TNCC WRITTEN EXAM QUESTIONS AND ANSWERS

TNCC EXAM QUESTIONS AND
ANSWERS



1.6Preparation6and6Triage
2.6Primary6Survery6(ABCDE)6with6resuscitation6adjuncts6(F,G)
3.6Reevaluation6(consideration6of6transfer)
4.6Secondary6Survey6(HI)6with6reevaluation6adjuncts
5.6Reevaluation6and6post6resuscitation6care
6.6Definitive6care6of6transfer6to6an6appropriate6trauma6nurse6-6Initial6Assessment

1.6A-6airway6and6Alertness6with6simultaneous6cervical6spinal6stabilization
2.6B-6breathing6and6Ventilation6
3.6circulation6and6control6of6hemorrhage
4.6D6-6disability6(neurologic6status)
5.6F6-6full6set6of6vitals6and6Family6presence
6.6G6-6Get6resuscitation6adjuncts
6L-6Lab6results6(arterial6gases,6blood6type6and6crossmatch)

6M-6monitor6for6continuous6cardiac6rhythm6and6rate6assessment

6N-6naso6or6orogastric6tube6consideration

6O-6oxygenation6and6ventilation6analysis:6Pulse6oxygemetry6and6end-

tidal6caron6dioxide6(ETC02)6monitoring6and6capnopgraphy
6H-6History6and6head6to6toe6assessment

6I-6Inspect6posterior6surfaces6-6ABCDEFGHI



Before6the6arrival6of6the6pt6-6When6should6PPE6be6placed:

Pt6is6at6hospital6in6the6right6amount6of6time,6right6care,6right6trauma6facility,6right6resource
s6-6Safe6Care:

Uncontrolled6Hemorrhage6-6Major6cause6of6preventable6death:

reorganize6care6to6C-ABC6-6If6uncontrolled6hemorrhage6..

Used6at6the6beginning6of6the6initial6assessment

1.6A6Alert.6If6the6pt6is6alert6he6or6she6will6be6able6to6maintain6his6or6her6airway6once6it6is6cl
ear.

, 2.6V6responds6to6verbal6stimuli6responds6to6pain.6If6the6patient6needs6verbal6stimulation6t
o6respond,6an6airway6adjunct6may6be6needed6to6keep6the6tongue6from6obstructing6the6ai
rway.6
3.6P6responds6to6pain.6If6the6pt.6responds6only6to6pain,6he6or6she6may6not6be6able6to6mai
ntain6his6or6her6airway6adjunct6may6need6to6be6placed6while6further6assessment6is6made
6to6determine6the6need6for6intubation.6

4.6U6Unresponsive.6If6the6pt.6is6unresponsive,6announce6it6loudly6to6the6team6and6direct6s
omeone6to6chk6in6the6pt6is6pulseless6while6assessing6if6the6cause6of6the6problem6is6the6ai
rway.6-6Airway6and6AVPU:

ask6pt6to6pen6his6or6her6mouth6-
6While6assessing6airway6the6patient6is6alert6and6responds6to6verbal6stimuli6you6should..



jaw6thrust6maneuver6to6open6airway6and6assess6for6obstruction.6If6pt6has6a6suspected6cs
i,6the6jaw6thrust6procedure6should6be6done6by6two6providers.6One6provider6can6maintain6
c-spine6and6the6other6can6perform6the6jaw6thrust6maneuver.6-
6While6assessing6airway6pt6is6unable6to6open6mouth,6responds6only6to6pain,6or6is6unresp

onsive6you6should..

1.6The6tongue6obstructing6the6airway
2.6loose6or6missing6teeth
3.6foreign6objects
4.6blood,6vomit,6or6secretions'
5.6edema
6.6burns6or6evidence6of6inhalation6injury

Auscultiate6or6listen6for:
1.6Obstructive6airway6sounds6such6as6snoring6or6gurgling
2.6Possible6occlusive6maxillofacial6bony6deformity
3.6Subcutaneous6emphysema6-6Inspect6the6mouth6for:

1.6Check6the6presence6of6adequate6rise6and6fall6of6the6chest6with6assisted6ventilation
2.6Absence6of6gurgling6on6auscultation6over6the6epigastrium6
3.6Bilateral6breath6sounds6present6on6auscultation6
4.6Presence6of6carbon6dioxide6(CO2)6verified6by6a6CO26device6or6monitor6-
6If6the6pt6has6a6definitive6airway6in6what6should6you6do?



1.6Suction6the6airway
2,6Use6care6to6avoid6stimulating6the6gag6reflex
3.6If6the6airway6is6obstructed6by6blood6or6vomitus6secretions,6use6a6rigid6suction6device
If6foreign6body6is6noted,6remove6it6carefully6with6forceps6or6another6appropriate6method6-
6If6Airway6is6not6patent



1.6Apnea
2.6GCS686or6less
3.6Maxillary6fractures