TNCC QUESTION AND ANSWER GRADED A+
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? - ✔✔Airway/Intubate
Lab evidence of cellular perfusion - ✔✔Base Excess (Less than -6 is BAD)
Multiple people are in the ER of different ages who all go to the same church. They all have the same
symptoms. What is the most likely cause? - ✔✔Biologic
Suspected shock type with a spinal cord injury - ✔✔Distributive Shock (Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? -
✔✔Herniation
Middle Meningeal Artery - ✔✔Epidural Hematoma (results from collection of blood that forms
between dura mater and skull)
Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What is
the cause? - ✔✔2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? - ✔✔Ruptured diaphragm
Symptoms of __________________: include muffled heart sounds and hypotension -
✔✔Pericardiocentesis
How should you dress a severed limb? - ✔✔Sterile gauze with normal saline THEN put ice on it
Amylase level looks at _____________ - ✔✔Pancreas
What should you do if your patient has hyphema (collection of blood inside the front part of the
eye?) - ✔✔Sit HOB up to 30 degrees
, Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness - ✔✔Mitigation
What organ is most at risk following a gunshot - ✔✔Liver
8 year old child with longitudinal thigh lacerations - ✔✔Sign of child abuse
Bleeding around belly button - ✔✔Cullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? - ✔✔Carboxyhemoglobin
(increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body - ✔✔Biomechanics
Study of energy transfer as it applies to identifying actual or potential injuries - ✔✔Kinematics
Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the effect is a
crushing pressure wave which creates a temporary cavity, followed by a rapid and violent closing of
the cavity. - ✔✔Cavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue - ✔✔Cavitation
Used in OR; does not provide protection against aspiration and not recommended in patients who
have eaten recently. It is a supraglottic airway. - ✔✔Laryngeal Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis opening between an
esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each with a separate cuff.
Does NOT provide protection against aspiration and is not indicated in children. It is a retroglottic
airway. - ✔✔King Tube
Types of Shock (4) - ✔✔Hypovolemic, Obstructive, Cardiogenic, Distributive
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? - ✔✔Airway/Intubate
Lab evidence of cellular perfusion - ✔✔Base Excess (Less than -6 is BAD)
Multiple people are in the ER of different ages who all go to the same church. They all have the same
symptoms. What is the most likely cause? - ✔✔Biologic
Suspected shock type with a spinal cord injury - ✔✔Distributive Shock (Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? -
✔✔Herniation
Middle Meningeal Artery - ✔✔Epidural Hematoma (results from collection of blood that forms
between dura mater and skull)
Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What is
the cause? - ✔✔2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? - ✔✔Ruptured diaphragm
Symptoms of __________________: include muffled heart sounds and hypotension -
✔✔Pericardiocentesis
How should you dress a severed limb? - ✔✔Sterile gauze with normal saline THEN put ice on it
Amylase level looks at _____________ - ✔✔Pancreas
What should you do if your patient has hyphema (collection of blood inside the front part of the
eye?) - ✔✔Sit HOB up to 30 degrees
, Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness - ✔✔Mitigation
What organ is most at risk following a gunshot - ✔✔Liver
8 year old child with longitudinal thigh lacerations - ✔✔Sign of child abuse
Bleeding around belly button - ✔✔Cullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? - ✔✔Carboxyhemoglobin
(increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body - ✔✔Biomechanics
Study of energy transfer as it applies to identifying actual or potential injuries - ✔✔Kinematics
Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the effect is a
crushing pressure wave which creates a temporary cavity, followed by a rapid and violent closing of
the cavity. - ✔✔Cavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue - ✔✔Cavitation
Used in OR; does not provide protection against aspiration and not recommended in patients who
have eaten recently. It is a supraglottic airway. - ✔✔Laryngeal Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis opening between an
esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each with a separate cuff.
Does NOT provide protection against aspiration and is not indicated in children. It is a retroglottic
airway. - ✔✔King Tube
Types of Shock (4) - ✔✔Hypovolemic, Obstructive, Cardiogenic, Distributive
