TNCC: The Nursing Process Questions
and Answers | Latest Version | 2024/2025
| Correct & Verified
What is the first step in the nursing process when assessing a trauma patient?
✔✔ Perform a primary survey to identify life-threatening conditions
What is the priority nursing intervention for a patient with a compromised airway?
✔✔ Open the airway using the jaw-thrust maneuver and prepare for advanced airway
management
What is the best way to assess circulation in an unconscious trauma patient?
✔✔ Check central pulses, skin color, temperature, and capillary refill
What is the primary goal of fluid resuscitation in a trauma patient?
✔✔ Restore adequate perfusion and prevent shock
What is the most important nursing intervention for a patient with a suspected spinal cord injury?
✔✔ Maintain spinal alignment and immobilization
1
,What is the best nursing action for a trauma patient showing signs of hypovolemic shock?
✔✔ Initiate rapid IV fluid administration and monitor vital signs closely
What is the first nursing intervention for a patient with a suspected open pneumothorax?
✔✔ Apply a three-sided occlusive dressing to prevent air trapping
What is the priority nursing assessment for a patient with a traumatic brain injury?
✔✔ Monitor for changes in level of consciousness and pupil response
What is the best way to prevent infection in a patient with an open fracture?
✔✔ Administer prophylactic antibiotics and maintain sterile wound care
What is the most effective way to prevent secondary brain injury in a trauma patient?
✔✔ Maintain oxygenation, prevent hypotension, and monitor for increased intracranial pressure
What is the immediate nursing action for a patient with active external bleeding?
✔✔ Apply direct pressure to the wound and reassess for hemostasis
2
, What is the first sign of worsening shock in a trauma patient?
✔✔ Increasing heart rate with decreasing blood pressure
What is the best nursing intervention for a patient with suspected compartment syndrome?
✔✔ Remove restrictive dressings, elevate the limb, and notify the provider immediately
What is the most important nursing action for a trauma patient with a suspected pelvic fracture?
✔✔ Apply a pelvic binder and avoid unnecessary movement
What is the best way to assess for internal bleeding in a trauma patient?
✔✔ Monitor vital signs, assess for abdominal distension, and perform a focused assessment
What is the most important nursing intervention for a trauma patient experiencing agitation and
restlessness?
✔✔ Assess oxygenation and perfusion status, as these may indicate hypoxia or shock
What is the primary nursing goal for a patient with multiple rib fractures?
3
and Answers | Latest Version | 2024/2025
| Correct & Verified
What is the first step in the nursing process when assessing a trauma patient?
✔✔ Perform a primary survey to identify life-threatening conditions
What is the priority nursing intervention for a patient with a compromised airway?
✔✔ Open the airway using the jaw-thrust maneuver and prepare for advanced airway
management
What is the best way to assess circulation in an unconscious trauma patient?
✔✔ Check central pulses, skin color, temperature, and capillary refill
What is the primary goal of fluid resuscitation in a trauma patient?
✔✔ Restore adequate perfusion and prevent shock
What is the most important nursing intervention for a patient with a suspected spinal cord injury?
✔✔ Maintain spinal alignment and immobilization
1
,What is the best nursing action for a trauma patient showing signs of hypovolemic shock?
✔✔ Initiate rapid IV fluid administration and monitor vital signs closely
What is the first nursing intervention for a patient with a suspected open pneumothorax?
✔✔ Apply a three-sided occlusive dressing to prevent air trapping
What is the priority nursing assessment for a patient with a traumatic brain injury?
✔✔ Monitor for changes in level of consciousness and pupil response
What is the best way to prevent infection in a patient with an open fracture?
✔✔ Administer prophylactic antibiotics and maintain sterile wound care
What is the most effective way to prevent secondary brain injury in a trauma patient?
✔✔ Maintain oxygenation, prevent hypotension, and monitor for increased intracranial pressure
What is the immediate nursing action for a patient with active external bleeding?
✔✔ Apply direct pressure to the wound and reassess for hemostasis
2
, What is the first sign of worsening shock in a trauma patient?
✔✔ Increasing heart rate with decreasing blood pressure
What is the best nursing intervention for a patient with suspected compartment syndrome?
✔✔ Remove restrictive dressings, elevate the limb, and notify the provider immediately
What is the most important nursing action for a trauma patient with a suspected pelvic fracture?
✔✔ Apply a pelvic binder and avoid unnecessary movement
What is the best way to assess for internal bleeding in a trauma patient?
✔✔ Monitor vital signs, assess for abdominal distension, and perform a focused assessment
What is the most important nursing intervention for a trauma patient experiencing agitation and
restlessness?
✔✔ Assess oxygenation and perfusion status, as these may indicate hypoxia or shock
What is the primary nursing goal for a patient with multiple rib fractures?
3
