TNS Assessment QUESTIONS WITH 100- VERIFIED SOLUTIONS, SCORED A+.

TNS Assessment QUESTIONS WITH 100%
VERIFIED SOLUTIONS, SCORED A+




What .are .the .4 .maneuvers .of .performing .a .physical .exam? .- .CORRECT
.ANSWER-Inspect.
Auscultate.
Palpate.
Percuss.

What .are .the .5 .priorities .of .the .primary .survey? .- .CORRECT .ANSWER-A .-
.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? .-
.CORRECT .ANSWER-During .the .primary .survey .as .soon .as .life-threats .are
.identified.


During .which .phase .of .assessments .are .vital .signs .counted/measured .for .the
.first .time? .- .CORRECT .ANSWER-Secondary .Survey.


At .what .point .in .the .assessment .should .TNS .assume .and .take .precautions .to
.prevent .further .c-spine .injury? .- .CORRECT .ANSWER-Primary .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. .-
.CORRECT .ANSWER-Ventilations .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. .- .CORRECT .ANSWER-Resp .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? .- .CORRECT
.ANSWER-Central: .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? .- .CORRECT .ANSWER-5 .g/dL .of .Hgb.


Is .cyanosis .an .early .or .late .sign .of .hypoxia? .- .CORRECT .ANSWER-Central
.cyanosis .is .a .late .sign.


What .2 .immediate .life .threats .should .be .suspected .if .a .pt .with .a .chest .trauma
.presents .with .jugular .vein .distention? .- .CORRECT .ANSWER-Tension
.pneumonthorax.
Pericardial .tamponade.

What .info. .can .be .determined .by .palpating .the .chest .during .the .primary
.survey? .- .CORRECT .ANSWER-Pain, .point .of .tenderness; .deformity, .chest .wall
.expansion; .rib .mobility, .instability, .abnormal .movements; .crepitus: .bony .vs.
.subcutaneous; .skin .temperature/moisture; .subcutaneous .emphysema; .tactile
.fremitus .- .vibration .of .chest .wall.


List .3 .sounds .that .should .be .detected .w/o .a .stethoscope .during .the .primary
.survey .that .suggest .a .partial .airway .obstruction. .- .CORRECT .ANSWER-
Snoring., .Gurgling., .Stridor.
Hoarseness
Wheezes

What .is .the .most .ominous .sound .when .auscultating .the .chest .wall .of .a .trauma
.pt .in .severe .ventilatory .distress? .- .CORRECT .ANSWER-Silence.


Under .what .circumstances .may .a .pt .have .a .pulse .oximetry .reading .of .over .95%
.in .the .presence .of .severe .hypoxia? .- .CORRECT .ANSWER-If .anemia .or
.abnormal .forms .of .Hgb .are .present.
Carboxyhemoglobin.

What .3 .immediate .life-threats .that .must .be .found .during .the
.breathing/oxygenation .phase .of .the .primary .survey? .- .CORRECT .ANSWER-
Tension .pneumothorax.
Open .pneumothorax.
Flail .chest.