2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
Trauma Nursing Process - TNP - TNCC
9th Ed Questions and Answers | Latest
Update
What should you ask yourself after completing all of your interventions and reassessments?
✓ Does this patient need to be transferred to another hospital, to surgery,
or to critical care?
What happens prior to patient arrival? 1-3
✓ 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
✓ 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
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✓ 8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11
✓ 9**. If intubated, assess endotracheal tube placement
✓ 10. If intubated, assess ETT position and securem ent
✓ 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
✓ 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
✓ 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
1 | P a g e | G r a d e A + | 2 0 0 2 5
, 2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23
✓ 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
✓ 24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43
✓ 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).
1 | P a g e | G r a d e A + | 2 0 0 2 5
Trauma Nursing Process - TNP - TNCC
9th Ed Questions and Answers | Latest
Update
What should you ask yourself after completing all of your interventions and reassessments?
✓ Does this patient need to be transferred to another hospital, to surgery,
or to critical care?
What happens prior to patient arrival? 1-3
✓ 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
✓ 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
1 | P a g e | G r a d e A + | 2 0 0 2 5
,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
✓ 8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11
✓ 9**. If intubated, assess endotracheal tube placement
✓ 10. If intubated, assess ETT position and securem ent
✓ 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
✓ 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
✓ 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
1 | P a g e | G r a d e A + | 2 0 0 2 5
, 2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23
✓ 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
✓ 24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43
✓ 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).
1 | P a g e | G r a d e A + | 2 0 0 2 5
