TNCC Final Exam Test 2024/2025 Open Book Updated With Complete Solution Questions And Answers.

TNCC Final Exam Test 2024/2025 Open Book Updated
With Complete Solution Questions And Answers


- ANSW -Prehospital shock index pg. 85
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.. activation: .... are found in the carotid sinus and along the aortic arch, are sensitive to the
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Mdegree of stretch in the arterial wall. When the receptors sense a decrease in stretch, they
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Mstimulate the sympathetic nervous system to release Epi, norepi, causing stimulation of cardiac
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Mactivity and constriction of blood vessels, which causes a rise in heart rate and diastolic blood
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Mpressure - ANSW -Baroreceptors: M M M




1. A- airway and Alertness with simultaneous cervical spinal stabilization
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2. B- breathing and Ventilation
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3. circulation and control of hemorrhage
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4. D - disability (neurologic status)
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5. F - full set of vitals and Family presence
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6. G - Get resuscitation adjuncts
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M L- Lab results (arterial gases, blood type and crossmatch)
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M M- monitor for continuous cardiac rhythm and rate assessment
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M N- naso or orogastric tube consideration
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O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02)
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monitoring and capnopgraphy
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M H- History and head to toe assessment
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M I- Inspect posterior surfaces - ANSW -ABCDEFGHI
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1. ApneaM




2. GCS 8 or less
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3. Maxillary fractures
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4. Evidence of inhalation injury (facial burns)
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5. Laryngeal or tracheal injury or neck hematoma
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6. High risk of aspiration and patients inability to protect the airway
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7. Compromised or ineffective ventilation - ANSW -Following conditions might require a definitive
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Mairway

, 1. bony fractures and possible rib fractures, which may impact ventilation
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2. palpate for crepitus
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3. subcutaneous emphysema which may be a sign for a pneumothorax
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4. soft tissue injury - ANSW -Palpate the chest for
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1. Check the presence of adequate rise and fall of the chest with assisted ventilation
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2. Absence of gurgling on auscultation over the epigastrium
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3. Bilateral breath sounds present on auscultation
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4. Presence of carbon dioxide (CO2) verified by a CO2 device or monitor - ANSW -If the pt has a
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Mdefinitive airway in what should you do?
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1. Dyspnea
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2. Tachycardia
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3. Decreased or absent breath sounds on the injured side
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4. CP - ANSW -Simple Pneumo assessment:
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1. equal breath sounds bilaterally at the second intercostal space midclavicular line and the bases
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Mfor fifth intercostal space at the axillary line - ANSW -Auscultate the chest for:
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1. Get a CT
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2. Consider ABG 's if decreased LOC
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3. Consider glucose check - ANSW -D Interventions
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1. Hypotension
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2. JVD
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3. Muffled heart sounds - ANSW -Becks Triad:
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1. open the airway, use jaw thrust
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2. insert an oral airway
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3. assist ventilations with a bag mask
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4. prepare for definitive airway - ANSW -If breathing is absent..
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1. pain - hallmark sign, early sign
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2. pressure - early sign
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3. pallor, pules, paresthesia, paralysis - late sign - ANSW -Six P's of compartment syndrome:
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1. Preparation
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