TNCC EXAM PREP QUESTIONS AND ANSWERS
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
- ansPrehospital shock index pg. 85
.. ac�va�on: .... are found in the caro�d sinus and along the aor�c arch, are sensi�ve to the degree of
stretch in the arterial wall. When the receptors sense a decrease in stretch, they s�mulate the
sympathe�c nervous system to release Epi, norepi, causing s�mula�on of cardiac ac�vity and
constric�on of blood vessels, which causes a rise in heart rate and diastolic blood pressure -
ansBaroreceptors:
1. A- airway and Alertness with simultaneous cervical spinal stabiliza�on
2. B- breathing and Ven�la�on
3. circula�on and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscita�on adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for con�nuous cardiac rhythm and rate assessment
N- naso or orogastric tube considera�on
O- oxygena�on and ven�la�on analysis: Pulse oxygemetry and end-�dal caron dioxide (ETC02)
monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - ansABCDEFGHI
1. Apnea
2. GCS 8 or less
3. Maxillary fractures
4. Evidence of inhala�on injury (facial burns)
5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspira�on and pa�ents inability to protect the airway
, TNCC EXAM PREP QUESTIONS AND ANSWERS
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
7. Compromised or ineffec�ve ven�la�on - ansFollowing condi�ons might require a defini�ve airway
1. bony fractures and possible rib fractures, which may impact ven�la�on
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a pneumothorax
4. so� �ssue injury - ansPalpate the chest for
1. Check the presence of adequate rise and fall of the chest with assisted ven�la�on
2. Absence of gurgling on ausculta�on over the epigastrium
3. Bilateral breath sounds present on ausculta�on
4. Presence of carbon dioxide (CO2) verified by a CO2 device or monitor - ansIf the pt has a defini�ve
airway in what should you do?
1. Dyspnea
2. Tachycardia
3. Decreased or absent breath sounds on the injured side
4. CP - ansSimple Pneumo assessment:
1. equal breath sounds bilaterally at the second intercostal space midclavicular line and the bases for
fi�h intercostal space at the axillary line - ansAuscultate the chest for:
1. Get a CT
2. Consider ABG 's if decreased LOC
3. Consider glucose check - ansD Interven�ons
1. Hypotension
2. JVD
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
- ansPrehospital shock index pg. 85
.. ac�va�on: .... are found in the caro�d sinus and along the aor�c arch, are sensi�ve to the degree of
stretch in the arterial wall. When the receptors sense a decrease in stretch, they s�mulate the
sympathe�c nervous system to release Epi, norepi, causing s�mula�on of cardiac ac�vity and
constric�on of blood vessels, which causes a rise in heart rate and diastolic blood pressure -
ansBaroreceptors:
1. A- airway and Alertness with simultaneous cervical spinal stabiliza�on
2. B- breathing and Ven�la�on
3. circula�on and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscita�on adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for con�nuous cardiac rhythm and rate assessment
N- naso or orogastric tube considera�on
O- oxygena�on and ven�la�on analysis: Pulse oxygemetry and end-�dal caron dioxide (ETC02)
monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - ansABCDEFGHI
1. Apnea
2. GCS 8 or less
3. Maxillary fractures
4. Evidence of inhala�on injury (facial burns)
5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspira�on and pa�ents inability to protect the airway
, TNCC EXAM PREP QUESTIONS AND ANSWERS
LATEST VERSION 2024 VERIFIED RATIONALE
GRADED A+
7. Compromised or ineffec�ve ven�la�on - ansFollowing condi�ons might require a defini�ve airway
1. bony fractures and possible rib fractures, which may impact ven�la�on
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a pneumothorax
4. so� �ssue injury - ansPalpate the chest for
1. Check the presence of adequate rise and fall of the chest with assisted ven�la�on
2. Absence of gurgling on ausculta�on over the epigastrium
3. Bilateral breath sounds present on ausculta�on
4. Presence of carbon dioxide (CO2) verified by a CO2 device or monitor - ansIf the pt has a defini�ve
airway in what should you do?
1. Dyspnea
2. Tachycardia
3. Decreased or absent breath sounds on the injured side
4. CP - ansSimple Pneumo assessment:
1. equal breath sounds bilaterally at the second intercostal space midclavicular line and the bases for
fi�h intercostal space at the axillary line - ansAuscultate the chest for:
1. Get a CT
2. Consider ABG 's if decreased LOC
3. Consider glucose check - ansD Interven�ons
1. Hypotension
2. JVD
