TNCC TRAUMA NURSING PROCESS
SKILL EXAMINATION QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
What is the first step of the trauma nursing process (TNP) - ANSWER Preparation & Triage
What is happening in Preparation & Triage? - ANSWER 1. Activate the team and assign roles
2. Prepare the trauma room
3. Don appropriate PPE
What may need to be considered when preparing the trauma room? (5) - ANSWER IV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
What is the next step of the TNP (following preparation & Triage)? - ANSWER General impression
What is completed during the "General Impression"? - ANSWER Assessing for obvious life threatening
circumstances and re-prioritizing the ABC's as necessary (C-ABC)
Specifically, what are some things we are assessing for in the general impression that would require
immediate intervention and re-prioritization of primary survery? - ANSWER Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival? - ANSWER
Complete the triage and Donning of PPE to protect yourself prior to entering the room, but complete
general impression and preparation steps simultaneously.
List the Mnemonic used for the primary Survery - ANSWER A: Airway and assessment of Alertness
(stabilizing of Spine as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
What is the first step of the Primary Survey - ANSWER A: Airway & Assessment of alertness (with Cervical
Spine Stabilization)
, What are the steps includes when it comes to assessing Airway & alertness? - ANSWER 1. Assess level of
consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
How does one "open the airway" with alert patients vs. patients with possible CSIs? - ANSWER Alert: if
able you can ask them to open their mouths for assessment
?CSI: require a second person to proceed manual cervical spine stabilization while you demonstrate
manual Jaw-thrust maneuver to assess airway
What are some things we are assessing for when evaluating patency and protection of airway (10) -
ANSWER Bony deformity
Burns
Edema
Fluids (Blood, Vomit, Secretions)
Foreign Objects
Inhalation Injuries (Burns & Soot)
Loose or missing teeth
Sounds (Snoring, gurgling, stridor)
Tongue obstruction
Vocalization
In the event that there are alterations with airway patency, what may be some interventions to
consider? (4) - ANSWER Need for intubation
OPA or NPA insertion
Removing any loose teeth or foreign objects
Suctioning Fluids
What is the Second Step of the Primary Survey? - ANSWER Breathing and Ventilation
When assessing Breathing and Ventilation, what are we assessing specifically? (9) - ANSWER Breath
sounds
Depth, Pattern and Rate of Reps.
Increased work of breathing
Open wounds or deformities
Skin colour
Spontaneous Breathing
Subcutaneous Emphysema
Symmetrical Chest Rise & Fall
Tracheal deviation or JVD
What interventions may be considered when alterations are noted with Breathing & Ventilation? -
ANSWER Chest Tube
Intubation
Decompression of Pneumothorax
Supplemental Oxygen
Provide bag-mask ventilations
SKILL EXAMINATION QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
What is the first step of the trauma nursing process (TNP) - ANSWER Preparation & Triage
What is happening in Preparation & Triage? - ANSWER 1. Activate the team and assign roles
2. Prepare the trauma room
3. Don appropriate PPE
What may need to be considered when preparing the trauma room? (5) - ANSWER IV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
What is the next step of the TNP (following preparation & Triage)? - ANSWER General impression
What is completed during the "General Impression"? - ANSWER Assessing for obvious life threatening
circumstances and re-prioritizing the ABC's as necessary (C-ABC)
Specifically, what are some things we are assessing for in the general impression that would require
immediate intervention and re-prioritization of primary survery? - ANSWER Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival? - ANSWER
Complete the triage and Donning of PPE to protect yourself prior to entering the room, but complete
general impression and preparation steps simultaneously.
List the Mnemonic used for the primary Survery - ANSWER A: Airway and assessment of Alertness
(stabilizing of Spine as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
What is the first step of the Primary Survey - ANSWER A: Airway & Assessment of alertness (with Cervical
Spine Stabilization)
, What are the steps includes when it comes to assessing Airway & alertness? - ANSWER 1. Assess level of
consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
How does one "open the airway" with alert patients vs. patients with possible CSIs? - ANSWER Alert: if
able you can ask them to open their mouths for assessment
?CSI: require a second person to proceed manual cervical spine stabilization while you demonstrate
manual Jaw-thrust maneuver to assess airway
What are some things we are assessing for when evaluating patency and protection of airway (10) -
ANSWER Bony deformity
Burns
Edema
Fluids (Blood, Vomit, Secretions)
Foreign Objects
Inhalation Injuries (Burns & Soot)
Loose or missing teeth
Sounds (Snoring, gurgling, stridor)
Tongue obstruction
Vocalization
In the event that there are alterations with airway patency, what may be some interventions to
consider? (4) - ANSWER Need for intubation
OPA or NPA insertion
Removing any loose teeth or foreign objects
Suctioning Fluids
What is the Second Step of the Primary Survey? - ANSWER Breathing and Ventilation
When assessing Breathing and Ventilation, what are we assessing specifically? (9) - ANSWER Breath
sounds
Depth, Pattern and Rate of Reps.
Increased work of breathing
Open wounds or deformities
Skin colour
Spontaneous Breathing
Subcutaneous Emphysema
Symmetrical Chest Rise & Fall
Tracheal deviation or JVD
What interventions may be considered when alterations are noted with Breathing & Ventilation? -
ANSWER Chest Tube
Intubation
Decompression of Pneumothorax
Supplemental Oxygen
Provide bag-mask ventilations
