TNCC Skills Demonstration Questions
and Answers | Latest Version | 2024/2025
| Correct & Verified
What is the first step in performing a trauma primary survey?
✔✔ Ensure scene safety and don personal protective equipment
How do you assess for airway patency in an unresponsive trauma patient?
✔✔ Look for chest rise, listen for breath sounds, and feel for air movement
What maneuver should be used to open the airway of a trauma patient with a suspected spinal
injury?
✔✔ Jaw thrust maneuver
How can you confirm proper endotracheal tube placement?
✔✔ Bilateral breath sounds, no epigastric sounds, and end-tidal CO2 detection
What is the most important action when managing a patient with a sucking chest wound?
✔✔ Apply a three-sided occlusive dressing to prevent tension pneumothorax
1
,How do you check for signs of circulation in an unresponsive trauma patient?
✔✔ Assess central pulses, skin color, temperature, and capillary refill
What is the priority action for a patient with massive external bleeding?
✔✔ Apply direct pressure and consider a tourniquet if bleeding is uncontrolled
How do you assess a trauma patient’s level of consciousness?
✔✔ Use the Glasgow Coma Scale (GCS) to evaluate eye, verbal, and motor responses
What is the best way to evaluate pupil responsiveness in a head-injured patient?
✔✔ Shine a light into each eye and observe for equal, reactive pupils
What should be done immediately if a trauma patient shows signs of tension pneumothorax?
✔✔ Perform needle decompression at the second intercostal space, midclavicular line
How do you assess for a flail chest?
✔✔ Observe for paradoxical chest wall movement
2
,What intervention is required for a patient with a suspected spinal cord injury who has no motor
or sensory function below the level of injury?
✔✔ Maintain spinal precautions and prepare for neurogenic shock management
How is intra-abdominal bleeding assessed in an unstable trauma patient?
✔✔ Perform a FAST exam and monitor for worsening hypotension
What should be done for a trauma patient who suddenly becomes confused and restless?
✔✔ Assess oxygenation, blood pressure, and signs of worsening shock
How do you assess for pelvic instability in a trauma patient?
✔✔ Gently apply pressure to the iliac crests and assess for pain or movement
What is the best way to monitor a trauma patient’s perfusion status?
✔✔ Check blood pressure, heart rate, urine output, and mental status regularly
How do you recognize early signs of shock in a trauma patient?
✔✔ Tachycardia, cool clammy skin, delayed capillary refill, and altered mental status
3
, What is the most important intervention for a trauma patient with an open femur fracture?
✔✔ Control bleeding, apply a sterile dressing, and immobilize the limb
How should a patient with an amputated limb be managed?
✔✔ Control bleeding, wrap the amputated part in sterile gauze, place it in a sealed bag, and keep
it cool
What is the best way to assess for a basilar skull fracture?
✔✔ Look for Battle’s sign, raccoon eyes, and cerebrospinal fluid leakage
How do you assess breathing adequacy in an intubated trauma patient?
✔✔ Check chest rise, auscultate lung sounds, and monitor end-tidal CO2
What intervention is necessary for a patient with absent breath sounds on one side after blunt
trauma?
✔✔ Insert a chest tube for suspected hemothorax or pneumothorax
4
and Answers | Latest Version | 2024/2025
| Correct & Verified
What is the first step in performing a trauma primary survey?
✔✔ Ensure scene safety and don personal protective equipment
How do you assess for airway patency in an unresponsive trauma patient?
✔✔ Look for chest rise, listen for breath sounds, and feel for air movement
What maneuver should be used to open the airway of a trauma patient with a suspected spinal
injury?
✔✔ Jaw thrust maneuver
How can you confirm proper endotracheal tube placement?
✔✔ Bilateral breath sounds, no epigastric sounds, and end-tidal CO2 detection
What is the most important action when managing a patient with a sucking chest wound?
✔✔ Apply a three-sided occlusive dressing to prevent tension pneumothorax
1
,How do you check for signs of circulation in an unresponsive trauma patient?
✔✔ Assess central pulses, skin color, temperature, and capillary refill
What is the priority action for a patient with massive external bleeding?
✔✔ Apply direct pressure and consider a tourniquet if bleeding is uncontrolled
How do you assess a trauma patient’s level of consciousness?
✔✔ Use the Glasgow Coma Scale (GCS) to evaluate eye, verbal, and motor responses
What is the best way to evaluate pupil responsiveness in a head-injured patient?
✔✔ Shine a light into each eye and observe for equal, reactive pupils
What should be done immediately if a trauma patient shows signs of tension pneumothorax?
✔✔ Perform needle decompression at the second intercostal space, midclavicular line
How do you assess for a flail chest?
✔✔ Observe for paradoxical chest wall movement
2
,What intervention is required for a patient with a suspected spinal cord injury who has no motor
or sensory function below the level of injury?
✔✔ Maintain spinal precautions and prepare for neurogenic shock management
How is intra-abdominal bleeding assessed in an unstable trauma patient?
✔✔ Perform a FAST exam and monitor for worsening hypotension
What should be done for a trauma patient who suddenly becomes confused and restless?
✔✔ Assess oxygenation, blood pressure, and signs of worsening shock
How do you assess for pelvic instability in a trauma patient?
✔✔ Gently apply pressure to the iliac crests and assess for pain or movement
What is the best way to monitor a trauma patient’s perfusion status?
✔✔ Check blood pressure, heart rate, urine output, and mental status regularly
How do you recognize early signs of shock in a trauma patient?
✔✔ Tachycardia, cool clammy skin, delayed capillary refill, and altered mental status
3
, What is the most important intervention for a trauma patient with an open femur fracture?
✔✔ Control bleeding, apply a sterile dressing, and immobilize the limb
How should a patient with an amputated limb be managed?
✔✔ Control bleeding, wrap the amputated part in sterile gauze, place it in a sealed bag, and keep
it cool
What is the best way to assess for a basilar skull fracture?
✔✔ Look for Battle’s sign, raccoon eyes, and cerebrospinal fluid leakage
How do you assess breathing adequacy in an intubated trauma patient?
✔✔ Check chest rise, auscultate lung sounds, and monitor end-tidal CO2
What intervention is necessary for a patient with absent breath sounds on one side after blunt
trauma?
✔✔ Insert a chest tube for suspected hemothorax or pneumothorax
4
