TRAUMA NURSING PROCESS - TNP -
TNCC 9TH EDITION EXAM QUESTIONS
AND ANSWERS
Following the completion of head-to-toe assessment in TNP, you must do what? 44 -
Answer-44. Identify at least THREE interventions or diagnostics
these may include the following:
Antibiotics
Consults
Head CT for any alterations in mental status
Imaging (other radiographs, CT, ultrasound, interventional radiology as indicated)
Law enforcement
Mandatory reporting
Psychosocial support
Social services
Splinting
Tetanus immunization
Wound care
After identifying potential interventions/diagnostics and completing your assessments
and interventions, you should ask yourself what? - Answer-"What findings will you
continue to reevaluate while the patient is in your care?"
"Just keep re-evaluating"
Just Keep Reevaluating. 45-48 - Answer-45. Reevaluate vital signs
46. Reevaluate all identified injuries and effectiveness of interventions
47. Reevaluate primary survey
48. Reevaluate pain
What do you ask yourself after re-evaluations are done? 49-50 - Answer-49. "What is
the definitive care for this patient?"
50. Consider need for transfer to a trauma center or admission
After all of the assessments, interventions, reassessments, etc. are done, what is the
last thing to ask? - Answer-"Is there anything you would like to add at this time?"
When considering GU and how to monitor urinary output: - Answer-- Assess for
contraindications for an indwelling urinary catheter
- External catheter
- Weighing diapers (pediatrics and adults)
, How do you first assess for pelvic instability? Then what do you do? - Answer-Apply
gentle pressure over iliac crests downward and medially. If iliac crests are stable, then
apply gentle pressure on the symphysis pubis.
T/F: It is appropriate to consider transfer to a higher level of care before or during the A-
E. - Answer-True. Consider this throughout.
What is a systematic process to guide your care of trauma patients? - Answer-trauma
nursing process
What does it mean to have double-starred criteria? - Answer-It means that this criteria
MUST be done in order.
For double-starred criteria, ___ and ___ must be completed prior to moving to the next
step. - Answer-assessments, interventions
Double-starred criteria include letters ___-___. - Answer-A-E
What does it mean to have single-starred criteria? - Answer-This means the criteria
needs to be done, but the sequence is not critical.
**A stands for ___ and ___. - Answer-alertness, airway
**B stands for ___ and ___. - Answer-breathing, ventilation
**C stands for ___. - Answer-circulation
**D stands for ___. - Answer-disability
**E stands for ___. - Answer-exposure
What are the 4 potential single-starred criteria? - Answer-- reassessment of primary
survey interventions
- blood glucose if alterations in mental status noted in disability assessment
- pain assessment using appropriate pain scale
- inspection of posterior surfaces (unless CI)
Why might inspection of posterior surfaces be contraindicated? - Answer-May be
contraindicated by suspected spine or pelvic injury
You must assess pain using an ___________. - Answer-appropriate pain scale
What are the double-starred criteria? (hint: A-E) - Answer-**Alertness and Airway
**Breathing and Ventilation
**Circulation
TNCC 9TH EDITION EXAM QUESTIONS
AND ANSWERS
Following the completion of head-to-toe assessment in TNP, you must do what? 44 -
Answer-44. Identify at least THREE interventions or diagnostics
these may include the following:
Antibiotics
Consults
Head CT for any alterations in mental status
Imaging (other radiographs, CT, ultrasound, interventional radiology as indicated)
Law enforcement
Mandatory reporting
Psychosocial support
Social services
Splinting
Tetanus immunization
Wound care
After identifying potential interventions/diagnostics and completing your assessments
and interventions, you should ask yourself what? - Answer-"What findings will you
continue to reevaluate while the patient is in your care?"
"Just keep re-evaluating"
Just Keep Reevaluating. 45-48 - Answer-45. Reevaluate vital signs
46. Reevaluate all identified injuries and effectiveness of interventions
47. Reevaluate primary survey
48. Reevaluate pain
What do you ask yourself after re-evaluations are done? 49-50 - Answer-49. "What is
the definitive care for this patient?"
50. Consider need for transfer to a trauma center or admission
After all of the assessments, interventions, reassessments, etc. are done, what is the
last thing to ask? - Answer-"Is there anything you would like to add at this time?"
When considering GU and how to monitor urinary output: - Answer-- Assess for
contraindications for an indwelling urinary catheter
- External catheter
- Weighing diapers (pediatrics and adults)
, How do you first assess for pelvic instability? Then what do you do? - Answer-Apply
gentle pressure over iliac crests downward and medially. If iliac crests are stable, then
apply gentle pressure on the symphysis pubis.
T/F: It is appropriate to consider transfer to a higher level of care before or during the A-
E. - Answer-True. Consider this throughout.
What is a systematic process to guide your care of trauma patients? - Answer-trauma
nursing process
What does it mean to have double-starred criteria? - Answer-It means that this criteria
MUST be done in order.
For double-starred criteria, ___ and ___ must be completed prior to moving to the next
step. - Answer-assessments, interventions
Double-starred criteria include letters ___-___. - Answer-A-E
What does it mean to have single-starred criteria? - Answer-This means the criteria
needs to be done, but the sequence is not critical.
**A stands for ___ and ___. - Answer-alertness, airway
**B stands for ___ and ___. - Answer-breathing, ventilation
**C stands for ___. - Answer-circulation
**D stands for ___. - Answer-disability
**E stands for ___. - Answer-exposure
What are the 4 potential single-starred criteria? - Answer-- reassessment of primary
survey interventions
- blood glucose if alterations in mental status noted in disability assessment
- pain assessment using appropriate pain scale
- inspection of posterior surfaces (unless CI)
Why might inspection of posterior surfaces be contraindicated? - Answer-May be
contraindicated by suspected spine or pelvic injury
You must assess pain using an ___________. - Answer-appropriate pain scale
What are the double-starred criteria? (hint: A-E) - Answer-**Alertness and Airway
**Breathing and Ventilation
**Circulation
