TNCC 9th Edition TNP Questions And
Answers All Correct.
—What does the J stand for at the end of the secondary survery?
- Correct answer just keep evaluating - vipp
—What does VIPP stand for? - Correct answer vital signs,
injuries/interventions, primary survey, pain
—During the head-to-toe, where would you find Grey-Turner's
sign? - Correct answer flank
—During the head-to-toe, where would you find Cullen's sign? -
Correct answer umbilicus
-What is sometimes deferred at the end of the head-to-toe? -
Correct answer inspecting posterior
-Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you
do AFTER and before WHAT? - Correct answer AFTER head-to-
toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history
assessment? - Correct answer Medical records, prehospital report,
SAMPLE
-What are examples of nonpharmacologic measures? (must
identify at least one during testing) - Correct answer Distraction,
family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
,-For whom is capnography highly recommended? - Correct answer
all patients
-In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? - Correct answer EKG
-In Step 16 of "Exposure and Environment", you must name at
least one of these interventions: - Correct answer blankets, room
temp increase, warmed fluids, warming lights
-To assess circulation, you must do these two main tasks: -
Correct answer 1. inspect AND palpate skin color, temp, moisture
and 2. palpate a pulse
-What do you do when alterations are identified in any of the
steps in the primary survery? - Correct answer intervene as
appropriate and reassess
-What three assessments must be done if the patient is
intubated? - Correct answer 1. attach CO2 detector and assess for
evidence of exhaled CO2; 2. observe for rise and fall of the chest
w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds
-Four of these must be identified to assess breathing
effectiveness: - Correct answer Breath sounds, depth/pattern/rate,
spontaneous breathing, subcutaneous emphysema, increased
work of breathing, symmetrical chest rise and fall, tracheal
deviation/JVD, open wounds/deformities, skin color
-What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section? -
Correct answer cardiac monitor
,-When should 2 IV sites be established? - Correct answer During
"Circulation" assessment
-If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10) -
Correct answer assess ETT position by noting the number at
teeth/gums AND secure ETT
-What should you verbalize after completing all ETT
assessments? - Correct answer moving patient from assisted
ventilation to mechanical
-During which part of the primary survey would you anticipate the
need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs? - Correct answer "Breathing and
Ventilation"
-Four of these must be identified to assess patency and protection
of the airway: - Correct answer bony deformity, loose teeth,
edema, inhalation injury, sounds, tongue obstruction, burns,
fluids, foreign objects, vocalization
-During which part of the primary survey would there be
anticipation for intubation, insertion of OPA/NPA, removal of any
loose teeth or foreign objects, or suctioning? - Correct answer
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal
Stabilization"
If c-spine stabilization is necessary, what need should be stated?
- Correct answer the need for a second person to provide manual
c-spine stabilization
*An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device
, at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow? - Correct answer
A.Decrease the rate of manual ventilation.
An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The patient was
involved in a motor vehicle collision 10 days ago. There was no
loss of consciousness and a hematoma is noted to the forehead.
The patient is currently on anticoagulant therapy. What is most
likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - Correct answer post-concussive
syndrome
A patient with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medications.
Which of the following is the priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - Correct answer
C.Elevating the leg to the level of the heart
A patient involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating wound
to the sixth intercostal space in the left lateral chest. Which finding
is most consistent with an injury to the diaphragm? - Correct
answer Bowel sounds heard in the left lower chest
Answers All Correct.
—What does the J stand for at the end of the secondary survery?
- Correct answer just keep evaluating - vipp
—What does VIPP stand for? - Correct answer vital signs,
injuries/interventions, primary survey, pain
—During the head-to-toe, where would you find Grey-Turner's
sign? - Correct answer flank
—During the head-to-toe, where would you find Cullen's sign? -
Correct answer umbilicus
-What is sometimes deferred at the end of the head-to-toe? -
Correct answer inspecting posterior
-Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you
do AFTER and before WHAT? - Correct answer AFTER head-to-
toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history
assessment? - Correct answer Medical records, prehospital report,
SAMPLE
-What are examples of nonpharmacologic measures? (must
identify at least one during testing) - Correct answer Distraction,
family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
,-For whom is capnography highly recommended? - Correct answer
all patients
-In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? - Correct answer EKG
-In Step 16 of "Exposure and Environment", you must name at
least one of these interventions: - Correct answer blankets, room
temp increase, warmed fluids, warming lights
-To assess circulation, you must do these two main tasks: -
Correct answer 1. inspect AND palpate skin color, temp, moisture
and 2. palpate a pulse
-What do you do when alterations are identified in any of the
steps in the primary survery? - Correct answer intervene as
appropriate and reassess
-What three assessments must be done if the patient is
intubated? - Correct answer 1. attach CO2 detector and assess for
evidence of exhaled CO2; 2. observe for rise and fall of the chest
w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds
-Four of these must be identified to assess breathing
effectiveness: - Correct answer Breath sounds, depth/pattern/rate,
spontaneous breathing, subcutaneous emphysema, increased
work of breathing, symmetrical chest rise and fall, tracheal
deviation/JVD, open wounds/deformities, skin color
-What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section? -
Correct answer cardiac monitor
,-When should 2 IV sites be established? - Correct answer During
"Circulation" assessment
-If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10) -
Correct answer assess ETT position by noting the number at
teeth/gums AND secure ETT
-What should you verbalize after completing all ETT
assessments? - Correct answer moving patient from assisted
ventilation to mechanical
-During which part of the primary survey would you anticipate the
need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs? - Correct answer "Breathing and
Ventilation"
-Four of these must be identified to assess patency and protection
of the airway: - Correct answer bony deformity, loose teeth,
edema, inhalation injury, sounds, tongue obstruction, burns,
fluids, foreign objects, vocalization
-During which part of the primary survey would there be
anticipation for intubation, insertion of OPA/NPA, removal of any
loose teeth or foreign objects, or suctioning? - Correct answer
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal
Stabilization"
If c-spine stabilization is necessary, what need should be stated?
- Correct answer the need for a second person to provide manual
c-spine stabilization
*An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device
, at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow? - Correct answer
A.Decrease the rate of manual ventilation.
An older adult presents to the emergency department with
complaints of dizziness, headache, and nausea. The patient was
involved in a motor vehicle collision 10 days ago. There was no
loss of consciousness and a hematoma is noted to the forehead.
The patient is currently on anticoagulant therapy. What is most
likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - Correct answer post-concussive
syndrome
A patient with a lower extremity fracture complains of severe pain
and tightness in his calf, minimally relieved by pain medications.
Which of the following is the priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - Correct answer
C.Elevating the leg to the level of the heart
A patient involved in a high-speed rollover is complaining of
increased difficulty breathing. There is a small penetrating wound
to the sixth intercostal space in the left lateral chest. Which finding
is most consistent with an injury to the diaphragm? - Correct
answer Bowel sounds heard in the left lower chest
