TNCC Trauma Nursing Core Course. Exam
Questions And Answers 100% Pass
Components of SBAR and its purpose - ANS S: Situation
B: Background
A: Assessment
R: Recommendation
Purpose- to provide framework for communication amount members of the healthcare team
p. 7
Components of DESC and its purpose - ANS D: Describe the specific situation or behavior
E: Express your concerns or how the situation makes you feel
S: Suggest alternatives and seek agreement
C: State consequences in terms of impact on performance goals
Purpose- used in conflict management; paraphrasing the other person's comments is an
important technique that should be done throughout the DESC script. Following discussion of
consequences, team members should work towards consensus.
p. 7
Components of CUS and its purpose - ANS C: I am Concerned
U: I am Uncomfortable
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S: This is a Safety issue/ I am Stressed
Purpose- used to "stop the line" if a team member senses or discovers an essential safety
breach
p. 7
Define trauma - ANS - Trauma is injury to living tissue caused by extrinsic agent
- Regardless of MOI, trauma creates stressors that exceed the tissue's or organ's ability to
compensate
p. 9
Leading cause of death for ages
1. over 65
2. 5 to 24
3. 25 to 64 - ANS 1. Falls
2. MVCs
3. poisoning
p. 9
Explain 3 phases of injury prevention - ANS Primary: prevention of the occurrence of the
injury
Secondary: Reduction in the severity of the injury that has occurred
Tertiary: Improvement of outcomes related to the traumatic injury
p. 10
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Describe the three E's of injury control - ANS Engineering: technological interventions such as
side impact airbags, automated blind spot alarms, ignition lock devices for those with DUIs. In
playgrounds and sports, this involves surface material under playground equipment and
athletic safety gear. Another intervention is improved use of smoke alarms in fire prevention
Enforcement and legislation: include laws at all jurisdictional levels regarding driving while
intoxicated, booster seats, primary seatbelt use, and distracted driving. For sports this includes
rules regarding illegal hits, examination after impact, and return-to-play requirements after a
head injury
Education: these can be community-based initiatives such as public service announcements for
improved seatbelt use, education regarding risks of distracted driving, programs to commit to
no texting while driving, and promotions for bicycle helmet giveaways with instructions for
proper use
p. 11
How can the trauma nurse have an impact when it comes to the legislative process? - ANS By
advocating for stronger laws and more consistent enforcement
p. 11
Define kinematics - ANS The study of energy transfer as it applies to identifying actual or
intentional injuries
p. 25
Define biomechanics - ANS The general study of forces and their effects
p. 25
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Define mechanism of injury (MOI) - ANS How external energy forces in the environment are
transferred to the body
p. 25
Newton's First Law of Motion - ANS A body at rest will remain at rest, and a body in motion
will stay in motion
p. 26
Newton's Second Law of Motion - ANS Force = Mass X Acceleration
p. 26
Newton's Third Law of Motion - ANS For every action, there is an equal and opposite
reaction
p. 26
Law of Conservation of Energy - ANS Energy can neither be created nor destroyed, but it can
change form
p. 26
Describe energy forms - ANS - Mechanical (energy transfer from one object to another in the
form of motion)
- Thermal (energy transfer of heat in environment to the host)