TNCC Study Guide Test
Questions and Complete
Solutions Graded A+
MIST (Prehospital report) - Answer: Mechanism of injury (MOI)
Injuries sustained
Signs and symptoms in the field
Treatment in the field
Across-the-room Observation - Answer: First look at the pt
If pt has uncontrolled hemorrhage reprioritize ABC to CAB
Trauma Nursing Process (TNP) - Answer: Assessment
Outcomes/Planning
Implementation
Evaluation
Operational Process Points - Answer: Preparation and triage
Primary Survey (ABCDE) w/ resuscitation adjuncts
Reevaluation (consider it pt needs transfer)
Secondary survey (HI) w/ reevaluation adjuncts
Reevaluation and post resuscitation care
Definitive care or transfer
Primary Survey (ABCDE) - Answer: Airway & Alertness w/ simultaneous cervical spinal stabilization
Breathing and ventilation
, Circulation and Control of Hemorrhage
Disability (neuro state)
Exposure and Environmental Control
Cervical spine stabilization for c-spine injury - Answer: State need for second person to provide manual
cervical spinal stabilization (two hands holding the pts head and neck) THEN demonstrate manual
opening of airway using jaw-thrust maneuver
Jaw-thrust maneuver - Answer: If pt is anything less than A in AVPU airway maybe compromised
Always use two people to assess for obstruction if suspected CSI
AIRWAY: Inspect mouth for: - Answer: Tongue obstruction
Loose or missing teeth
Foreign bodies (FB)
Blood, emesis, secretions
Edema
Is there any snoring, gurgling, or stridor?
Tip - Answer: After each intervention, reassess pt
Patent Airway Interventions - Answer: Always be alert, can be compromised at anytime
Look for possible risks that can lead to obstruction:
Injury to mouth
Active bleeding
Blistering of oral mucosa
Air is NOT Patent - Answer: 1. Jaw-thrust maneuver (two people)
2. Suction
3. Reassess Airway, if auctioning does not work look at tongue
Questions and Complete
Solutions Graded A+
MIST (Prehospital report) - Answer: Mechanism of injury (MOI)
Injuries sustained
Signs and symptoms in the field
Treatment in the field
Across-the-room Observation - Answer: First look at the pt
If pt has uncontrolled hemorrhage reprioritize ABC to CAB
Trauma Nursing Process (TNP) - Answer: Assessment
Outcomes/Planning
Implementation
Evaluation
Operational Process Points - Answer: Preparation and triage
Primary Survey (ABCDE) w/ resuscitation adjuncts
Reevaluation (consider it pt needs transfer)
Secondary survey (HI) w/ reevaluation adjuncts
Reevaluation and post resuscitation care
Definitive care or transfer
Primary Survey (ABCDE) - Answer: Airway & Alertness w/ simultaneous cervical spinal stabilization
Breathing and ventilation
, Circulation and Control of Hemorrhage
Disability (neuro state)
Exposure and Environmental Control
Cervical spine stabilization for c-spine injury - Answer: State need for second person to provide manual
cervical spinal stabilization (two hands holding the pts head and neck) THEN demonstrate manual
opening of airway using jaw-thrust maneuver
Jaw-thrust maneuver - Answer: If pt is anything less than A in AVPU airway maybe compromised
Always use two people to assess for obstruction if suspected CSI
AIRWAY: Inspect mouth for: - Answer: Tongue obstruction
Loose or missing teeth
Foreign bodies (FB)
Blood, emesis, secretions
Edema
Is there any snoring, gurgling, or stridor?
Tip - Answer: After each intervention, reassess pt
Patent Airway Interventions - Answer: Always be alert, can be compromised at anytime
Look for possible risks that can lead to obstruction:
Injury to mouth
Active bleeding
Blistering of oral mucosa
Air is NOT Patent - Answer: 1. Jaw-thrust maneuver (two people)
2. Suction
3. Reassess Airway, if auctioning does not work look at tongue
