Trauma Nursing Core Course (TNCC) Assessment
Clinical Competence TNCC Assessment
Course Title and Number: TNCC Assessment
Exam Title: Assessment Exam
Exam Date: Exam 2025- 2026
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TNCC 7th Edition TNCC ENA Emergency Nurses
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2025- 2026
Clinical Competence TNCC Assessment Exam
Trauma Nursing Core Course (TNCC) Assessment
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Define trauma - =Answer>> - Trauma is injury to living
tissue caused by extrinsic agent
- Regardless of MOI, trauma creates stressors that exceed the
tissue's or organ's ability to compensate
p. 9
Leading cause of death for ages
1. over 65
2. 5 to 24
3. 25 to 64 - =Answer>> 1. Falls
2. MVCs
3. poisoning
p. 9
Explain 3 phases of injury prevention - =Answer>> Primary:
prevention of the occurrence of the injury
Secondary: Reduction in the severity of the injury that has
occurred
Tertiary: Improvement of outcomes related to the traumatic
injury
p. 10
Describe the three E's of injury control - =Answer>>
Engineering: technological interventions such as side impact
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airbags, automated blind spot alarms, ignition lock devices for
those with DUIs. In playgrounds and sports, this involves
surface material under playground equipment and athletic
safety gear. Another intervention is improved use of smoke
alarms in fire prevention
Enforcement and legislation: include laws at all jurisdictional
levels regarding driving while intoxicated, booster seats,
primary seatbelt use, and distracted driving. For sports this
includes rules regarding illegal hits, examination after impact,
and return-to-play requirements after a head injury
Education: these can be community-based initiatives such as
public service announcements for improved seatbelt use,
education regarding risks of distracted driving, programs to
commit to no texting while driving, and promotions for bicycle
helmet giveaways with instructions for proper use
p. 11
How can the trauma nurse have an impact when it comes to
the legislative process? - =Answer>> By advocating for
stronger laws and more consistent enforcement
p. 11
Define kinematics - =Answer>> The study of energy
transfer as it applies to identifying actual or intentional injuries
p. 25
Define biomechanics - =Answer>> The general study of
forces and their effects
p. 25
Define mechanism of injury (MOI) - =Answer>> How
external energy forces in the environment are transferred to
the body
p. 25
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Newton's First Law of Motion - =Answer>> A body at rest
will remain at rest, and a body in motion will stay in motion
p. 26
Newton's Second Law of Motion - =Answer>> Force = Mass
X Acceleration
p. 26
Newton's Third Law of Motion - =Answer>> For every
action, there is an equal and opposite reaction
p. 26
Law of Conservation of Energy - =Answer>> Energy can
neither be created nor destroyed, but it can change form
p. 26
Describe energy forms - =Answer>> - Mechanical (energy
transfer from one object to another in the form of motion)
- Thermal (energy transfer of heat in environment to the host)
- Chemical (heat energy transfer from active chemical
substances such as chlorine, drain cleaner, acids, or plants)
- Electrical (energy transfer from light socket, power lines, or
lightning)
- Radiant (energy transfer from blast sound waves, radioactivity
such as a nuclear facility, or rays of the sun)
p. 26
External energy forces can be exerted on the body by the
following forces - =Answer>> - Deceleration forces: include
those applied in falls and collisions where injuries are caused by
sudden stop of the body's motion
- Acceleration forces: not as common as deceleration forces
and result from a sudden and rapid onset of motion (parked car
being hit by a vehicle traveling at a high rate of speed)
- Compression force is an external force applied at times of
impact, explains include:
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