TRAUMA NURSING PROCESS - TNP –
TNCC EXAM 2025 QUESTIONS AND
ANSWERS
What should you ask yourself after completing all of your interventions and reassessments? -
ANS Does this patient need to be transferred to another hospital, to surgery, or to critical
care?
What happens prior to patient arrival? 1-3 - ANS 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to intubate has been made? 4-8
may change based on C-ABC - ANS 4. Assess for obvious uncontrolled external hemorrhage
or unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 - ANS 9**. If intubated, assess
endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue assisted ventilation
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ANS 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and removal of clothing to
inspect for injury. 16-18 - ANS 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - ANS 19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 - ANS 24. Non-
pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - ANS 27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
TNCC EXAM 2025 QUESTIONS AND
ANSWERS
What should you ask yourself after completing all of your interventions and reassessments? -
ANS Does this patient need to be transferred to another hospital, to surgery, or to critical
care?
What happens prior to patient arrival? 1-3 - ANS 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to intubate has been made? 4-8
may change based on C-ABC - ANS 4. Assess for obvious uncontrolled external hemorrhage
or unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 - ANS 9**. If intubated, assess
endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue assisted ventilation
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ANS 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and removal of clothing to
inspect for injury. 16-18 - ANS 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - ANS 19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 - ANS 24. Non-
pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - ANS 27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
