10/16/24, 8:14 TNCC Written Exam - Exams w ith their 100% correct
AM answ ers
TNCC Written Exam
TNCC Notes for Written Exam,
TNCC Prep, TNCC test prepA
415 Questions with 100%
Correct Answers
What are the late signs of breathing compromise? - Answer--- Tracheal deviation
- JVD
What are signs of ineffective breathing? - Answer--- AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as
indicated
- Anticipate definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt
breathing effectively? - Answer--A tight-fitting nonrebreather mask at 12-15
lpm.
What intervention should be done if a pt presents with effective circulation?
- Answer--- Insert 2 large caliber IV's
- Administer warmed isotonic crystalloid solution at an appropriate rate
What are signs of ineffective circulation? - Answer--- Tachycardia
- AMS
- Uncontrolled external bleeding
- Pale, cool, moist skin
- Distended or abnormally flattened external jugular veins
- Distant heart sounds
What are the interventions for Effective/Ineffective Circulation? - Answer--- Control
any uncontrolled external bleeding by:
about:bl 1/
,10/16/24, 8:14 TNCC Written Exam - Exams w ith their 100% correct
AM answ ers
- Applying direct pressure over bleeding site
- Elevating bleeding extremity
- Applying pressure over arterial pressure points
- Using tourniquet (last resort).
- Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid
solution
- Use warmed solution
- Use pressure bags to increase speed of IVF infusion
- Use blood administration tubing for possible administration of blood
- Use rapid infusion device based on protocol
- Use NS 0.9% in same tubing as blood product
- IV = surgical cut-down, central line, or both.
- Blood sample to determine ABO and Rh group
- IO in sternum, legs, arms or pelvis
- Administer blood products
- PASG (without interfering with fluid resuscitation)
What are factors that contribute to ineffective ventilation? - Answer--- AMS
- LOC
- Neurologic injury
- Spinal Cord Injury
- Intracranial Injury
- Blunt trauma
- Pain caused by rib fractures
- Penetrating Trauma
- Preexisting hx of respiratory diseases
- Increased age
What medications are used during intubation? - Answer--LOAD
Mnemonic: L = Lidocaine
O=
Opioids A
= Atropine
D = Defasiculating agents
What are the Rapid Sequence Intubation Steps? - Answer--PREPARATION:
- gather equipment, staffing,
etc. PREOXYGENATION:
- Use 100% O2 (prevent risk of
aspiration). PRETREATMENT:
- Decrease S/E's of
intubation PARALYSIS WITH
INDUCTION:
- Pt has LOC, then administer neuromuscular blocking agent
PROTECTION AND POSITIONING:
- Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and
aspiration PLACEMENT WITH PROOF
- Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate
pt 30-60 seconds between attempts.
about:bl 2/
, 10/16/24, 8:14 TNCC Written Exam - Exams w ith their 100% correct
AM answ ers
about:bl 3/
AM answ ers
TNCC Written Exam
TNCC Notes for Written Exam,
TNCC Prep, TNCC test prepA
415 Questions with 100%
Correct Answers
What are the late signs of breathing compromise? - Answer--- Tracheal deviation
- JVD
What are signs of ineffective breathing? - Answer--- AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as
indicated
- Anticipate definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt
breathing effectively? - Answer--A tight-fitting nonrebreather mask at 12-15
lpm.
What intervention should be done if a pt presents with effective circulation?
- Answer--- Insert 2 large caliber IV's
- Administer warmed isotonic crystalloid solution at an appropriate rate
What are signs of ineffective circulation? - Answer--- Tachycardia
- AMS
- Uncontrolled external bleeding
- Pale, cool, moist skin
- Distended or abnormally flattened external jugular veins
- Distant heart sounds
What are the interventions for Effective/Ineffective Circulation? - Answer--- Control
any uncontrolled external bleeding by:
about:bl 1/
,10/16/24, 8:14 TNCC Written Exam - Exams w ith their 100% correct
AM answ ers
- Applying direct pressure over bleeding site
- Elevating bleeding extremity
- Applying pressure over arterial pressure points
- Using tourniquet (last resort).
- Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid
solution
- Use warmed solution
- Use pressure bags to increase speed of IVF infusion
- Use blood administration tubing for possible administration of blood
- Use rapid infusion device based on protocol
- Use NS 0.9% in same tubing as blood product
- IV = surgical cut-down, central line, or both.
- Blood sample to determine ABO and Rh group
- IO in sternum, legs, arms or pelvis
- Administer blood products
- PASG (without interfering with fluid resuscitation)
What are factors that contribute to ineffective ventilation? - Answer--- AMS
- LOC
- Neurologic injury
- Spinal Cord Injury
- Intracranial Injury
- Blunt trauma
- Pain caused by rib fractures
- Penetrating Trauma
- Preexisting hx of respiratory diseases
- Increased age
What medications are used during intubation? - Answer--LOAD
Mnemonic: L = Lidocaine
O=
Opioids A
= Atropine
D = Defasiculating agents
What are the Rapid Sequence Intubation Steps? - Answer--PREPARATION:
- gather equipment, staffing,
etc. PREOXYGENATION:
- Use 100% O2 (prevent risk of
aspiration). PRETREATMENT:
- Decrease S/E's of
intubation PARALYSIS WITH
INDUCTION:
- Pt has LOC, then administer neuromuscular blocking agent
PROTECTION AND POSITIONING:
- Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and
aspiration PLACEMENT WITH PROOF
- Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate
pt 30-60 seconds between attempts.
about:bl 2/
, 10/16/24, 8:14 TNCC Written Exam - Exams w ith their 100% correct
AM answ ers
about:bl 3/
