TRAUMA NURSING PROCESS [TNP]
TNCC 9TH EDITION WITH
QUESTIONS AND ANSWERS
[GRADED A+] ACTUAL 100%
What should you ask yourself after completing all of your interventions
and reassessments? - ANS✔✔---Does this patient need to be
transferred to another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 - ANS✔✔---1. Activate
trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to
intubate has been made? 4-8
,may change based on C-ABC - ANS✔✔---4. Assess for obvious
uncontrolled external hemorrhage or unresponsiveness/apnea and the
need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 -
ANS✔✔---9**. If intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or
continue assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ANS✔✔---12**. Assess
circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or
injuries
Continue the TNP following assessments of circulation, neuro status,
and removal of clothing to inspect for injury. 16-18 - ANS✔✔---16.
Provide warmth
, 17. Obtain a full set of vital signs and weight in kilograms (if not
determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - ANS✔✔---19. L
- trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 -
ANS✔✔---24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - ANS✔✔---27. Inspect and palpate head for
injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for
assessment (if indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
32. Auscultate heart sounds
33. Inspect the abdomen for injuries
TNCC 9TH EDITION WITH
QUESTIONS AND ANSWERS
[GRADED A+] ACTUAL 100%
What should you ask yourself after completing all of your interventions
and reassessments? - ANS✔✔---Does this patient need to be
transferred to another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 - ANS✔✔---1. Activate
trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to
intubate has been made? 4-8
,may change based on C-ABC - ANS✔✔---4. Assess for obvious
uncontrolled external hemorrhage or unresponsiveness/apnea and the
need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 -
ANS✔✔---9**. If intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or
continue assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred - ANS✔✔---12**. Assess
circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or
injuries
Continue the TNP following assessments of circulation, neuro status,
and removal of clothing to inspect for injury. 16-18 - ANS✔✔---16.
Provide warmth
, 17. Obtain a full set of vital signs and weight in kilograms (if not
determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 - ANS✔✔---19. L
- trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26 -
ANS✔✔---24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 - ANS✔✔---27. Inspect and palpate head for
injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for
assessment (if indicated).
30. Inspect and palpate chest for injuries
31. Auscultate breath sounds
32. Auscultate heart sounds
33. Inspect the abdomen for injuries
