Trauma Nursing Process - TNP - TNCC 9th
Ed Exam Questions and Answers A+
Guide
What should you ask yourself after completing all of your
interventions and reassessments? - correct answer ✅✅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 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 - correct 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 -
correct answer ✅✅9**. If intubated, assess endotracheal tube
placement
10. If intubated, assess ETT position and securement
,Trauma Nursing Process - TNP - TNCC 9th
Ed Exam Questions and Answers A+
Guide
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 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 -
correct 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 - correct
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
, Trauma Nursing Process - TNP - TNCC 9th
Ed Exam Questions and Answers A+
Guide
Continue TNP after LMNOP (so after pain has been assessed). 24-
26 - correct answer ✅✅24. Non-pharmacological comfort
measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - correct answer ✅✅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)
Ed Exam Questions and Answers A+
Guide
What should you ask yourself after completing all of your
interventions and reassessments? - correct answer ✅✅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 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 - correct 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 -
correct answer ✅✅9**. If intubated, assess endotracheal tube
placement
10. If intubated, assess ETT position and securement
,Trauma Nursing Process - TNP - TNCC 9th
Ed Exam Questions and Answers A+
Guide
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 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 -
correct 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 - correct
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
, Trauma Nursing Process - TNP - TNCC 9th
Ed Exam Questions and Answers A+
Guide
Continue TNP after LMNOP (so after pain has been assessed). 24-
26 - correct answer ✅✅24. Non-pharmacological comfort
measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - correct answer ✅✅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)
