TNCC 8TH EDITION QUESTION AND ANSWERS
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
3 parts of the trauma triad of death - ansHypothermia, coagulopathy, metabolic acidosise
3 things to assess for circula�on - ansPalpate central pulse
Assess (again) for external hemorrhage
Inspect and palpate skin for color, temp, and moisture.
3 ways to assess ETT placement - ans1. Apply end �dal, assess CO2 a�er 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
3. Ausculta�on over the epigastrium for gurgling and bilateral breath sounds.
At what point to you evaluate need for transfer or defini�ve care? - ansA�er the primary survey
Big symptom of splenic injury - ansLe� shoulder pain
Examples of obstruc�ve shock - ansTension pneumo, cardiac tamponade, pulmonary artery embolism
Examples of primary blast injuries - ansBlast lung, ruptured tympanic membrane, TBI, abdominal
hemorrhage
Examples of quaternary blast injuries - ansInjuries or illness related to explosion: burns, toxic injury from
chemicals
Examples of quinary blast injuries - ansInjuries associated with exposure to hazardous materials from the
components of the blast
Examples of secondary blast injuries - ansWounds from debris and bomb fragments
, TNCC 8TH EDITION QUESTION AND ANSWERS
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
Examples of ter�ary blast injuries - ansBlunt or penetra�ng trauma from the body being thrown by the
blast
For what reasons would you not give mannitol? - ansAn ac�ve bleed or hypotension
Hollow abdominal organs and what are they prone to - ansStomach, bowels, uterus, bladder, prone to
rupture
How do you give the fluid over 24 hours in parkland formula? - ansFirst half over 8 hours and second half
over 16 hours
How do you palpate the iliac crests? - ansDownward and medially
How much fluid do you give a kid? - ans20mL/kg
King airway - ansA mul�dimensional esophageal airway that traps the glo�s opening between an
esophageal cuff and an oropharyngeal cuff
Normal baseline FHR - ans120-160
Parkland formula - ans3mL x the weight in kg x % TBSA = the fluid to go over 24 hours
Ques�ons to ask during breathing assessment. (Need 4) - ansIs there symmetrical chest rise?
Is there spontaneous breathing?
Is there tracheal devia�on or JVD?
What is their skin color?
Are there open wounds or deformi�es in the chest?
What's the depth, patern, and rate of respira�ons?
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
3 parts of the trauma triad of death - ansHypothermia, coagulopathy, metabolic acidosise
3 things to assess for circula�on - ansPalpate central pulse
Assess (again) for external hemorrhage
Inspect and palpate skin for color, temp, and moisture.
3 ways to assess ETT placement - ans1. Apply end �dal, assess CO2 a�er 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
3. Ausculta�on over the epigastrium for gurgling and bilateral breath sounds.
At what point to you evaluate need for transfer or defini�ve care? - ansA�er the primary survey
Big symptom of splenic injury - ansLe� shoulder pain
Examples of obstruc�ve shock - ansTension pneumo, cardiac tamponade, pulmonary artery embolism
Examples of primary blast injuries - ansBlast lung, ruptured tympanic membrane, TBI, abdominal
hemorrhage
Examples of quaternary blast injuries - ansInjuries or illness related to explosion: burns, toxic injury from
chemicals
Examples of quinary blast injuries - ansInjuries associated with exposure to hazardous materials from the
components of the blast
Examples of secondary blast injuries - ansWounds from debris and bomb fragments
, TNCC 8TH EDITION QUESTION AND ANSWERS
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
Examples of ter�ary blast injuries - ansBlunt or penetra�ng trauma from the body being thrown by the
blast
For what reasons would you not give mannitol? - ansAn ac�ve bleed or hypotension
Hollow abdominal organs and what are they prone to - ansStomach, bowels, uterus, bladder, prone to
rupture
How do you give the fluid over 24 hours in parkland formula? - ansFirst half over 8 hours and second half
over 16 hours
How do you palpate the iliac crests? - ansDownward and medially
How much fluid do you give a kid? - ans20mL/kg
King airway - ansA mul�dimensional esophageal airway that traps the glo�s opening between an
esophageal cuff and an oropharyngeal cuff
Normal baseline FHR - ans120-160
Parkland formula - ans3mL x the weight in kg x % TBSA = the fluid to go over 24 hours
Ques�ons to ask during breathing assessment. (Need 4) - ansIs there symmetrical chest rise?
Is there spontaneous breathing?
Is there tracheal devia�on or JVD?
What is their skin color?
Are there open wounds or deformi�es in the chest?
What's the depth, patern, and rate of respira�ons?
