TNCC EXAM COMPLETE QUESTIONS AND ANSWERS

TNCC EXAM COMPLETE QUESTIONS
AND ANSWERS


1. Preparation and Triage
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2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
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3. Reevaluation (consideration of transfer)
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4. Secondary Survey (HI) with reevaluation adjuncts
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5. Reevaluation and post resuscitation care
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6. Definitive care of transfer to an appropriate trauma nurse -
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CORRECT ANSWER-Initial Assessment
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1. A-
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kairway and Alertness with simultaneous cervical spinal stabilizati
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on
2. B- breathing and Ventilation
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3. circulation and control of hemorrhage
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4. D - disability (neurologic status)
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5. F - full set of vitals and Family presence
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6. G - Get resuscitation adjuncts
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kL- Lab results (arterial gases, blood type and crossmatch)
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kM- monitor for continuous cardiac rhythm and rate assessment
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kN- naso or orogastric tube consideration
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kO-
koxygenation and ventilation analysis: Pulse oxygemetry and end
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-tidal caron dioxide (ETC02) monitoring and capnopgraphy
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kH- History and head to toe assessment
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kI- Inspect posterior surfaces - CORRECT ANSWER-
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ABCDEFGHI

Before the arrival of the pt - CORRECT ANSWER-
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When should PPE be placed:
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, Pt is at hospital in the right amount of time, right care, right trauma
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facility, right resources - CORRECT ANSWER-Safe Care:
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Uncontrolled Hemorrhage - CORRECT ANSWER- k k k k


Major cause of preventable death:
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reorganize care to C-ABC - CORRECT ANSWER- k k k k k k


If uncontrolled hemorrhage ..
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Used at the beginning of the initial assessment
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1. A Alert. If the pt is alert he or she will be able to maintain his or h
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er airway once it is clear.
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2. V responds to verbal stimuli responds to pain. If the patient nee
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ds verbal stimulation to respond, an airway adjunct may be neede
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d to keep the tongue from obstructing the airway.
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3. P responds to pain. If the pt. responds only to pain, he or she m
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ay not be able to maintain his or her airway adjunct may need to b
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e placed while further assessment is made to determine the need
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for intubation.
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4. U Unresponsive. If the pt. is unresponsive, announce it loudly t
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o the team and direct someone to chk in the pt is pulseless while a
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ssessing if the cause of the problem is the airway. -
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kCORRECT ANSWER-Airway and AVPU: k k k




ask pt to pen his or her mouth - CORRECT ANSWER-
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While assessing airway the patient is alert and responds to verbal
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stimuli you should..
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jaw thrust maneuver to open airway and assess for obstruction. If
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pt has a suspected csi, the jaw thrust procedure should be done b
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y two providers. One provider can maintain c-
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spine and the other can perform the jaw thrust maneuver. -
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kCORRECT ANSWER- k


While assessing airway pt is unable to open mouth, responds onl
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y to pain, or is unresponsive you should..
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