TNCC 9th Edition TNP (Questions and Answers) 100% A+ Graded

TNCC 9th Edition TNP (Questions and Answers) 100% A+ Graded What does the J stand for at the end of the secondary survery? - CORRECT ANSWER-just keep evaluating - vipp What does VIPP stand for? - CORRECT ANSWER-vital signs, injuries/interventions, primary survey, pain During the head-to-toe, where would you find Grey-Turner's sign? - CORRECT ANSWER-flank During the head-to-toe, where would you find Cullen's sign? - CORRECT ANSWER-umbilicus What is sometimes deferred at the end of the head-to-toe? - CORRECT ANSWER-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 ANSWER-AFTER head-to-toe, BEFORE J (VIPP) What three items are obtained during the pertinent history assessment? - CORRECT ANSWER-Medical records, prehospital report, SAMPLE What are examples of nonpharmacologic measures? (must identify at least one during testing) - CORRECT ANSWER-Distraction, family presence, padding bony prominences, repositioning, splinting, verbal reassurance For whom is capnography highly recommended? - CORRECT ANSWER-all patients In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? - CORRECT ANSWER-EKG In Step 16 of "Exposure and Environment", you must name at least one of these interventions: - CORRECT ANSWER-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 ANSWER-In Step 15 of "Exposure and Environment" In Step 13 of "Disability", what is assessed if pt is altered? - CORRECT ANSWER-glucose To assess circulation, you must do these two main tasks: - CORRECT ANSWER-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 ANSWER-intervene as appropriate and reassess What three assessments must be done if the patient is intubated? - CORRECT ANSWER-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 ANSWER-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 ANSWER-cardiac monitor When should 2 IV sites be established? - CORRECT ANSWER-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 ANSWER-assess ETT position by noting the number at teeth/gums AND secure ETT What should you verbalize after completing all ETT assessments? - CORRECT ANSWER-moving patient from assisted ventilation to mechanical