TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. —What does the J stand for at the end of the secondary
survery?
Answer: just keep evaluating - vipp
2. —What does VIPP stand for?
Answer: vital signs, injuries/interventions, primary survey, pain
3. —During the head-to-toe, where would you find Grey-Turner’s
sign?
Answer: flank
4. —During the head-to-toe, where would you find Cullen’s sign?
Answer: umbilicus
5. -What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
6. -Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services, splint-
ing, tetanus, and wound care are all interventions that you do
AFTER and before WHAT?
Answer: AFTER head-to-toe, BEFORE J (VIPP)
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,TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
7. -What three items are obtained during the pertinent history
assessment?
Answer: Medical records, prehospital report, SAMPLE
8. -What are examples of nonpharmacologic measures? (must
identify at least one during testing)
Answer: Distraction, family presence, padding bony prominences, repositioning, splint-
ing, verbal reassurance
9. -For whom is capnography highly recommended?
Answer: all patients
10. -In step M of ”Get Adjuncts”, what else might be indicated
besides cardiac monitor?
Answer: EKG
11. -In Step 16 of ”Exposure and Environment”, you must name
at least one of these interventions:
Answer: blankets, room temp increase, warmed fluids, warming lights
12. -To assess circulation, you must do these two main tasks:
Answer: 1 inspect AND palpate skin color, temp, moisture and 2 palpate a pulse
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,TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
13. -What do you do when alterations are identified in any of
the steps in the primary survery?
Answer: intervene as appropriate and reassess
14. -What three assessments must be done if the patient is in-
tubated?
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
15. -Four of these must be identified to assess breathing effec-
tiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous em-
physema, increased work of breathing, symmetrical chest rise and fall, tracheal devia-
tion/JVD, open wounds/deformities, skin color
16. -What can be applied in step 12 of ”Circulation and Control
of Hemorrhage” for which credit is given in the LMNOP section?
Answer: cardiac monitor
17. -When should 2 IV sites be established?
Answer: During ”Circulation” assessment
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, TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
18. -If the patient is intubated and you’ve already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
Answer: assess ETT position by noting the number at teeth/gums AND secure ETT
19. -What should you verbalize after completing all ETT assess-
ments?
Answer: moving patient from assisted ventilation to mechanical
20. -During which part of the primary survey would you an-
ticipate the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
Answer: ”Breathing and Ventilation”
21. -Four of these must be identified to assess patency and pro-
tection of the airway:
Answer: bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruc-
tion, burns, fluids, foreign objects, vocalization
22. -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?
Answer: Assessing patency and protection of the airway, Step 7 of ”Alertness and Air-
way with Simultaneous Cervical Spinal Stabilization”
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Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. —What does the J stand for at the end of the secondary
survery?
Answer: just keep evaluating - vipp
2. —What does VIPP stand for?
Answer: vital signs, injuries/interventions, primary survey, pain
3. —During the head-to-toe, where would you find Grey-Turner’s
sign?
Answer: flank
4. —During the head-to-toe, where would you find Cullen’s sign?
Answer: umbilicus
5. -What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
6. -Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services, splint-
ing, tetanus, and wound care are all interventions that you do
AFTER and before WHAT?
Answer: AFTER head-to-toe, BEFORE J (VIPP)
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
,TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
7. -What three items are obtained during the pertinent history
assessment?
Answer: Medical records, prehospital report, SAMPLE
8. -What are examples of nonpharmacologic measures? (must
identify at least one during testing)
Answer: Distraction, family presence, padding bony prominences, repositioning, splint-
ing, verbal reassurance
9. -For whom is capnography highly recommended?
Answer: all patients
10. -In step M of ”Get Adjuncts”, what else might be indicated
besides cardiac monitor?
Answer: EKG
11. -In Step 16 of ”Exposure and Environment”, you must name
at least one of these interventions:
Answer: blankets, room temp increase, warmed fluids, warming lights
12. -To assess circulation, you must do these two main tasks:
Answer: 1 inspect AND palpate skin color, temp, moisture and 2 palpate a pulse
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
,TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
13. -What do you do when alterations are identified in any of
the steps in the primary survery?
Answer: intervene as appropriate and reassess
14. -What three assessments must be done if the patient is in-
tubated?
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
15. -Four of these must be identified to assess breathing effec-
tiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous em-
physema, increased work of breathing, symmetrical chest rise and fall, tracheal devia-
tion/JVD, open wounds/deformities, skin color
16. -What can be applied in step 12 of ”Circulation and Control
of Hemorrhage” for which credit is given in the LMNOP section?
Answer: cardiac monitor
17. -When should 2 IV sites be established?
Answer: During ”Circulation” assessment
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
, TNCC 9th Edition TNP
Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
18. -If the patient is intubated and you’ve already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
Answer: assess ETT position by noting the number at teeth/gums AND secure ETT
19. -What should you verbalize after completing all ETT assess-
ments?
Answer: moving patient from assisted ventilation to mechanical
20. -During which part of the primary survey would you an-
ticipate the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
Answer: ”Breathing and Ventilation”
21. -Four of these must be identified to assess patency and pro-
tection of the airway:
Answer: bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruc-
tion, burns, fluids, foreign objects, vocalization
22. -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?
Answer: Assessing patency and protection of the airway, Step 7 of ”Alertness and Air-
way with Simultaneous Cervical Spinal Stabilization”
SuccessShelf2 © 2025 SuccessShelf2. For Personal Use Only. All rights reserved.
