TNCC WRITTEN EXAM-ACTUAL EXAM-LATEST UPDATE 2025 -
COMPLETE QUESTIONS WITH CORRRECT DETAILED AND
VERIFIED ANSWERS | MOSTLY TESTED!! RATED 100% CORRECT |
GUARANTEED PASS!!ALREADY GRADED A+
What are the late signs of breathing compromise? - Answer--- Tracheal deviation
- JVD
What are signs of ineffective breathing? - Answer--- AMS
Cyanosis, especially around the mouth
Asymmetric expansion of chest wall
Paradoxical movement of the chest wall during inspiration and expiration
Use of accessory muscles or abdominal muscles or both or diaphragmatic breathing
Sucking chest wounds
Absent or diminished breath sounds
Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated - Anticipate
definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt breathing
effectively? - Answer--A tight-fitting nonrebreather mask at 12-15
lpm.
What intervention should be done if a pt presents with effective circulation? - Answer-
--
,Insert 2 large caliber IV's
- Administer warmed isotonic crystalloid solution at an appropriate
rate
What are signs of ineffective circulation? - Answer---
Tachycardia
- AMS
- Uncontrolled external bleeding
- Pale, cool, moist skin
- Distended or abnormally flattened external jugular veins
- Distant heart sounds
What are the interventions for Effective/Ineffective Circulation? - Answer--- Control
any
uncontrolled external bleeding by:
Applying direct pressure over bleeding site
Elevating bleeding extremity
Applying pressure over arterial pressure points - Using tourniquet (last resort).
Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid solution
Use warmed solution
Use pressure bags to increase speed of IVF infusion
Use blood administration tubing for possible administration of blood
Use rapid infusion device based on protocol
,Use NS 0.9% in same tubing as blood product - IV = surgical cut-down, central line, or both.
Blood sample to determine ABO and Rh group
IO in sternum, legs, arms or pelvis
Administer blood products
PASG (without interfering with fluid resuscitation)
What are factors that contribute to ineffective ventilation? - Answer--- AMS
LOC
Neurologic injury
Spinal Cord Injury
Intracranial Injury
Blunt trauma
Pain caused by rib fractures
Penetrating Trauma
Preexisting hx of respiratory diseases - Increased age
What medications are used during intubation? - Answer--LOAD Mnemonic:
L = Lidocaine
O = Opioids
A = Atropine
, D = Defasiculating agents
What are the Rapid Sequence Intubation Steps? - Answer--PREPARATION:
gather equipment, staffing, etc.
PREOXYGENATION:
Use 100% O2 (prevent risk of aspiration).
PRETREATMENT:
Decrease S/E's of intubation
PARALYSIS WITH INDUCTION:
Pt has LOC, then administer neuromuscular blocking agent PROTECTION AND
POSITIONING:
Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and aspiration
PLACEMENT WITH PROOF
Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate pt 30-60 seconds between
attempts.
After intubation, inflate the cuff
Confirm tube placement w/exhaled CO2 detector.
POSTINTUBATION MANAGEMENT:
Secure ET tube
Set ventilator settings
COMPLETE QUESTIONS WITH CORRRECT DETAILED AND
VERIFIED ANSWERS | MOSTLY TESTED!! RATED 100% CORRECT |
GUARANTEED PASS!!ALREADY GRADED A+
What are the late signs of breathing compromise? - Answer--- Tracheal deviation
- JVD
What are signs of ineffective breathing? - Answer--- AMS
Cyanosis, especially around the mouth
Asymmetric expansion of chest wall
Paradoxical movement of the chest wall during inspiration and expiration
Use of accessory muscles or abdominal muscles or both or diaphragmatic breathing
Sucking chest wounds
Absent or diminished breath sounds
Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated - Anticipate
definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt breathing
effectively? - Answer--A tight-fitting nonrebreather mask at 12-15
lpm.
What intervention should be done if a pt presents with effective circulation? - Answer-
--
,Insert 2 large caliber IV's
- Administer warmed isotonic crystalloid solution at an appropriate
rate
What are signs of ineffective circulation? - Answer---
Tachycardia
- AMS
- Uncontrolled external bleeding
- Pale, cool, moist skin
- Distended or abnormally flattened external jugular veins
- Distant heart sounds
What are the interventions for Effective/Ineffective Circulation? - Answer--- Control
any
uncontrolled external bleeding by:
Applying direct pressure over bleeding site
Elevating bleeding extremity
Applying pressure over arterial pressure points - Using tourniquet (last resort).
Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid solution
Use warmed solution
Use pressure bags to increase speed of IVF infusion
Use blood administration tubing for possible administration of blood
Use rapid infusion device based on protocol
,Use NS 0.9% in same tubing as blood product - IV = surgical cut-down, central line, or both.
Blood sample to determine ABO and Rh group
IO in sternum, legs, arms or pelvis
Administer blood products
PASG (without interfering with fluid resuscitation)
What are factors that contribute to ineffective ventilation? - Answer--- AMS
LOC
Neurologic injury
Spinal Cord Injury
Intracranial Injury
Blunt trauma
Pain caused by rib fractures
Penetrating Trauma
Preexisting hx of respiratory diseases - Increased age
What medications are used during intubation? - Answer--LOAD Mnemonic:
L = Lidocaine
O = Opioids
A = Atropine
, D = Defasiculating agents
What are the Rapid Sequence Intubation Steps? - Answer--PREPARATION:
gather equipment, staffing, etc.
PREOXYGENATION:
Use 100% O2 (prevent risk of aspiration).
PRETREATMENT:
Decrease S/E's of intubation
PARALYSIS WITH INDUCTION:
Pt has LOC, then administer neuromuscular blocking agent PROTECTION AND
POSITIONING:
Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and aspiration
PLACEMENT WITH PROOF
Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate pt 30-60 seconds between
attempts.
After intubation, inflate the cuff
Confirm tube placement w/exhaled CO2 detector.
POSTINTUBATION MANAGEMENT:
Secure ET tube
Set ventilator settings
