TNCC 8TH EDITION (A GRADED AND REVIEWED 2023/2024) QUESTIONS AND
ANSWERS.|GUARANTEED PASS
MARCH mneumonic - ANSWER: Massive Hemorrhage: Control with combat gauze, celox
gauze, or chito gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma,
RBC, and platelets to achieve SBP of 80-90mmHg.
Airway: Establish and maintain patent airway
@#
Respiration: Decompress suspected tension pneumothorax, seal open chest wounds, and
#$%^&*( $%^
support ventilation and oxygenation as required.
&*()
Circulation: Provide vascular access (IV/IO) and administer fluids as required to treat shock
Head injury/Hypothermia: Prevent or treat hypotension and hypoxia to prevent worsening
of TBI and prevent or treat hypothermia.
AVPU - ANSWER: Assessing Alertness
A: Alert and oriented
V: Responds to verbal stimuli
P: Responds only to painful stimuli
U: Unresponsive
LACE - ANSWER: Soft Tissue Injuries
L: Lacerations
A: Abrasions, Avulsions
C: Contusions
E: Edema, Ecchymosis
Urinary Catheter Contraindications - ANSWER: if urethral transsection is suspected:
-blood at the urethral meatus
-perineal ecchymosis
-scrotal ecchymosis
-high-riding or nonpalpable prostate
Breathing Intervention Reassessment - ANSWER: 1. Attach CO2 detector
2. Listen over epigastrum
3. Bilateral breath sounds at midaxillary and midclavicular lines
4. Color change after 6 breaths
5. Monitor skin color; get xr
Troubleshooting Ventilator Alarms - ANSWER: D: Displaced Tube
O: Obstructed or Kinked Tube
P: Pneumothorax
, TNCC 8TH EDITION (A GRADED AND REVIEWED 2023/2024) QUESTIONS AND
ANSWERS.|GUARANTEED PASS
E: Equipment failure, such as the patient becoming detached from the equipment or loss of
capnography
Seven P's of RSI - ANSWER: -Preparation: ensure you have all necessary equipment and
@#
personnel. Verify IV sites
#$%^&*( $%^
-Preoxygenation: high flow oxygen for minimum of 3 minutes. Position is HOB elevated to
&*()
20 degrees. For spinal precautions, reverse Trendelenburg at 30 degrees.
-Pre-intubation optimization: Lidocaine (may reduce risk of rise in ICP during intubation) or
Fentanyl (mitigates sympathetic response increased HR and BP during intubation)
administration
-Paralysis with induction
-Protection: after neuromuscular blocking agent is administered, protect the airway from
aspiration by avoiding BVM, which can result in regurgitation and aspiration.
-Placement with proof: inflate ETT cuff, secure, use ETCO2 for confirmation
-Post-intubation management: secure tube and note measurement; xr.
Inductions Agents for RSI - ANSWER: Etomidate
Ketamine
Midazolam
Propofol
Paralysis Agents for RSI - ANSWER: Succinylcholine
Rocuronium
Vecuronium
Cerebral Perfusion Pressure (CPP) - ANSWER: Normal: 60-100 mm Hg
Acceptable: 50-70 mm Hg
Hypercarbia - ANSWER: PaCO2 > 45 mmHg
Excess of Co2 in the blood, indicated by an elevated PaCO2 as determined by blood gas
analysis
Intracranial Pressure (ICP) - ANSWER: 0-15mmHg
The pressure of the CSF in the subarachnoid space
Mean Arterial Pressure (MAP) - ANSWER: 50-150mmHg
ANSWERS.|GUARANTEED PASS
MARCH mneumonic - ANSWER: Massive Hemorrhage: Control with combat gauze, celox
gauze, or chito gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma,
RBC, and platelets to achieve SBP of 80-90mmHg.
Airway: Establish and maintain patent airway
@#
Respiration: Decompress suspected tension pneumothorax, seal open chest wounds, and
#$%^&*( $%^
support ventilation and oxygenation as required.
&*()
Circulation: Provide vascular access (IV/IO) and administer fluids as required to treat shock
Head injury/Hypothermia: Prevent or treat hypotension and hypoxia to prevent worsening
of TBI and prevent or treat hypothermia.
AVPU - ANSWER: Assessing Alertness
A: Alert and oriented
V: Responds to verbal stimuli
P: Responds only to painful stimuli
U: Unresponsive
LACE - ANSWER: Soft Tissue Injuries
L: Lacerations
A: Abrasions, Avulsions
C: Contusions
E: Edema, Ecchymosis
Urinary Catheter Contraindications - ANSWER: if urethral transsection is suspected:
-blood at the urethral meatus
-perineal ecchymosis
-scrotal ecchymosis
-high-riding or nonpalpable prostate
Breathing Intervention Reassessment - ANSWER: 1. Attach CO2 detector
2. Listen over epigastrum
3. Bilateral breath sounds at midaxillary and midclavicular lines
4. Color change after 6 breaths
5. Monitor skin color; get xr
Troubleshooting Ventilator Alarms - ANSWER: D: Displaced Tube
O: Obstructed or Kinked Tube
P: Pneumothorax
, TNCC 8TH EDITION (A GRADED AND REVIEWED 2023/2024) QUESTIONS AND
ANSWERS.|GUARANTEED PASS
E: Equipment failure, such as the patient becoming detached from the equipment or loss of
capnography
Seven P's of RSI - ANSWER: -Preparation: ensure you have all necessary equipment and
@#
personnel. Verify IV sites
#$%^&*( $%^
-Preoxygenation: high flow oxygen for minimum of 3 minutes. Position is HOB elevated to
&*()
20 degrees. For spinal precautions, reverse Trendelenburg at 30 degrees.
-Pre-intubation optimization: Lidocaine (may reduce risk of rise in ICP during intubation) or
Fentanyl (mitigates sympathetic response increased HR and BP during intubation)
administration
-Paralysis with induction
-Protection: after neuromuscular blocking agent is administered, protect the airway from
aspiration by avoiding BVM, which can result in regurgitation and aspiration.
-Placement with proof: inflate ETT cuff, secure, use ETCO2 for confirmation
-Post-intubation management: secure tube and note measurement; xr.
Inductions Agents for RSI - ANSWER: Etomidate
Ketamine
Midazolam
Propofol
Paralysis Agents for RSI - ANSWER: Succinylcholine
Rocuronium
Vecuronium
Cerebral Perfusion Pressure (CPP) - ANSWER: Normal: 60-100 mm Hg
Acceptable: 50-70 mm Hg
Hypercarbia - ANSWER: PaCO2 > 45 mmHg
Excess of Co2 in the blood, indicated by an elevated PaCO2 as determined by blood gas
analysis
Intracranial Pressure (ICP) - ANSWER: 0-15mmHg
The pressure of the CSF in the subarachnoid space
Mean Arterial Pressure (MAP) - ANSWER: 50-150mmHg
