TNCC EXAM Questions and Aswers
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse -
CORRECT ANSWER-Initial Assessment
1. A- airway and Alertness with simultaneous cervical spinal
stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and
end-tidal caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - CORRECT ANSWER-
ABCDEFGHI
Before the arrival of the pt - CORRECT ANSWER-When should
PPE be placed:
, Pt is at hospital in the right amount of time, right care, right
trauma facility, right resources - CORRECT ANSWER-Safe
Care:
Uncontrolled Hemorrhage - CORRECT ANSWER-Major cause
of preventable death:
reorganize care to C-ABC - CORRECT ANSWER-If
uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it
loudly to the team and direct someone to chk in the pt is
pulseless while assessing if the cause of the problem is the
airway. - CORRECT ANSWER-Airway and AVPU:
ask pt to pen his or her mouth - CORRECT ANSWER-While
assessing airway the patient is alert and responds to verbal
stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction.
If pt has a suspected csi, the jaw thrust procedure should be
done by two providers. One provider can maintain c-spine and
the other can perform the jaw thrust maneuver. - CORRECT
ANSWER-While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse -
CORRECT ANSWER-Initial Assessment
1. A- airway and Alertness with simultaneous cervical spinal
stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and
end-tidal caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - CORRECT ANSWER-
ABCDEFGHI
Before the arrival of the pt - CORRECT ANSWER-When should
PPE be placed:
, Pt is at hospital in the right amount of time, right care, right
trauma facility, right resources - CORRECT ANSWER-Safe
Care:
Uncontrolled Hemorrhage - CORRECT ANSWER-Major cause
of preventable death:
reorganize care to C-ABC - CORRECT ANSWER-If
uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it
loudly to the team and direct someone to chk in the pt is
pulseless while assessing if the cause of the problem is the
airway. - CORRECT ANSWER-Airway and AVPU:
ask pt to pen his or her mouth - CORRECT ANSWER-While
assessing airway the patient is alert and responds to verbal
stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction.
If pt has a suspected csi, the jaw thrust procedure should be
done by two providers. One provider can maintain c-spine and
the other can perform the jaw thrust maneuver. - CORRECT
ANSWER-While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
