TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
—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
,TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
-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
-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
-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
,TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
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, 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
, TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
-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
"Alertness and Airway with Simultaneous Cervical Spinal
Stabilization"
If c-spine stabilization is necessary, what need should be stated? -
correct answer ✅✅the need for a second person to provide
manual c-spine stabilization
*An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device
at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow? - correct
answer ✅✅A.Decrease the rate of manual ventilation.
and Answers 100% Accuracy
—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
,TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
-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
-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
-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
,TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
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, 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
, TNCC 9th Edition TNP Exam Questions
and Answers 100% Accuracy
-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
"Alertness and Airway with Simultaneous Cervical Spinal
Stabilization"
If c-spine stabilization is necessary, what need should be stated? -
correct answer ✅✅the need for a second person to provide
manual c-spine stabilization
*An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device
at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow? - correct
answer ✅✅A.Decrease the rate of manual ventilation.
