TNCC 9TH EDITION EXAM LATEST 2025-2026
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A
What does the J stand for at the end of the secondary survey? -CORRECT->> VIPP
What does VIPP stand for? -CORRECT->>vital signs, injuries/interventions, primary survey,
pain
During the head-to-toe, where would you find Grey-Turner's sign?
-CORRECT->>flank
During the head-to-toe, where would you find Cullen's sign? -CORRECT->>umbilicus
What is sometimes deferred at the end of the head-to-toe? -CORRECT->>inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting, psychosocial
support, social services, splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? -CORRECT->>AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? -CORRECT-
>>Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one during testing)
-CORRECT->>Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? -CORRECT->>all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
CORRECT->>EKG
In Step 16 of "Exposure and Environment", you must name at least one of these interventions:
-CORRECT->>blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? -
, CORRECT->>In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? -CORRECT->>glucose
To assess circulation, you must do these two main tasks: -CORRECT->>1. inspect AND
palpate skin color, temp, moisture and
2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary survery? -
CORRECT->>intervene as appropriate and reassess
What three assessments must be done if the patient is intubated?
-CORRECT->>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: -CORRECT->>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? -CORRECT->>cardiac monitor
When should 2 IV sites be established? -CORRECT->>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) -CORRECT->>assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments?
-CORRECT->>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? -CORRECT->>"Breathing and
Ventilation"
Four of these must be identified to assess patency and protection of the airway: -CORRECT-
>>bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction, burns,
fluids, foreign objects, vocalization
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A
What does the J stand for at the end of the secondary survey? -CORRECT->> VIPP
What does VIPP stand for? -CORRECT->>vital signs, injuries/interventions, primary survey,
pain
During the head-to-toe, where would you find Grey-Turner's sign?
-CORRECT->>flank
During the head-to-toe, where would you find Cullen's sign? -CORRECT->>umbilicus
What is sometimes deferred at the end of the head-to-toe? -CORRECT->>inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting, psychosocial
support, social services, splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? -CORRECT->>AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? -CORRECT-
>>Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one during testing)
-CORRECT->>Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? -CORRECT->>all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
CORRECT->>EKG
In Step 16 of "Exposure and Environment", you must name at least one of these interventions:
-CORRECT->>blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? -
, CORRECT->>In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? -CORRECT->>glucose
To assess circulation, you must do these two main tasks: -CORRECT->>1. inspect AND
palpate skin color, temp, moisture and
2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary survery? -
CORRECT->>intervene as appropriate and reassess
What three assessments must be done if the patient is intubated?
-CORRECT->>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: -CORRECT->>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? -CORRECT->>cardiac monitor
When should 2 IV sites be established? -CORRECT->>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) -CORRECT->>assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments?
-CORRECT->>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? -CORRECT->>"Breathing and
Ventilation"
Four of these must be identified to assess patency and protection of the airway: -CORRECT-
>>bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction, burns,
fluids, foreign objects, vocalization
