ACCURACY IS GUARANTEED
TNCC EXAM Questions with Detailed
Verified Answers for Accuracy
Question: Initial Assessment
Answer: 1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
Question: ABCDEFGHI
Answer: 1. A- airway and Alertness with simultaneous cervical
spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
, ACCURACY IS GUARANTEED
O- oxygenation and ventilation analysis: Pulse oxygemetry and
end-tidal caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces
Question: When should PPE be placed:
Answer: Before the arrival of the pt
Question: Safe Care:
Answer: Pt is at hospital in the right amount of time, right care,
right trauma facility, right resources
Question: Major cause of preventable death:
Answer: Uncontrolled Hemorrhage
Question: If uncontrolled hemorrhage ..
Answer: reorganize care to C-ABC
Question: Airway and AVPU:
Answer: Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
, ACCURACY IS GUARANTEED
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it
loudly to the team and direct someone to chk in the pt is
pulseless while assessing if the cause of the problem is the
airway.
Question: While assessing airway the patient is alert and
responds to verbal stimuli you should..
Answer: ask pt to pen his or her mouth
Question: While assessing airway pt is unable to open
mouth, responds only to pain, or is unresponsive you should..
Answer: jaw thrust maneuver to open airway and assess for
obstruction. If pt has a suspected csi, the jaw thrust procedure
should be done by two providers. One provider can maintain c-
spine and the other can perform the jaw thrust maneuver.
Question: Inspect the mouth for:
Answer: 1. The tongue obstructing the airway
2. loose or missing teeth
TNCC EXAM Questions with Detailed
Verified Answers for Accuracy
Question: Initial Assessment
Answer: 1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
Question: ABCDEFGHI
Answer: 1. A- airway and Alertness with simultaneous cervical
spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
, ACCURACY IS GUARANTEED
O- oxygenation and ventilation analysis: Pulse oxygemetry and
end-tidal caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces
Question: When should PPE be placed:
Answer: Before the arrival of the pt
Question: Safe Care:
Answer: Pt is at hospital in the right amount of time, right care,
right trauma facility, right resources
Question: Major cause of preventable death:
Answer: Uncontrolled Hemorrhage
Question: If uncontrolled hemorrhage ..
Answer: reorganize care to C-ABC
Question: Airway and AVPU:
Answer: Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
, ACCURACY IS GUARANTEED
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it
loudly to the team and direct someone to chk in the pt is
pulseless while assessing if the cause of the problem is the
airway.
Question: While assessing airway the patient is alert and
responds to verbal stimuli you should..
Answer: ask pt to pen his or her mouth
Question: While assessing airway pt is unable to open
mouth, responds only to pain, or is unresponsive you should..
Answer: jaw thrust maneuver to open airway and assess for
obstruction. If pt has a suspected csi, the jaw thrust procedure
should be done by two providers. One provider can maintain c-
spine and the other can perform the jaw thrust maneuver.
Question: Inspect the mouth for:
Answer: 1. The tongue obstructing the airway
2. loose or missing teeth
