
Primary Survey: Airway + Cervical Spinal Stabilization (A) - Answer-1. Assess AVPU**
2. Ask a 2nd person to provide manual cervical spinal stabilization *AND* manually
open the airway using the jaw-thrust maneuver.**
3. Determine airway patency:** (4)
- tongue obstruction
- loose teeth
- foreign objects
- blood, vomitus, or other secretions
- edema
- snoring, gurgling, or stridor
4. Assess the need for an OPA**
5. Assess the need for a definitive airway
6. Reassess the airway after insertion of the OPA.
Primary Survey: Breathing & Ventilation (B) - Answer-1. Determine breathing
effectiveness: ** (4)
Inspect:
- Spontaneous breathing?
- Symmetrical chest rise?
- Depth/pattern/rate of respirations?
- Increased WOB?
- Skin colour?
- Open wounds or deformities?
Palpate:
- SC Emphysema?
- Tracheal deviation or JVD?
Auscultate:
- Breath sounds present & equal?
2. Assess the need for assisted ventilation with BVM (If breathing is spontaneous,
consider NRB).**
Questions with Correct Answers
Preparation and Triage - Answer-1. Activate the trauma team.
2. Prepare the Trauma Room.
- Rapid infuser
- Chest trauma equipment
3. States the need to don PPE
Across-the-room Observation - Answer-Assess for obvious uncontrolled external
hemorrhage.
Primary Survey: Airway + Cervical Spinal Stabilization (A) - Answer-1. Assess AVPU**
2. Ask a 2nd person to provide manual cervical spinal stabilization *AND* manually
open the airway using the jaw-thrust maneuver.**
3. Determine airway patency:** (4)
- tongue obstruction
- loose teeth
- foreign objects
- blood, vomitus, or other secretions
- edema
- snoring, gurgling, or stridor
4. Assess the need for an OPA**
5. Assess the need for a definitive airway
6. Reassess the airway after insertion of the OPA.
Primary Survey: Breathing & Ventilation (B) - Answer-1. Determine breathing
effectiveness: ** (4)
Inspect:
- Spontaneous breathing?
- Symmetrical chest rise?
- Depth/pattern/rate of respirations?
- Increased WOB?
- Skin colour?
- Open wounds or deformities?
Palpate:
- SC Emphysema?
- Tracheal deviation or JVD?
Auscultate:
- Breath sounds present & equal?
2. Assess the need for assisted ventilation with BVM (If breathing is spontaneous,
consider NRB).**
