Tncc Questions with CORRECT Answers (Verified Update)
Q1: While assessing airway the patient is alert and responds to verbal stimuli you should..
Answer: ask pt to open his or her mouth
Q2: While assessing airway pt is unable to open mouth, responds only to pain, or is unresponsive
you should..
Answer: jaw thrust maneuver to open airway and assess for obstruction. If pt has a suspected CSI,
the jaw thrust procedure should be done by two providers. One provider can maintain c-
spine and the other can perform the jaw thrust maneuver.
Q3: If Airway is not patent
Answer: Suction the airway 2, Use care to avoid stimulating the gag reflex 3. If the airway is
obstructed by blood or vomitus secretions, use a rigid suction device If foreign body is
noted, remove it carefully with forceps or another appropriate method
Q4: Following conditions might require a definitive airway
Answer: Apnea
Q5: Late signs of tension pneumo
Answer: tracheal deviation and jvd
Q6: Palpate the chest for - 1. bony fractures and possible rib fractures, which may impact
ventilation palpate for crepitus subcutaneous emphysema which may be a sign for a
pneumothorax soft tissue injury If breathing is absent.. - 1. open the airway, use jaw thrust
insert an oral airway assist ventilations with a bag mask prepare for definitive airway Oxygen
on trauma patients - trauma its need early supplemental oxygen, start with 15 mL O2 and
titrate oxygen delivery. C - Circulation and Control of Hemorrhage Inspect first for any
uncontrolled bleeding Skin color palpate for central pulses - carotid and femoral - rate,
rhythm, and strength Skin temp: cool, diaphoretic, or warm and dry C Interventions: - apply
direct pressure to bleeding elevate extremity apply pressure over arterial sites Consider a
pelvic binder for pelvic fractures consider a tourniquet cannulate two veins with large caliber
IV - if unable to gain assess consider IO
A. obtain labs, type and cross
B. infuse warm isotonic fluids
C. consider balanced resuscitation
D. use rapid infusion device
Answer: D. use rapid infusion device
, Q7: cannulate two veins with large caliber IV - if unable to gain assess consider IO
A. obtain labs, type and cross
B. infuse warm isotonic fluids
Answer: B. infuse warm isotonic fluids
Q8: Final step in primary survey
Answer: Reevaluation and Consider the need to Transfer
Q9: Head to toe assessment: Head and face
Answer: inspect for lacs, abrasions, asymmetry of facial expressions
Q10: Head to toe assessment: Neck and cervical spine
Answer: immobilize cervical spine, tenderness, tracheal deviation
Q11: Head to toe assessment: Chest
Answer: inspect, auscultate, palpate
Q12: Head to toe assessment: Abdomen
Answer: don't forget flanks!!!
Q13: any lacs? deformities? blood at the urtheral meatus
Answer: Head to toe assessment: pelvis and perineum
Q14: Post resuscitation care parameters that are continuously evaluated
Answer: Vital signs Interventions Primary survey Pain
Q15: The colder you are the more [ ], leading to .....
Answer: Acidic coagulopathy=you will you bleed more
Q16: What are indicators of increased perfusion?
Answer: stabilized vital signs, improved mental status, improved urine output
Q1: While assessing airway the patient is alert and responds to verbal stimuli you should..
Answer: ask pt to open his or her mouth
Q2: While assessing airway pt is unable to open mouth, responds only to pain, or is unresponsive
you should..
Answer: jaw thrust maneuver to open airway and assess for obstruction. If pt has a suspected CSI,
the jaw thrust procedure should be done by two providers. One provider can maintain c-
spine and the other can perform the jaw thrust maneuver.
Q3: If Airway is not patent
Answer: Suction the airway 2, Use care to avoid stimulating the gag reflex 3. If the airway is
obstructed by blood or vomitus secretions, use a rigid suction device If foreign body is
noted, remove it carefully with forceps or another appropriate method
Q4: Following conditions might require a definitive airway
Answer: Apnea
Q5: Late signs of tension pneumo
Answer: tracheal deviation and jvd
Q6: Palpate the chest for - 1. bony fractures and possible rib fractures, which may impact
ventilation palpate for crepitus subcutaneous emphysema which may be a sign for a
pneumothorax soft tissue injury If breathing is absent.. - 1. open the airway, use jaw thrust
insert an oral airway assist ventilations with a bag mask prepare for definitive airway Oxygen
on trauma patients - trauma its need early supplemental oxygen, start with 15 mL O2 and
titrate oxygen delivery. C - Circulation and Control of Hemorrhage Inspect first for any
uncontrolled bleeding Skin color palpate for central pulses - carotid and femoral - rate,
rhythm, and strength Skin temp: cool, diaphoretic, or warm and dry C Interventions: - apply
direct pressure to bleeding elevate extremity apply pressure over arterial sites Consider a
pelvic binder for pelvic fractures consider a tourniquet cannulate two veins with large caliber
IV - if unable to gain assess consider IO
A. obtain labs, type and cross
B. infuse warm isotonic fluids
C. consider balanced resuscitation
D. use rapid infusion device
Answer: D. use rapid infusion device
, Q7: cannulate two veins with large caliber IV - if unable to gain assess consider IO
A. obtain labs, type and cross
B. infuse warm isotonic fluids
Answer: B. infuse warm isotonic fluids
Q8: Final step in primary survey
Answer: Reevaluation and Consider the need to Transfer
Q9: Head to toe assessment: Head and face
Answer: inspect for lacs, abrasions, asymmetry of facial expressions
Q10: Head to toe assessment: Neck and cervical spine
Answer: immobilize cervical spine, tenderness, tracheal deviation
Q11: Head to toe assessment: Chest
Answer: inspect, auscultate, palpate
Q12: Head to toe assessment: Abdomen
Answer: don't forget flanks!!!
Q13: any lacs? deformities? blood at the urtheral meatus
Answer: Head to toe assessment: pelvis and perineum
Q14: Post resuscitation care parameters that are continuously evaluated
Answer: Vital signs Interventions Primary survey Pain
Q15: The colder you are the more [ ], leading to .....
Answer: Acidic coagulopathy=you will you bleed more
Q16: What are indicators of increased perfusion?
Answer: stabilized vital signs, improved mental status, improved urine output
