Trauma Nursing Process - TNP - TNCC
9th Edition Exam Challenge with
Certified Solutions 2024-2025.
What should you ask yourself after completing all of your interventions and
reassessments? - Answer: Does this patient need to be transferred to another
hospital, to surgery, or to critical care?
, Trauma Nursing Process - TNP - TNCC 9th Ed
What happens prior to patient arrival? 1-3 - Answer: 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to intubate has been
made? 4-8
may change based on C-ABC - Answer: 4. Assess for obvious uncontrolled external
hemorrhage or unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 - Answer: 9**. If
intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue
assisted ventilation
, Trauma Nursing Process - TNP - TNCC 9th Ed
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - Answer: 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and removal
of clothing to inspect for injury. 16-18 - Answer: 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - Answer: 19. L - trauma
panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale