Trauma Nursing Process - TNP - TNCC 9th Ed Practice Questions and Answers

TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
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Trauma Nursing Process - TNP - TNCC
9th Ed Practice Questions and Answers

What should you ask yourself after completing all of your interventions and

reassessments? - ✔️✔️Correct-Does this patient need to be transferred to another

hospital, to surgery, or to critical care?


What happens prior to patient arrival? 1-3 - ✔️✔️Correct-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 - ✔️✔️Correct-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 - ✔️✔️Correct-9**. If

intubated, assess endotracheal tube placement


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,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
10. If intubated, assess ETT position and securement

11. If intubated, state the need to begin mechanical ventilation or continue assisted

ventilation

Continue the TNP following assessments of ETT. 12-15

**12, 13, and 15 are double-starred - ✔️✔️Correct-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 - ✔️✔️Correct-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 - ✔️✔️Correct-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

Continue TNP after LMNOP (so after pain has been assessed). 24-26 - ✔️✔️Correct-24.

Non-pharmacological comfort measures

25. Consider analgesic med order

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, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
26. Obtain pertinent history

Head-to-Toe 27-43 - ✔️✔️Correct-27. Inspect and palpate head for injuries

28. Inspect and palpate face for injuries

29. Inspect and palpate neck for injuries

-- Demonstrate removal AND reapplication of cervical collar for assessment (if

indicated).

30. Inspect and palpate chest for injuries

31. Auscultate breath sounds

32. Auscultate heart sounds

33. Inspect the abdomen for injuries

34. Auscultate bowel sounds

35. Palpate all four quadrants of the abdomen for injuries

36. Inspect and palpate the flanks for injuries

37. Inspect the pelvis for injuries

38. Apply gentle pressure over iliac crests downward and medially

39. Apply gentle pressure on the symphysis pubis (if iliac crests are stable)

40. Inspect the perineum for injuries

41. Consider GU - urinary output

42. Inspect and palpate all four extremities for neurovascular status and injuries

43. Inspect and palpate posterior surfaces -- NOT if the patient has suspected spinal or

pelvic injuries


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