TNCC - Trauma Nursing Core Course
Questions and Answers | Latest Version
| 2024/2025 | Correct & Verified
What is the first step in assessing a trauma patient upon arrival in the emergency department?
✔✔ Perform a rapid primary survey to identify life-threatening conditions
What is the priority intervention for a patient with a suspected cervical spine injury?
✔✔ Maintain manual cervical spine stabilization and apply a rigid collar
What is the most important indicator of effective oxygenation in a trauma patient?
✔✔ Normal oxygen saturation and adequate respiratory effort
What is the best method to assess circulation in an unresponsive trauma patient?
✔✔ Check central pulses, skin color, temperature, and capillary refill
What is the immediate intervention for a trauma patient with an open chest wound?
✔✔ Apply a three-sided occlusive dressing to prevent a tension pneumothorax
1
,What is the first action for a trauma patient with a suspected pelvic fracture?
✔✔ Apply a pelvic binder and monitor for signs of hemorrhagic shock
What is the primary goal in managing a patient with a traumatic brain injury?
✔✔ Prevent secondary brain injury by maintaining oxygenation and blood pressure
What is the most common early sign of shock in a trauma patient?
✔✔ Tachycardia and cool, clammy skin
What is the best way to assess for internal bleeding in a trauma patient?
✔✔ Perform a focused abdominal sonography for trauma (FAST) exam
What is the priority intervention for a patient with suspected compartment syndrome?
✔✔ Remove restrictive dressings and elevate the limb while preparing for fasciotomy
What is the most effective way to prevent hypothermia in a trauma patient?
✔✔ Use warm blankets, heated IV fluids, and a warming device
2
, What is the best way to confirm a suspected hemothorax in a trauma patient?
✔✔ Perform a chest X-ray or ultrasound to assess for fluid accumulation
What is the primary concern in a patient with multiple rib fractures?
✔✔ Respiratory compromise due to pain and inadequate ventilation
What is the recommended intervention for a trauma patient with a suspected spinal cord injury
and bradycardia?
✔✔ Administer fluids and vasopressors if needed to maintain perfusion
What is the best method to assess for a basilar skull fracture?
✔✔ Look for signs such as Battle’s sign, raccoon eyes, and cerebrospinal fluid leakage
What is the first action in a patient with a traumatic amputation?
✔✔ Control bleeding with direct pressure and apply a tourniquet if necessary
What is the most important intervention for a patient with an inhalation injury?
✔✔ Administer 100% oxygen and prepare for early intubation if airway edema is suspected
3
Questions and Answers | Latest Version
| 2024/2025 | Correct & Verified
What is the first step in assessing a trauma patient upon arrival in the emergency department?
✔✔ Perform a rapid primary survey to identify life-threatening conditions
What is the priority intervention for a patient with a suspected cervical spine injury?
✔✔ Maintain manual cervical spine stabilization and apply a rigid collar
What is the most important indicator of effective oxygenation in a trauma patient?
✔✔ Normal oxygen saturation and adequate respiratory effort
What is the best method to assess circulation in an unresponsive trauma patient?
✔✔ Check central pulses, skin color, temperature, and capillary refill
What is the immediate intervention for a trauma patient with an open chest wound?
✔✔ Apply a three-sided occlusive dressing to prevent a tension pneumothorax
1
,What is the first action for a trauma patient with a suspected pelvic fracture?
✔✔ Apply a pelvic binder and monitor for signs of hemorrhagic shock
What is the primary goal in managing a patient with a traumatic brain injury?
✔✔ Prevent secondary brain injury by maintaining oxygenation and blood pressure
What is the most common early sign of shock in a trauma patient?
✔✔ Tachycardia and cool, clammy skin
What is the best way to assess for internal bleeding in a trauma patient?
✔✔ Perform a focused abdominal sonography for trauma (FAST) exam
What is the priority intervention for a patient with suspected compartment syndrome?
✔✔ Remove restrictive dressings and elevate the limb while preparing for fasciotomy
What is the most effective way to prevent hypothermia in a trauma patient?
✔✔ Use warm blankets, heated IV fluids, and a warming device
2
, What is the best way to confirm a suspected hemothorax in a trauma patient?
✔✔ Perform a chest X-ray or ultrasound to assess for fluid accumulation
What is the primary concern in a patient with multiple rib fractures?
✔✔ Respiratory compromise due to pain and inadequate ventilation
What is the recommended intervention for a trauma patient with a suspected spinal cord injury
and bradycardia?
✔✔ Administer fluids and vasopressors if needed to maintain perfusion
What is the best method to assess for a basilar skull fracture?
✔✔ Look for signs such as Battle’s sign, raccoon eyes, and cerebrospinal fluid leakage
What is the first action in a patient with a traumatic amputation?
✔✔ Control bleeding with direct pressure and apply a tourniquet if necessary
What is the most important intervention for a patient with an inhalation injury?
✔✔ Administer 100% oxygen and prepare for early intubation if airway edema is suspected
3
