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Exam (elaborations)

TNCC - Trauma Nursing Core Course Questions with Verified Correct Answers

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TNCC - Trauma Nursing Core Course Questions with Verified Correct Answers

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TNCC - Trauma Nursing Core Course
Questions with Verified Correct Answers
Initial Assessment

1. Preparation and Triage

2. Primary Survey

3. Reevaluation

4. Secondary Survey

5. Reevaluation Adjuncts

6. Reevaluation and Post Resuscitation Care

7. Definitive Care or Transport

A (Primary Survey)

Airway and alertness with simultaneous cervical spinal stabilization.

Alertness Assessment

A-Alert

V-Verbal

P-Painful

U-Unresponsive

Airway Assessment

Inspect: tongue obstruction, loose/missing teeth, foreign objects, blood, vomitus, secretions,

edema, burns or evidence of inhalation injury



Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)

, Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous

emphysema

Airway Interventions:

Suction

Remove foreign body if noted

Jaw thrust maneuver (maintain cspine)

Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)

Consider definitive airway

A (AVPU)

Alert. Will be able to maintain airway once clear.

V (AVPU)

Verbal. Needs verbal stimuli to respond.

(Airway adjunct may be needed to prevent tongue obstruction)

P (AVPU)

Painful. Responds only to painful stimuli.

(Airway adjunct may be needed while determining need for intubation)

U (AVPU)

Unresponsive. Does not respond to any stimuli.

B (Primary Survey)

Breathing and Ventilation

Breathing and Ventilation Assessment

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