TNCC 9th Edition TNP QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
,-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 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 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
-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 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
-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
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
,-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 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 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
-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 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
-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
