TNCC 9TH EDITION REVIEW QUESTIONS AND
ANSWERS SET A+
Waxy white to leathery gray to charred skin that is dry and firm with absent hair, no
blanching. What degree burn? -✔✔Third degree; full thickness
Burn extends into the fascia and/or muscle. What degree burn? -✔✔Fourth degree; full
thickness
Zones of burn injury (3) -✔✔Zone of coagulation
Zone of stasis
Zone of hyperemia
What syndrome occurs most often in burns greater than 20% BSA and lasts for
approximately 6-12 hours? -✔✔Capillary Leak Syndrome
Fluid replacement goals/calculation -✔✔2mL/kg LR x TBSA% (give 1/2 over first 8
hours (minus transport time) and 1/2 over next 16 hours)
Urine Output goals for fluid replacement therapy -✔✔0.5 mL/kg (30-50mL/hr)
Disaster Definition -✔✔A sudden calamitous event that seriously disrupts the
functioning of a community or society and causes human, material, and economic
losses that exceed the community's or society's ability to cope using its own resources.
Mitigation -✔✔A foundation to limit the potential impact of a disaster
Triage colors and meanings: -✔✔Green - minor, walking wounded
Yellow - delayed
Red - immediate
Black - expectant, deceased
, When should the decision to transfer be made? -✔✔When the patient's needs outweigh
the capabilities of your facility
Tertiary care facility, teaching hospital, comprehensive care from resuscitation or
rehabilitation, research, injury prevention. -✔✔Level 1 Trauma Center
Trauma rescucitation and definitive trauma care. Specialty and rehabilitation care may
not be as comprehensive, may not conduct research. -✔✔Level 2 Trauma Center
Provides ATLS assessment, intervention, resuscitation and emergency surgery.
Generally does not accept transfers. -✔✔Level 3 Trauma Center
Provides ATLS assessment, intervention, and resuscitation. May be in a remote area,
has 24 hour physician and NP coverage. -✔✔Level 4 Trauma Center
Greatest risk to the patient during interfaculty transfer/transport? -✔✔Loss of airway and
respiratory compromise
What survey is a complete exam within 24 hours of arrival and identified injuries missed
during primary assessment, reviews radiology studies, orders more studies, and
assesses for hidden injuries? -✔✔Tertiary Survey
Stages of shock -✔✔1. Compensatory Shock 2. Decompensatory Shock (progressive,
hypotensive) 3. Irreversible Shock
Anxiety, confusion, restlessness, narrowing pulse pressure, tachycardia, bounding
pulse, and decreasing urinary output are signs of what? -✔✔Compensated Shock
Decreased level of consciousness, hypotension, narrowed pulse pressure, tachycardia
with weak pulse, tachypnea, and cool, clammy, cyanotic skin are signs of what? -
✔✔Decompensated/Progressive shock
Obtunded/comatose, profound hypotension, bradycardia, dysrhythmias, slow shallow
respirations, petechiae/purpura are signs of what? -✔✔Irreversible shock
Benefits of the trauma nursing process -✔✔Systematic approach to the evaluation of
each trauma patient. Identifies life-threatening conditions, determines priorities of care.
Efficient production of ATP, which maintains cellular metabolic function, is seen with
what type of metabolism? -✔✔Aerobic metabolism
Inefficient production of ATP, byproduct is lactic acid, leads to metabolic acidosis,
cellular dysfunction leads to cell death with what type of metabolism? -✔✔Anaerobic
metabolism
ANSWERS SET A+
Waxy white to leathery gray to charred skin that is dry and firm with absent hair, no
blanching. What degree burn? -✔✔Third degree; full thickness
Burn extends into the fascia and/or muscle. What degree burn? -✔✔Fourth degree; full
thickness
Zones of burn injury (3) -✔✔Zone of coagulation
Zone of stasis
Zone of hyperemia
What syndrome occurs most often in burns greater than 20% BSA and lasts for
approximately 6-12 hours? -✔✔Capillary Leak Syndrome
Fluid replacement goals/calculation -✔✔2mL/kg LR x TBSA% (give 1/2 over first 8
hours (minus transport time) and 1/2 over next 16 hours)
Urine Output goals for fluid replacement therapy -✔✔0.5 mL/kg (30-50mL/hr)
Disaster Definition -✔✔A sudden calamitous event that seriously disrupts the
functioning of a community or society and causes human, material, and economic
losses that exceed the community's or society's ability to cope using its own resources.
Mitigation -✔✔A foundation to limit the potential impact of a disaster
Triage colors and meanings: -✔✔Green - minor, walking wounded
Yellow - delayed
Red - immediate
Black - expectant, deceased
, When should the decision to transfer be made? -✔✔When the patient's needs outweigh
the capabilities of your facility
Tertiary care facility, teaching hospital, comprehensive care from resuscitation or
rehabilitation, research, injury prevention. -✔✔Level 1 Trauma Center
Trauma rescucitation and definitive trauma care. Specialty and rehabilitation care may
not be as comprehensive, may not conduct research. -✔✔Level 2 Trauma Center
Provides ATLS assessment, intervention, resuscitation and emergency surgery.
Generally does not accept transfers. -✔✔Level 3 Trauma Center
Provides ATLS assessment, intervention, and resuscitation. May be in a remote area,
has 24 hour physician and NP coverage. -✔✔Level 4 Trauma Center
Greatest risk to the patient during interfaculty transfer/transport? -✔✔Loss of airway and
respiratory compromise
What survey is a complete exam within 24 hours of arrival and identified injuries missed
during primary assessment, reviews radiology studies, orders more studies, and
assesses for hidden injuries? -✔✔Tertiary Survey
Stages of shock -✔✔1. Compensatory Shock 2. Decompensatory Shock (progressive,
hypotensive) 3. Irreversible Shock
Anxiety, confusion, restlessness, narrowing pulse pressure, tachycardia, bounding
pulse, and decreasing urinary output are signs of what? -✔✔Compensated Shock
Decreased level of consciousness, hypotension, narrowed pulse pressure, tachycardia
with weak pulse, tachypnea, and cool, clammy, cyanotic skin are signs of what? -
✔✔Decompensated/Progressive shock
Obtunded/comatose, profound hypotension, bradycardia, dysrhythmias, slow shallow
respirations, petechiae/purpura are signs of what? -✔✔Irreversible shock
Benefits of the trauma nursing process -✔✔Systematic approach to the evaluation of
each trauma patient. Identifies life-threatening conditions, determines priorities of care.
Efficient production of ATP, which maintains cellular metabolic function, is seen with
what type of metabolism? -✔✔Aerobic metabolism
Inefficient production of ATP, byproduct is lactic acid, leads to metabolic acidosis,
cellular dysfunction leads to cell death with what type of metabolism? -✔✔Anaerobic
metabolism
