TNS ASSESSMENT AND MANAGEMENT
OF THE TRAUMATIZED PATIENT EXAM
100% CORRECT
, What are the 4 maneuvers of performing a physical exam? - ANSWERInspect.
Auscultate.
Palpate.
Percu
ss.
What are the 5 priorities of the primary survey? - ANSWERA - Airway access/maint, c-
spine control.
B - Breathing & ventilatory status: assess/support.
C - Circulation & hemorrhage control.
D - Disability/neurological status.
E - Expose/environment
At what point in the primary survey are life-saving interventions performed? -
ANSWERDuring the primary survey as soon as life-threats are identified.
During which phase of assessments are vital signs counted/measured for the first time?
- ANSWERSecondary Survey.
At what point in the assessment should TNS assume and take precautions to prevent
further c-spine injury? - ANSWERPrimary survey: Any pt with multi-system trauma,
appropriate mechanism, altered LOC, injury above clavicles from blunt trauma.
List the expected outcomes of airway resuscitation/mgmt in the trauma pt. -
ANSWERVentilations are quiet w/o stridor or retractions.
Pt speaks or makes appropriate sounds.
Chest rises and falls easily w/ spontaneous/assisted ventilations.
Foreign material not visible in upper airway.
List at least 4 things a TNS should inspect for when exposing the chest during the
primary survey. - ANSWERResp rate/depth
Appearance of chest: contour and integrity of chest wall. Check for wounds/distention
Symmmetry of expansion & adequacy of excursion.
Signs of trauma such as contusions, abrasions, lacerations, and penetrating wounds.
Wob, Use of assessory muscles, nasal flaring, tracheal tugging or retractions.
What is the difference between central and peripheral cyanosis? - ANSWERCentral:
lips, mucous membranes, conjunctiva; late signs of hypoxia.
Peripheral: nailbeds; Occurs when tissues extract more oxygen from blood than normal.
How many grams of desaturated Hgb are necessary to produce cyanosis in the tissues?
- ANSWER5 g/dL of Hgb.
OF THE TRAUMATIZED PATIENT EXAM
100% CORRECT
, What are the 4 maneuvers of performing a physical exam? - ANSWERInspect.
Auscultate.
Palpate.
Percu
ss.
What are the 5 priorities of the primary survey? - ANSWERA - Airway access/maint, c-
spine control.
B - Breathing & ventilatory status: assess/support.
C - Circulation & hemorrhage control.
D - Disability/neurological status.
E - Expose/environment
At what point in the primary survey are life-saving interventions performed? -
ANSWERDuring the primary survey as soon as life-threats are identified.
During which phase of assessments are vital signs counted/measured for the first time?
- ANSWERSecondary Survey.
At what point in the assessment should TNS assume and take precautions to prevent
further c-spine injury? - ANSWERPrimary survey: Any pt with multi-system trauma,
appropriate mechanism, altered LOC, injury above clavicles from blunt trauma.
List the expected outcomes of airway resuscitation/mgmt in the trauma pt. -
ANSWERVentilations are quiet w/o stridor or retractions.
Pt speaks or makes appropriate sounds.
Chest rises and falls easily w/ spontaneous/assisted ventilations.
Foreign material not visible in upper airway.
List at least 4 things a TNS should inspect for when exposing the chest during the
primary survey. - ANSWERResp rate/depth
Appearance of chest: contour and integrity of chest wall. Check for wounds/distention
Symmmetry of expansion & adequacy of excursion.
Signs of trauma such as contusions, abrasions, lacerations, and penetrating wounds.
Wob, Use of assessory muscles, nasal flaring, tracheal tugging or retractions.
What is the difference between central and peripheral cyanosis? - ANSWERCentral:
lips, mucous membranes, conjunctiva; late signs of hypoxia.
Peripheral: nailbeds; Occurs when tissues extract more oxygen from blood than normal.
How many grams of desaturated Hgb are necessary to produce cyanosis in the tissues?
- ANSWER5 g/dL of Hgb.
