TNCC 9TH EDITION questions and ANSWERS 2025\2026
update
PREPARATION AND TRIGE- 1-ANS>>ACTIVATE THE TEAM AND ASSIGN ROLES
-is there any specific equipment that you would prepare
PREPARATION AND TRIGE - 2-ANS>>PREPARE THE TRAMA ROOM
-may include but not limited to:
*bariatric equipment
*difficult airway or iv equipment
*fluid warmer
*pediatric equipment
PREPARATION AND TRIGE -3-ANS>>DON PPE
-consider potential saftey threats to the team or need for decontamination
GENERAL IMPRESSION -4-ANS>>ASSESS FOR OBVIOUS UNCONTROLLED EXTERNAL HEMORRHAG
OR UNRESPONSICE/APNEA AND THE NEED TI RE-PRIORITIZE TO C-ABC
-what alterations are identified to intervene as appropriate and reassess. may include but nit limited to th
following:
*assess for pulse
*control external hemorrhage
*initiate IV resuscitation for significant blood loss with signs of poor perfusion
NOTE: if unresponsiveness was identified in step 4, credit is given in step 5-ANS>>
PRIMARY SURVERY- 5-ANS>>ASSESS LOC USING AVPU
-awake, verbal, pain, unresponsive
*pt is awake, pt responds to verbal stimulus, pt responds to pailful stimulus, pt is unresponsive t
stimulus
, PRIMARY SURVERY- 6-ANS>>open the airway
*if cervical spine injury is suspected, state the need for a second person to provide manual cervical spina
stabilization and demonstrate manual opening of the airway using the jaw thrust maneuver
*when the patient is alert and can cooperate, it is acceptable to ask the patient to open their mouth t
assess their airway
PRIMARY SURVERY- 7-ANS>>ASSESS THE PATENCY AND PROTECTION OF THE AIRWAY (IDENTIFY A
LEAST FOUR)
*bony deformity
*burns
*edema
*fluids (blood, vomit, secretions)
*foreign objects
*inhalation injury (burns, singed nasal or facial hair, soot)
*loose or missing teeth
*sounds (snoring, gurgling, or stridor)
*tongue obstruction
*vocialization
PRIMARY SURVERY- 7
ASSESS THE PATENCY AND PROTECTION OF THE AIRWAY-ANS>>when alterations are identifie
intervene as appropriate and reassess
may include, but not limited to the following:
*anticipate the need for intubation
*insert an oral or nasopharyngeal airway
*remove loose teeth or foreign objects
*suction the airway
PRIMARY SURVERY- 8-ANS>>ASSESS BREATHING EFFECTIVNESS (IDENTIFY AT LEAST FOUR)
*breath sounds
*depth, pattern, and general rate of respirations
*increased work of breathing
*open wounds or deformities
*skin color
*spontaneous breathing
*subcutaneous emphysema
*symmetrical chest rise and fall
update
PREPARATION AND TRIGE- 1-ANS>>ACTIVATE THE TEAM AND ASSIGN ROLES
-is there any specific equipment that you would prepare
PREPARATION AND TRIGE - 2-ANS>>PREPARE THE TRAMA ROOM
-may include but not limited to:
*bariatric equipment
*difficult airway or iv equipment
*fluid warmer
*pediatric equipment
PREPARATION AND TRIGE -3-ANS>>DON PPE
-consider potential saftey threats to the team or need for decontamination
GENERAL IMPRESSION -4-ANS>>ASSESS FOR OBVIOUS UNCONTROLLED EXTERNAL HEMORRHAG
OR UNRESPONSICE/APNEA AND THE NEED TI RE-PRIORITIZE TO C-ABC
-what alterations are identified to intervene as appropriate and reassess. may include but nit limited to th
following:
*assess for pulse
*control external hemorrhage
*initiate IV resuscitation for significant blood loss with signs of poor perfusion
NOTE: if unresponsiveness was identified in step 4, credit is given in step 5-ANS>>
PRIMARY SURVERY- 5-ANS>>ASSESS LOC USING AVPU
-awake, verbal, pain, unresponsive
*pt is awake, pt responds to verbal stimulus, pt responds to pailful stimulus, pt is unresponsive t
stimulus
, PRIMARY SURVERY- 6-ANS>>open the airway
*if cervical spine injury is suspected, state the need for a second person to provide manual cervical spina
stabilization and demonstrate manual opening of the airway using the jaw thrust maneuver
*when the patient is alert and can cooperate, it is acceptable to ask the patient to open their mouth t
assess their airway
PRIMARY SURVERY- 7-ANS>>ASSESS THE PATENCY AND PROTECTION OF THE AIRWAY (IDENTIFY A
LEAST FOUR)
*bony deformity
*burns
*edema
*fluids (blood, vomit, secretions)
*foreign objects
*inhalation injury (burns, singed nasal or facial hair, soot)
*loose or missing teeth
*sounds (snoring, gurgling, or stridor)
*tongue obstruction
*vocialization
PRIMARY SURVERY- 7
ASSESS THE PATENCY AND PROTECTION OF THE AIRWAY-ANS>>when alterations are identifie
intervene as appropriate and reassess
may include, but not limited to the following:
*anticipate the need for intubation
*insert an oral or nasopharyngeal airway
*remove loose teeth or foreign objects
*suction the airway
PRIMARY SURVERY- 8-ANS>>ASSESS BREATHING EFFECTIVNESS (IDENTIFY AT LEAST FOUR)
*breath sounds
*depth, pattern, and general rate of respirations
*increased work of breathing
*open wounds or deformities
*skin color
*spontaneous breathing
*subcutaneous emphysema
*symmetrical chest rise and fall
