TNCC 9th Edition TNP Exam Questions
and Answers A+ Guide
What does the J stand for at the end of the secondary survery? - correct
answer ✅✅just keep evaluating - vipp
What does VIPP stand for? - correct answer ✅✅vital signs,
injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign? - correct
answer ✅✅flank
During the head-to-toe, where would you find Cullen's sign? - correct
answer ✅✅umbilicus
What is sometimes deferred at the end of the head-to-toe? - correct
answer ✅✅inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory
reporting, psychosocial support, social services, splinting, tetanus, and
wound care are all interventions that you do AFTER and before WHAT? -
correct answer ✅✅AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? -
correct answer ✅✅Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least
one during testing) - correct answer ✅✅Distraction, family presence,
padding bony prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended? - correct answer ✅✅all
patients
,TNCC 9th Edition TNP Exam Questions
and Answers A+ Guide
In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - correct answer ✅✅EKG
In Step 16 of "Exposure and Environment", you must name at least one of
these interventions: - correct answer ✅✅blankets, room temp increase,
warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious
injuries? - correct answer ✅✅In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - correct answer
✅✅glucose
To assess circulation, you must do these two main tasks: - correct answer
✅✅1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the
primary survery? - correct answer ✅✅intervene as appropriate and
reassess
What three assessments must be done if the patient is intubated? - correct
answer ✅✅1. attach CO2 detector and assess for evidence of exhaled
CO2; 2. observe for rise and fall of the chest w/ assisted ventilations; 3.
auscultate over epigastrium for gurgling AND lungs for bilateral breath
sounds
Four of these must be identified to assess breathing effectiveness: - correct
answer ✅✅Breath sounds, depth/pattern/rate, spontaneous breathing,
, TNCC 9th Edition TNP Exam Questions
and Answers A+ Guide
subcutaneous emphysema, increased work of breathing, symmetrical chest
rise and fall, tracheal deviation/JVD, open wounds/deformities, skin color
What can be applied in step 12 of "Circulation and Control of Hemorrhage"
for which credit is given in the LMNOP section? - correct answer
✅✅cardiac monitor
When should 2 IV sites be established? - correct answer ✅✅During
"Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what
else needs to be done with the ETT? (step 10) - correct answer ✅✅assess
ETT position by noting the number at teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - correct
answer ✅✅moving patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a
chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs? -
correct answer ✅✅"Breathing and Ventilation"
Four of these must be identified to assess patency and protection of the
airway: - correct answer ✅✅bony deformity, loose teeth, edema,
inhalation injury, sounds, tongue obstruction, burns, fluids, foreign objects,
vocalization
During which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign
objects, or suctioning? - correct answer ✅✅Assessing patency and
protection of the airway, Step 7 of
and Answers A+ Guide
What does the J stand for at the end of the secondary survery? - correct
answer ✅✅just keep evaluating - vipp
What does VIPP stand for? - correct answer ✅✅vital signs,
injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign? - correct
answer ✅✅flank
During the head-to-toe, where would you find Cullen's sign? - correct
answer ✅✅umbilicus
What is sometimes deferred at the end of the head-to-toe? - correct
answer ✅✅inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory
reporting, psychosocial support, social services, splinting, tetanus, and
wound care are all interventions that you do AFTER and before WHAT? -
correct answer ✅✅AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? -
correct answer ✅✅Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least
one during testing) - correct answer ✅✅Distraction, family presence,
padding bony prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended? - correct answer ✅✅all
patients
,TNCC 9th Edition TNP Exam Questions
and Answers A+ Guide
In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - correct answer ✅✅EKG
In Step 16 of "Exposure and Environment", you must name at least one of
these interventions: - correct answer ✅✅blankets, room temp increase,
warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious
injuries? - correct answer ✅✅In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - correct answer
✅✅glucose
To assess circulation, you must do these two main tasks: - correct answer
✅✅1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the
primary survery? - correct answer ✅✅intervene as appropriate and
reassess
What three assessments must be done if the patient is intubated? - correct
answer ✅✅1. attach CO2 detector and assess for evidence of exhaled
CO2; 2. observe for rise and fall of the chest w/ assisted ventilations; 3.
auscultate over epigastrium for gurgling AND lungs for bilateral breath
sounds
Four of these must be identified to assess breathing effectiveness: - correct
answer ✅✅Breath sounds, depth/pattern/rate, spontaneous breathing,
, TNCC 9th Edition TNP Exam Questions
and Answers A+ Guide
subcutaneous emphysema, increased work of breathing, symmetrical chest
rise and fall, tracheal deviation/JVD, open wounds/deformities, skin color
What can be applied in step 12 of "Circulation and Control of Hemorrhage"
for which credit is given in the LMNOP section? - correct answer
✅✅cardiac monitor
When should 2 IV sites be established? - correct answer ✅✅During
"Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what
else needs to be done with the ETT? (step 10) - correct answer ✅✅assess
ETT position by noting the number at teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - correct
answer ✅✅moving patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a
chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs? -
correct answer ✅✅"Breathing and Ventilation"
Four of these must be identified to assess patency and protection of the
airway: - correct answer ✅✅bony deformity, loose teeth, edema,
inhalation injury, sounds, tongue obstruction, burns, fluids, foreign objects,
vocalization
During which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign
objects, or suctioning? - correct answer ✅✅Assessing patency and
protection of the airway, Step 7 of
