TNCC 9TH EDITION EXAM
WITH QUESTIONS AND
ANSWERS [GRADED A+]
ACTUAL EXAM 100%
What does the J stand for at the end of the secondary survery? -
ANS✔✔---just keep evaluating - vipp
What does VIPP stand for? - ANS✔✔---vital signs,
injuries/interventions, primary survey, pain
,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? - ANS✔✔---AFTER head-to-
toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history
assessment? - ANS✔✔---Medical records, prehospital
report, SAMPLE
During the head-to-toe, where would you find Grey-Turner's sign?
- ANS✔✔---flank
During the head-to-toe, where would you find Cullen's sign? -
ANS✔✔---umbilicus
What is sometimes deferred at the end of the head-to-toe? -
ANS✔✔---inspecting posterior
What are examples of nonpharmacologic measures? (must
identify at least one during testing) - ANS✔✔---Distraction,
family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
, For whom is capnography highly recommended? - ANS✔✔---
all patients
In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? - ANS✔✔---EKG
To assess circulation, you must do these two main tasks: -
ANS✔✔---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? - ANS✔✔---intervene as appropriate
and reassess
What three assessments must be done if the patient is intubated?
- ANS✔✔---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: - ANS✔✔---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
WITH QUESTIONS AND
ANSWERS [GRADED A+]
ACTUAL EXAM 100%
What does the J stand for at the end of the secondary survery? -
ANS✔✔---just keep evaluating - vipp
What does VIPP stand for? - ANS✔✔---vital signs,
injuries/interventions, primary survey, pain
,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? - ANS✔✔---AFTER head-to-
toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history
assessment? - ANS✔✔---Medical records, prehospital
report, SAMPLE
During the head-to-toe, where would you find Grey-Turner's sign?
- ANS✔✔---flank
During the head-to-toe, where would you find Cullen's sign? -
ANS✔✔---umbilicus
What is sometimes deferred at the end of the head-to-toe? -
ANS✔✔---inspecting posterior
What are examples of nonpharmacologic measures? (must
identify at least one during testing) - ANS✔✔---Distraction,
family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
, For whom is capnography highly recommended? - ANS✔✔---
all patients
In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? - ANS✔✔---EKG
To assess circulation, you must do these two main tasks: -
ANS✔✔---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? - ANS✔✔---intervene as appropriate
and reassess
What three assessments must be done if the patient is intubated?
- ANS✔✔---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: - ANS✔✔---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
