TNCC 9TH EDITION ACTUAL FINAL PAPER QUESTIONS
AND ANSWERS FIRM A+
✔✔What is the policy at your facility for the care of amputated body parts such as a digit
or a limb? - ✔✔send to a vascular surgeon
✔✔When is spinal motion restriction indicated? What is the proper technique for
measurement and application of a cervical collar? - ✔✔-when suspected spinal cord
injury
- insure the patient's head is in a neutral position, slide the back of the collar under the
neck, align the chin piece with the chin, and secure the straps snugly while maintaining
neutral neck alignment, ensuring the collar is centered and not restricting breathing or
mouth movement
✔✔What is the difference between primary and secondary injury in the spinal cord
trauma? - ✔✔Primary: initial injury, early decompressive surgery shown to have great
outcome
secondary: same type of injuries that has caused inflammation of tissues which leads to
permanent loss of function without proper interventions
✔✔What is the difference between spinal and neurogenic shock? - ✔✔Spinal shock is
the temporary loss of spinal cord function
Neurogenic shock: hypotensive state when sympathetic nervous system is is disrupted
✔✔Does your facility have a specific location for burn supplies such as a burn cart?
Does your facility have wound protocols? - ✔✔no specific location for burns, will treat
1st degree burns but send most secondary to Main
✔✔Is there a burn center in your city? What does your burn center request for a
treatment or interventions prior to transfer? - ✔✔Burn center in Huntsville and UAB
Main. Burn center requests the % of burn, location, if we have intervened, how long ago
it was, and if they are coming POV or ambulance
✔✔What are the levels of burn depth? - ✔✔1st
2nd
3rd
✔✔Describe methods of estimation to the extent of burn in injuries - ✔✔Rule of 9s
Rule of Palms
✔✔What is the capillary leak syndrome and what is the clinical significance of this
disorder? - ✔✔the large amount of fluid infused during resuscitation can seep from the
veins into the tissue. the rate of fluids lost from intravascular spaces depends on the
patient's age, burn size and depth. this is clinically significant because the inflammation
, response results in the release of numerous substrates, which then lead to further
edema and potential cardiac collapse
✔✔What are airway consideration specific to burns? - ✔✔- if they have thermal burns to
their neck or chest, or nares, check for inhalation injury.
-inspect for evidence of extensive and deep facial burns, sit, carbonizing, sputum,
singed, nasal hair, Arythma, or swelling of oropharynx, brassy, cough, difficulty
swallowing, progressive hoarseness. If any are present, consider prophylactic
intubation.
✔✔What is the initial treatment for known or suspected carbon monoxide poisoning? -
✔✔move into fresh air then Pure Oxygen
✔✔What is the difference in an abrasion and an avulsion injury? - ✔✔abrasion: partial
or full-thickness wound that denudes the skin, exposing the dermis or subcutaneous
skin layer
avulsion: full thickness wounds caused by tearing or ripping of skin and soft tissue away
from underlying tissues
✔✔One of the signs and symptoms of mild injury related to frostbite? To deep injury? -
✔✔Mild: early reqarming after brief exposure, clear blisters to digit, bright red or normal
skin color, sensation is present, digits are warm
Deep: delaying warming, hemorrhagic proximal blisters, purple or mottled skin color,
sensation absent, digits are cool
✔✔What are the interventions for frostbite? - ✔✔-gently rewarm the affected limbs for
15-30 min.
-give warm fluids by mouth, remove wet clothes
- ibuprofen for pain, avoid friction
-large blisters that impede movement need to be drained or debrised and bandaged
✔✔Where is the difference between cultural competency and cultural humility? -
✔✔cultural competence focuses on acquiring knowledge and skills to effectively interact
with people from different cultures, cultural humility emphasizes a continuous process of
self-reflection and a willingness to learn from others
✔✔Why is it important to use a person's correct pronouns? - ✔✔by using the correct
pronouns, you will build a good repour with your patients and they will be more open
and trusting with their care
✔✔What are some physiological considerations for trauma patient who is undergoing
gender reassignment procedures? - ✔✔consider if HIV positive, on any active
hormones, homeless, on drugs
AND ANSWERS FIRM A+
✔✔What is the policy at your facility for the care of amputated body parts such as a digit
or a limb? - ✔✔send to a vascular surgeon
✔✔When is spinal motion restriction indicated? What is the proper technique for
measurement and application of a cervical collar? - ✔✔-when suspected spinal cord
injury
- insure the patient's head is in a neutral position, slide the back of the collar under the
neck, align the chin piece with the chin, and secure the straps snugly while maintaining
neutral neck alignment, ensuring the collar is centered and not restricting breathing or
mouth movement
✔✔What is the difference between primary and secondary injury in the spinal cord
trauma? - ✔✔Primary: initial injury, early decompressive surgery shown to have great
outcome
secondary: same type of injuries that has caused inflammation of tissues which leads to
permanent loss of function without proper interventions
✔✔What is the difference between spinal and neurogenic shock? - ✔✔Spinal shock is
the temporary loss of spinal cord function
Neurogenic shock: hypotensive state when sympathetic nervous system is is disrupted
✔✔Does your facility have a specific location for burn supplies such as a burn cart?
Does your facility have wound protocols? - ✔✔no specific location for burns, will treat
1st degree burns but send most secondary to Main
✔✔Is there a burn center in your city? What does your burn center request for a
treatment or interventions prior to transfer? - ✔✔Burn center in Huntsville and UAB
Main. Burn center requests the % of burn, location, if we have intervened, how long ago
it was, and if they are coming POV or ambulance
✔✔What are the levels of burn depth? - ✔✔1st
2nd
3rd
✔✔Describe methods of estimation to the extent of burn in injuries - ✔✔Rule of 9s
Rule of Palms
✔✔What is the capillary leak syndrome and what is the clinical significance of this
disorder? - ✔✔the large amount of fluid infused during resuscitation can seep from the
veins into the tissue. the rate of fluids lost from intravascular spaces depends on the
patient's age, burn size and depth. this is clinically significant because the inflammation
, response results in the release of numerous substrates, which then lead to further
edema and potential cardiac collapse
✔✔What are airway consideration specific to burns? - ✔✔- if they have thermal burns to
their neck or chest, or nares, check for inhalation injury.
-inspect for evidence of extensive and deep facial burns, sit, carbonizing, sputum,
singed, nasal hair, Arythma, or swelling of oropharynx, brassy, cough, difficulty
swallowing, progressive hoarseness. If any are present, consider prophylactic
intubation.
✔✔What is the initial treatment for known or suspected carbon monoxide poisoning? -
✔✔move into fresh air then Pure Oxygen
✔✔What is the difference in an abrasion and an avulsion injury? - ✔✔abrasion: partial
or full-thickness wound that denudes the skin, exposing the dermis or subcutaneous
skin layer
avulsion: full thickness wounds caused by tearing or ripping of skin and soft tissue away
from underlying tissues
✔✔One of the signs and symptoms of mild injury related to frostbite? To deep injury? -
✔✔Mild: early reqarming after brief exposure, clear blisters to digit, bright red or normal
skin color, sensation is present, digits are warm
Deep: delaying warming, hemorrhagic proximal blisters, purple or mottled skin color,
sensation absent, digits are cool
✔✔What are the interventions for frostbite? - ✔✔-gently rewarm the affected limbs for
15-30 min.
-give warm fluids by mouth, remove wet clothes
- ibuprofen for pain, avoid friction
-large blisters that impede movement need to be drained or debrised and bandaged
✔✔Where is the difference between cultural competency and cultural humility? -
✔✔cultural competence focuses on acquiring knowledge and skills to effectively interact
with people from different cultures, cultural humility emphasizes a continuous process of
self-reflection and a willingness to learn from others
✔✔Why is it important to use a person's correct pronouns? - ✔✔by using the correct
pronouns, you will build a good repour with your patients and they will be more open
and trusting with their care
✔✔What are some physiological considerations for trauma patient who is undergoing
gender reassignment procedures? - ✔✔consider if HIV positive, on any active
hormones, homeless, on drugs
