TNCC 9th Edition TNP with correct
answers 100% 2026
What does the J stand for at the end of the secondary survery? - Correct Answers just keep
evaluating - vipp
What does VIPP stand for? - Correct Answers vital signs, injuries/interventions, primary survey,
pain
During the head-to-toe, where would you find Grey-Turner's sign? - Correct Answers flank
During the head-to-toe, where would you find Cullen's sign? - Correct Answers umbilicus
What is sometimes deferred at the end of the head-to-toe? - Correct Answers inspecting
posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting, psychosocial
support, social services, splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? - Correct Answers AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? - Correct Answers
Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one during testing) -
Correct Answers Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? - Correct Answers all patients
,In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? - Correct
Answers EKG
In Step 16 of "Exposure and Environment", you must name at least one of these interventions: -
Correct Answers blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? - Correct
Answers In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - Correct Answers glucose
To assess circulation, you must do these two main tasks: - Correct Answers 1. inspect AND
palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary survery? -
Correct Answers intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? - Correct Answers 1. attach
CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest w/
assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for bilateral breath
sounds
Four of these must be identified to assess breathing effectiveness: - Correct Answers Breath
sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, increased work
of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, open wounds/deformities,
skin color
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which credit is
given in the LMNOP section? - Correct Answers cardiac monitor
, When should 2 IV sites be established? - Correct Answers During "Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else needs to be
done with the ETT? (step 10) - Correct Answers assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - Correct Answers moving
patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a chest tube,
intubation, decompression of pneumothorax, oxygen, or BVMs? - Correct Answers "Breathing
and Ventilation"
Four of these must be identified to assess patency and protection of the airway: - Correct
Answers bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction,
burns, fluids, foreign objects, vocalization
During which part of the primary survey would there be anticipation for intubation, insertion of
OPA/NPA, removal of any loose teeth or foreign objects, or suctioning? - Correct Answers
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
If c-spine stabilization is necessary, what need should be stated? - Correct Answers the need for
a second person to provide manual c-spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is being manually
ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm
Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
answers 100% 2026
What does the J stand for at the end of the secondary survery? - Correct Answers just keep
evaluating - vipp
What does VIPP stand for? - Correct Answers vital signs, injuries/interventions, primary survey,
pain
During the head-to-toe, where would you find Grey-Turner's sign? - Correct Answers flank
During the head-to-toe, where would you find Cullen's sign? - Correct Answers umbilicus
What is sometimes deferred at the end of the head-to-toe? - Correct Answers inspecting
posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting, psychosocial
support, social services, splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? - Correct Answers AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? - Correct Answers
Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one during testing) -
Correct Answers Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? - Correct Answers all patients
,In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? - Correct
Answers EKG
In Step 16 of "Exposure and Environment", you must name at least one of these interventions: -
Correct Answers blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? - Correct
Answers In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - Correct Answers glucose
To assess circulation, you must do these two main tasks: - Correct Answers 1. inspect AND
palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary survery? -
Correct Answers intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? - Correct Answers 1. attach
CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest w/
assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for bilateral breath
sounds
Four of these must be identified to assess breathing effectiveness: - Correct Answers Breath
sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, increased work
of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, open wounds/deformities,
skin color
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which credit is
given in the LMNOP section? - Correct Answers cardiac monitor
, When should 2 IV sites be established? - Correct Answers During "Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else needs to be
done with the ETT? (step 10) - Correct Answers assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - Correct Answers moving
patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a chest tube,
intubation, decompression of pneumothorax, oxygen, or BVMs? - Correct Answers "Breathing
and Ventilation"
Four of these must be identified to assess patency and protection of the airway: - Correct
Answers bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction,
burns, fluids, foreign objects, vocalization
During which part of the primary survey would there be anticipation for intubation, insertion of
OPA/NPA, removal of any loose teeth or foreign objects, or suctioning? - Correct Answers
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
If c-spine stabilization is necessary, what need should be stated? - Correct Answers the need for
a second person to provide manual c-spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is being manually
ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm
Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
