TNCC EXAM QUESTIONS WITH CORRECT ANSWERS

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 - Ini...

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the ...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - Vasoconstriction What results...

What are the greatest risks for transport? - Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? - subdural hematoma A patient is found...

The major cause of preventable death after injury - Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - Base deficit Examples of primary blast injuries - Blast lung, ruptured tympanic membrane, TBI, abdominal hem...

What is kinematics? - A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? - A body at rest will remain at rest. A body in motion will remain in motion until acted on by an outside ...

Components of SBAR and its purpose - S: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose - D: Describe the specific situation or behavior E: Express your co...

Initial Assessment - 1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (Primary Survey) - Airway and alertness with simultaneous cervical spinal stabilizati...

Expedite transfer to the closest trauma center - A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient? a...

Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Whi...

C What are the primary benefits of a team approach to trauma care - it provides a systemic approach to care and organizes care A In the primary survey AVPU is performed to determine if the patient can: - Protect their aiway B WHich may lead to unreliable pulse ox reading - carboxyhemoglobin...

Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Whi...

What is the first step in the TNP? - State the need to activate the trauma team When the instructor asks "Is there any specific equipment that you would prepare?" What is your first response? - State the need to prepare the trauma room What are some things that you would need in order to p...