TNCC 9th Edition TNP Exam
Questions and Answers 100% pass
What does the J stand for at the end of the secondary survery? - ✔✔just keep
evaluating - vipp
What does VIPP stand for? - ✔✔vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign? - ✔✔flank
During the head-to-toe, where would you find Cullen's sign? - ✔✔umbilicus
What is sometimes deferred at the end of the head-to-toe? - ✔✔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? - ✔✔AFTER head-to-toe, BEFORE
J (VIPP)
What three items are obtained during the pertinent history assessment? - ✔✔Medical
records, prehospital report, SAMPLE
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,What are examples of nonpharmacologic measures? (must identify at least one during
testing) - ✔✔Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? - ✔✔all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
✔✔EKG
In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - ✔✔blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? -
✔✔In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - ✔✔glucose
To assess circulation, you must do these two main tasks: - ✔✔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? - ✔✔intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? - ✔✔1. attach CO2
detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest
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, 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: - ✔✔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? - ✔✔cardiac monitor
When should 2 IV sites be established? - ✔✔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) - ✔✔assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - ✔✔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? - ✔✔"Breathing
and Ventilation"
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Questions and Answers 100% pass
What does the J stand for at the end of the secondary survery? - ✔✔just keep
evaluating - vipp
What does VIPP stand for? - ✔✔vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign? - ✔✔flank
During the head-to-toe, where would you find Cullen's sign? - ✔✔umbilicus
What is sometimes deferred at the end of the head-to-toe? - ✔✔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? - ✔✔AFTER head-to-toe, BEFORE
J (VIPP)
What three items are obtained during the pertinent history assessment? - ✔✔Medical
records, prehospital report, SAMPLE
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,What are examples of nonpharmacologic measures? (must identify at least one during
testing) - ✔✔Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? - ✔✔all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
✔✔EKG
In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - ✔✔blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? -
✔✔In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - ✔✔glucose
To assess circulation, you must do these two main tasks: - ✔✔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? - ✔✔intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? - ✔✔1. attach CO2
detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest
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, 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: - ✔✔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? - ✔✔cardiac monitor
When should 2 IV sites be established? - ✔✔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) - ✔✔assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - ✔✔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? - ✔✔"Breathing
and Ventilation"
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