TNCC 9th Edition TNP 2025/2026 Exam
Questions and Answers 100%
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—What does the J stand for at the end of the secondary survery? - 🧠
ANSWER ✔✔just keep evaluating - vipp
—What does VIPP stand for? - 🧠 ANSWER ✔✔vital signs,
injuries/interventions, primary survey, pain
—During the head-to-toe, where would you find Grey-Turner's sign? - 🧠
ANSWER ✔✔flank
—During the head-to-toe, where would you find Cullen's sign? - 🧠
ANSWER ✔✔umbilicus
-What is sometimes deferred at the end of the head-to-toe? - 🧠 ANSWER
✔✔inspecting posterior
-Antibiotics, consults, head CT, imaging, law enforcement, mandatory
reporting, psychosocial support, social services, splinting, tetanus, and
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,wound care are all interventions that you do AFTER and before WHAT? - 🧠
ANSWER ✔✔AFTER head-to-toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history assessment? - 🧠
ANSWER ✔✔Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at
least one during testing) - 🧠 ANSWER ✔✔Distraction, family presence,
padding bony prominences, repositioning, splinting, verbal reassurance
-For whom is capnography highly recommended? - 🧠 ANSWER ✔✔all
patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - 🧠 ANSWER ✔✔EKG
-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
-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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STATEMENT. ALL RIGHTS RESERVED
,-What do you do when alterations are identified in any of the steps in the
primary survery? - 🧠 ANSWER ✔✔intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - 🧠
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: - 🧠
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? - 🧠 ANSWER ✔✔cardiac
monitor
-When should 2 IV sites be established? - 🧠 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) - 🧠 ANSWER
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, ✔✔assess ETT position by noting the number at teeth/gums AND secure
ETT
-What should you verbalize after completing all ETT assessments? - 🧠
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? - 🧠 ANSWER ✔✔"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the
airway: - 🧠 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? - 🧠 ANSWER ✔✔Assessing patency and protection
of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
Questions and Answers 100%
Guaranteed Success | Already Rated A+
—What does the J stand for at the end of the secondary survery? - 🧠
ANSWER ✔✔just keep evaluating - vipp
—What does VIPP stand for? - 🧠 ANSWER ✔✔vital signs,
injuries/interventions, primary survey, pain
—During the head-to-toe, where would you find Grey-Turner's sign? - 🧠
ANSWER ✔✔flank
—During the head-to-toe, where would you find Cullen's sign? - 🧠
ANSWER ✔✔umbilicus
-What is sometimes deferred at the end of the head-to-toe? - 🧠 ANSWER
✔✔inspecting posterior
-Antibiotics, consults, head CT, imaging, law enforcement, mandatory
reporting, psychosocial support, social services, splinting, tetanus, and
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
1
STATEMENT. ALL RIGHTS RESERVED
,wound care are all interventions that you do AFTER and before WHAT? - 🧠
ANSWER ✔✔AFTER head-to-toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history assessment? - 🧠
ANSWER ✔✔Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at
least one during testing) - 🧠 ANSWER ✔✔Distraction, family presence,
padding bony prominences, repositioning, splinting, verbal reassurance
-For whom is capnography highly recommended? - 🧠 ANSWER ✔✔all
patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - 🧠 ANSWER ✔✔EKG
-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
-To assess circulation, you must do these two main tasks: - 🧠 ANSWER
✔✔1. inspect AND palpate skin color, temp, moisture and 2. palpate a
pulse
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
,-What do you do when alterations are identified in any of the steps in the
primary survery? - 🧠 ANSWER ✔✔intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - 🧠
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: - 🧠
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? - 🧠 ANSWER ✔✔cardiac
monitor
-When should 2 IV sites be established? - 🧠 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) - 🧠 ANSWER
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, ✔✔assess ETT position by noting the number at teeth/gums AND secure
ETT
-What should you verbalize after completing all ETT assessments? - 🧠
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? - 🧠 ANSWER ✔✔"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the
airway: - 🧠 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? - 🧠 ANSWER ✔✔Assessing patency and protection
of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
