TRAUMA NURSING PROCESS - TNP -
TNCC 9TH ED QUESTIONS WITH
COMPLETE ANSWERS
What nnshould nnyou nnask nnyourself nnafter nncompleting nnall nnof nnyour nninterventions
nnand nnreassessments? nn- nnAnswer nnDoes nnthis nnpatient nnneed nnto nnbe nntransferred
nnto nnanother nnhospital, nnto nnsurgery, nnor nnto nncritical nncare?
What nnhappens nnprior nnto nnpatient nnarrival? nn1-3 nn- nnAnswer nn1. nnActivate nntrauma
nnteam
2. nnPrepare nntrauma nnroom
3. nnDon nnPPE
What nnhappens nnfollowing nnpatient nnarrival nnbut nnbefore nna nndecision nnto nnintubate
nnhas nnbeen nnmade? nn4-8
may nnchange nnbased nnon nnC-ABC nn- nnAnswer nn4. nnAssess nnfor nnobvious
nnuncontrolled nnexternal nnhemorrhage nnor nnunresponsiveness/apnea nnand nnthe nnneed
nnto nnreprioritize nnto nnC-ABC
5**. nnAssess nnlevel nnof nnconsciousness nnusing nnAVPU
6. nnOpen nnthe nnairway
7**. nnAssess nnthe nnpatency nnand nnprotection nnof nnthe nnairway
8**. nnAssess nnbreathing nneffectiveness
Continue nnthe nnTNP nnassuming nnthe nnpatient nnwas nnintubated. nn9-11 nn- nnAnswer
nn9**. nnIf nnintubated, nnassess nnendotracheal nntube nnplacement
10. nnIf nnintubated, nnassess nnETT nnposition nnand nnsecurement
11. nnIf nnintubated, nnstate nnthe nnneed nnto nnbegin nnmechanical nnventilation nnor
nncontinue nnassisted nnventilation
Continue nnthe nnTNP nnfollowing nnassessments nnof nnETT. nn12-15
**12, nn13, nnand nn15 nnare nndouble-starred nn- nnAnswer nn12**. nnAssess nncirculation
13**. nnAssess nnneurologic nnstatus nnusing nnGCS
14. nnAssess nnpupils
15**. nnRemove nnall nnclothing nnAND nninspect nnfor nnobvious nnabnormalities nnor
nninjuries
, Continue nnthe nnTNP nnfollowing nnassessments nnof nncirculation, nnneuro nnstatus, nnand
nnremoval nnof nnclothing nnto nninspect nnfor nninjury. nn16-18 nn- nnAnswer nn16. nnProvide
nnwarmth
17. nnObtain nna nnfull nnset nnof nnvital nnsigns nnand nnweight nnin nnkilograms nn(if nnnot
nndetermined nnearlier)
18. nnFacilitate nnfamily nnpresence
Continue nnthe nnTNP nnusing nnthe nnLMNOP nnmnemonic. nn19-23 nn- nnAnswer nn19. nnL
nn- nntrauma nnpanel nnlabs
20. nnM nn- nnmonitor nn(Cardiac, nnconsider nnEKG)
21. nnN nn- nnconsider nnneed nnfor nnNG/OG
22. nnO nn- nnassess nnO2 nnand nnend-tidal nncapnography
23**. nnP nn- nnassess nnpain nnusing nnappropriate nnpain nnscale
Continue nnTNP nnafter nnLMNOP nn(so nnafter nnpain nnhas nnbeen nnassessed). nn24-26 nn-
nnAnswer nn24. nnNon-pharmacological nncomfort nnmeasures nn
25. nnConsider nnanalgesic nnmed nnorder
26. nnObtain nnpertinent nnhistory
Head-to-Toe nn27-43 nn- nnAnswer nn27. nnInspect nnand nnpalpate nnhead nnfor nninjuries
28. nnInspect nnand nnpalpate nnface nnfor nninjuries
29. nnInspect nnand nnpalpate nnneck nnfor nninjuries
-- nnDemonstrate nnremoval nnAND nnreapplication nnof nncervical nncollar nnfor
nnassessment nn(if nnindicated).
nn30. nnInspect nnand nnpalpate nnchest nnfor nninjuries
31. nnAuscultate nnbreath nnsounds
32. nnAuscultate nnheart nnsounds
33. nnInspect nnthe nnabdomen nnfor nninjuries
34. nnAuscultate nnbowel nnsounds
35. nnPalpate nnall nnfour nnquadrants nnof nnthe nnabdomen nnfor nninjuries
36. nnInspect nnand nnpalpate nnthe nnflanks nnfor nninjuries
37. nnInspect nnthe nnpelvis nnfor nninjuries
38. nnApply nngentle nnpressure nnover nniliac nncrests nndownward nnand nnmedially
39. nnApply nngentle nnpressure nnon nnthe nnsymphysis nnpubis nn(if nniliac nncrests nnare
nnstable)
40. nnInspect nnthe nnperineum nnfor nninjuries
41. nnConsider nnGU nn- nnurinary nnoutput nn
42. nnInspect nnand nnpalpate nnall nnfour nnextremities nnfor nnneurovascular nnstatus nnand
nninjuries
43. nnInspect nnand nnpalpate nnposterior nnsurfaces nn-- nnNOT nnif nnthe nnpatient nnhas
nnsuspected nnspinal nnor nnpelvic nninjuries
After nnthe nnhead-to-toe, nnthe nnlearner nnshould nnsummarize nninjuries nnidentified
nnthroughout nnthe nnscenario nnand nnask nnthemselves: nn- nnAnswer nn"What
nninterventions nnor nndiagnostics nncan nnyou nnanticipate nnfor nnthis nnpatient?"
TNCC 9TH ED QUESTIONS WITH
COMPLETE ANSWERS
What nnshould nnyou nnask nnyourself nnafter nncompleting nnall nnof nnyour nninterventions
nnand nnreassessments? nn- nnAnswer nnDoes nnthis nnpatient nnneed nnto nnbe nntransferred
nnto nnanother nnhospital, nnto nnsurgery, nnor nnto nncritical nncare?
What nnhappens nnprior nnto nnpatient nnarrival? nn1-3 nn- nnAnswer nn1. nnActivate nntrauma
nnteam
2. nnPrepare nntrauma nnroom
3. nnDon nnPPE
What nnhappens nnfollowing nnpatient nnarrival nnbut nnbefore nna nndecision nnto nnintubate
nnhas nnbeen nnmade? nn4-8
may nnchange nnbased nnon nnC-ABC nn- nnAnswer nn4. nnAssess nnfor nnobvious
nnuncontrolled nnexternal nnhemorrhage nnor nnunresponsiveness/apnea nnand nnthe nnneed
nnto nnreprioritize nnto nnC-ABC
5**. nnAssess nnlevel nnof nnconsciousness nnusing nnAVPU
6. nnOpen nnthe nnairway
7**. nnAssess nnthe nnpatency nnand nnprotection nnof nnthe nnairway
8**. nnAssess nnbreathing nneffectiveness
Continue nnthe nnTNP nnassuming nnthe nnpatient nnwas nnintubated. nn9-11 nn- nnAnswer
nn9**. nnIf nnintubated, nnassess nnendotracheal nntube nnplacement
10. nnIf nnintubated, nnassess nnETT nnposition nnand nnsecurement
11. nnIf nnintubated, nnstate nnthe nnneed nnto nnbegin nnmechanical nnventilation nnor
nncontinue nnassisted nnventilation
Continue nnthe nnTNP nnfollowing nnassessments nnof nnETT. nn12-15
**12, nn13, nnand nn15 nnare nndouble-starred nn- nnAnswer nn12**. nnAssess nncirculation
13**. nnAssess nnneurologic nnstatus nnusing nnGCS
14. nnAssess nnpupils
15**. nnRemove nnall nnclothing nnAND nninspect nnfor nnobvious nnabnormalities nnor
nninjuries
, Continue nnthe nnTNP nnfollowing nnassessments nnof nncirculation, nnneuro nnstatus, nnand
nnremoval nnof nnclothing nnto nninspect nnfor nninjury. nn16-18 nn- nnAnswer nn16. nnProvide
nnwarmth
17. nnObtain nna nnfull nnset nnof nnvital nnsigns nnand nnweight nnin nnkilograms nn(if nnnot
nndetermined nnearlier)
18. nnFacilitate nnfamily nnpresence
Continue nnthe nnTNP nnusing nnthe nnLMNOP nnmnemonic. nn19-23 nn- nnAnswer nn19. nnL
nn- nntrauma nnpanel nnlabs
20. nnM nn- nnmonitor nn(Cardiac, nnconsider nnEKG)
21. nnN nn- nnconsider nnneed nnfor nnNG/OG
22. nnO nn- nnassess nnO2 nnand nnend-tidal nncapnography
23**. nnP nn- nnassess nnpain nnusing nnappropriate nnpain nnscale
Continue nnTNP nnafter nnLMNOP nn(so nnafter nnpain nnhas nnbeen nnassessed). nn24-26 nn-
nnAnswer nn24. nnNon-pharmacological nncomfort nnmeasures nn
25. nnConsider nnanalgesic nnmed nnorder
26. nnObtain nnpertinent nnhistory
Head-to-Toe nn27-43 nn- nnAnswer nn27. nnInspect nnand nnpalpate nnhead nnfor nninjuries
28. nnInspect nnand nnpalpate nnface nnfor nninjuries
29. nnInspect nnand nnpalpate nnneck nnfor nninjuries
-- nnDemonstrate nnremoval nnAND nnreapplication nnof nncervical nncollar nnfor
nnassessment nn(if nnindicated).
nn30. nnInspect nnand nnpalpate nnchest nnfor nninjuries
31. nnAuscultate nnbreath nnsounds
32. nnAuscultate nnheart nnsounds
33. nnInspect nnthe nnabdomen nnfor nninjuries
34. nnAuscultate nnbowel nnsounds
35. nnPalpate nnall nnfour nnquadrants nnof nnthe nnabdomen nnfor nninjuries
36. nnInspect nnand nnpalpate nnthe nnflanks nnfor nninjuries
37. nnInspect nnthe nnpelvis nnfor nninjuries
38. nnApply nngentle nnpressure nnover nniliac nncrests nndownward nnand nnmedially
39. nnApply nngentle nnpressure nnon nnthe nnsymphysis nnpubis nn(if nniliac nncrests nnare
nnstable)
40. nnInspect nnthe nnperineum nnfor nninjuries
41. nnConsider nnGU nn- nnurinary nnoutput nn
42. nnInspect nnand nnpalpate nnall nnfour nnextremities nnfor nnneurovascular nnstatus nnand
nninjuries
43. nnInspect nnand nnpalpate nnposterior nnsurfaces nn-- nnNOT nnif nnthe nnpatient nnhas
nnsuspected nnspinal nnor nnpelvic nninjuries
After nnthe nnhead-to-toe, nnthe nnlearner nnshould nnsummarize nninjuries nnidentified
nnthroughout nnthe nnscenario nnand nnask nnthemselves: nn- nnAnswer nn"What
nninterventions nnor nndiagnostics nncan nnyou nnanticipate nnfor nnthis nnpatient?"
