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TNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM,

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TNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Written Exam,
TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+



worsening pneumothorax - ANSWhich of the following is possible complication of positive-pressure
ventilation?
within 24 hrs of trauma - ANSWhen is the tertiary survey completed fora trauma pt?
With any eye injury, what should the evaluation and ongoing assessments be? - ANS- Reassessing
visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS- Reassessing
visual acuity at reasonable intervals
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled increases in ICP.
Which comorbid conditions factor into the risks of the bariatric trauma patient? And how? - ANS
Where do you listen to auscultate breath sounds? - ANSAuscultate the lungs bilaterally at the second
intercostal space midclavicular line and at the fifth intercostal space at the anterior axillary line.
Where do you listen to auscultate breath sounds? - ANSAuscultate the lungs bilaterally at the second
intercostal space midclavicular line and at the fifth intercostal space at the anterior axillary line.
When would you use a nasopharyngeal airway versus an oral pharyngeal airway? - ANSNasopharyngeal
airways is contraindicated in patients with facial trauma or a suspected basilar skull fracture. Oral
pharyngeal airways is used in unresponsive patients unable to maintain their airway, without a gag reflex
as a temporary measure to facilitate ventilation with a bag mask device or spontaneous ventilation until
the patient can be intubated.
When would you use a nasopharyngeal airway versus an oral pharyngeal airway? - ANSNasopharyngeal
airways is contraindicated in patients with facial trauma or a suspected basilar skull fracture. Oral
pharyngeal airways is used in unresponsive patients unable to maintain their airway, without a gag reflex
as a temporary measure to facilitate ventilation with a bag mask device or spontaneous ventilation until
the patient can be intubated.

When capnography measurement reads less than 35MMHG, the nurse should consider increasing or
decreasing the ventilation rate? - ANSDecreasing the ventilation rate. By doing so, the nurse allows the
patient to retain CO2.
When capnography measurement reads less than 35MMHG, the nurse should consider increasing or
decreasing the ventilation rate? - ANSDecreasing the ventilation rate. By doing so, the nurse allows the
patient to retain CO2.
When capnography measurement reads greater than 45MMHG, the nurse should consider increasing or
decreasing the ventilation rate? - ANSIncreasing the ventilation rate. Doing so would allow the patient to
blow off retained CO2.
When capnography measurement reads greater than 45MMHG, the nurse should consider increasing or
decreasing the ventilation rate? - ANSIncreasing the ventilation rate. Doing so would allow the patient to
blow off retained CO2.
What she be done after the Secondary Assessment? - ANSReassess:
What she be done after the Secondary Assessment? - ANSReassess:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels vasoconstrict as
a result of sympathetic stimulation via inhibition of baroreceptors. Arterioles constrict to increase TPR and
BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels vasoconstrict as
a result of sympathetic stimulation via inhibition of baroreceptors. Arterioles constrict to increase TPR and
BP.
What is torsion? - ANSTorsion forces twist ends in opposite directions.
What is torsion? - ANSTorsion forces twist ends in opposite directions.
What is the trauma triad of death? - ANShypothermia, acidosis, coagulopathy
What is the trauma triad of death? - ANShypothermia, acidosis, coagulopathy
What is the second thing assessed under the Secondary Assessment? - ANSGIVE COMFORT
MEASURES

, TNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Written Exam,
TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+



What is the second thing assessed under the Secondary Assessment? - ANSGIVE COMFORT
MEASURES
What is the relationship between mass and velocity to kinetic energy? - ANSKinetic energy is equal to 1/2
the mass multiplied the square of its velocity therefore when mass is doubled so is the net energy,
however, when velocity is doubled energy is quadrupled.
What is the relationship between mass and velocity to kinetic energy? - ANSKinetic energy is equal to 1/2
the mass multiplied the square of its velocity therefore when mass is doubled so is the net energy,
however, when velocity is doubled energy is quadrupled.
What is the recommended fluid bolus for a trauma? - ANS500 ML's of warmed isotonic crystalloid.
Ongoing fluid boluses of 500 ML's should be given judiciously with constant reassessments after
administration.
What is the recommended fluid bolus for a trauma? - ANS500 ML's of warmed isotonic crystalloid.
Ongoing fluid boluses of 500 ML's should be given judiciously with constant reassessments after
administration.
What is the planning and implementation for thoracic injury? - ANSp. 142
What is the planning and implementation for thoracic injury? - ANSp. 142
What is the Munro-Kellie doctrine? - ANSWithin the skull 80% his brain, 10% is blood, and 10% is CSF.
Any increase of any of the products results in increased intracranial pressure.
What is the Munro-Kellie doctrine? - ANSWithin the skull 80% his brain, 10% is blood, and 10% is CSF.
Any increase of any of the products results in increased intracranial pressure.
What is the Mnemonic for the Secondary Assessment? - ANSF = Full set of VS/Focused adjuncts
(includes cardiac monitor, urinary catheter, and gastric tube)/Family presence
What is the Mnemonic for the Secondary Assessment? - ANSF = Full set of VS/Focused adjuncts
(includes cardiac monitor, urinary catheter, and gastric tube)/Family presence
What is the Mnemonic for the Initial Assessment? - ANSA = Airway with simultaneous cervical spine
protection
What is the Mnemonic for the Initial Assessment? - ANSA = Airway with simultaneous cervical spine
protection
What is the minimum permissive oxygenation level of a trauma patient? - ANSGreater than or equal to
94%
What is the minimum permissive oxygenation level of a trauma patient? - ANSGreater than or equal to
94%
What is the minimum permissive hypertension and a trauma patient? - ANSA systolic of greater than or
equal to 90 MMHG
What is the minimum permissive hypertension and a trauma patient? - ANSA systolic of greater than or
equal to 90 MMHG
What is the Law of Conservation of Energy? - ANSEnergy can neither be created nor destroyed. It is only
changed from one form to another.
What is the Law of Conservation of Energy? - ANSEnergy can neither be created nor destroyed. It is only
changed from one form to another.
What is the first thing assessed under the Secondary Assessment? - ANSFULL SET VS / FOCUSED
ADJUNCTS / FAMILY PRESENCE
What is the first thing assessed under the Secondary Assessment? - ANSFULL SET VS / FOCUSED
ADJUNCTS / FAMILY PRESENCE
What is the DOPE mnemonic? - ANSD - Displaced tube
What is the DOPE mnemonic? - ANSD - Displaced tube
What is tension? - ANSstretching force by pulling at opposite ends
What is tension? - ANSstretching force by pulling at opposite ends
What is Surgical Cricothyrotomy? - ANSMaking an incision in cricothyroid membrane and placing a cuffed
endo or trach tube into trachea. This is indicated when other methods of airway management have failed
and pt cannot be adequately ventilated and oxygenated.

, TNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Written Exam,
TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+



What is Surgical Cricothyrotomy? - ANSMaking an incision in cricothyroid membrane and placing a cuffed
endo or trach tube into trachea. This is indicated when other methods of airway management have failed
and pt cannot be adequately ventilated and oxygenated.
What is shearing? - ANSDamage by tearing or bending by exerting faucet different parts in opposite
directions at the same time.
What is shearing? - ANSDamage by tearing or bending by exerting faucet different parts in opposite
directions at the same time.
What is renal response? - ANSRenal ischemia activates release of renin.
What is renal response? - ANSRenal ischemia activates release of renin.
What is Newton's Second Law? - ANSForce equals mass multiplied by acceleration of deceleration.
What is Newton's Second Law? - ANSForce equals mass multiplied by acceleration of deceleration.
What is Newton's First Law? - ANSA body at rest will remain at rest. A body in motion will remain in
motion until acted on by an outside force.
What is Newton's First Law? - ANSA body at rest will remain at rest. A body in motion will remain in
motion until acted on by an outside force.
What is Needle Cricothyrotomy - ANSPercutaneous transtracheal ventilation. (temporary)
What is Needle Cricothyrotomy - ANSPercutaneous transtracheal ventilation. (temporary)
What is LeFort III fracture and its S/S? - ANSComplete craniofacial separation involving maxilla, zygoma
and bones of cranial base. This fx is frequently associated w/leakage of CSF and fx mandible.
What is LeFort III fracture and its S/S? - ANSComplete craniofacial separation involving maxilla, zygoma
and bones of cranial base. This fx is frequently associated w/leakage of CSF and fx mandible.
What is LeFort II fracture and its S/S? - ANSPyramidal maxillary fx=middle facial area. Apex of fx
transverses bridge of nose. Two lateral fx's of pyramid extend through the lacrimal bone of the face and
ethmoid bone of skull into the median portion of both orbits. Base of the fx extends above level of the
upper teeth into maxilla. CSF leak is possible.
What is LeFort II fracture and its S/S? - ANSPyramidal maxillary fx=middle facial area. Apex of fx
transverses bridge of nose. Two lateral fx's of pyramid extend through the lacrimal bone of the face and
ethmoid bone of skull into the median portion of both orbits. Base of the fx extends above level of the
upper teeth into maxilla. CSF leak is possible.
What is LeFort I fracture and its S/S? - ANSTransverse maxillary fx that occurs above level of teeth and
results in separation of teeth from rest of maxilla.
What is LeFort I fracture and its S/S? - ANSTransverse maxillary fx that occurs above level of teeth and
results in separation of teeth from rest of maxilla.
What is kinetic energy (KE)? - ANSKE equals 1/2 the mass (M) multiplied by the velocity squared.
What is kinetic energy (KE)? - ANSKE equals 1/2 the mass (M) multiplied by the velocity squared.
What is kinematics? - ANSA branch of mechanics (energy transfer) that refers to motion and does not
consider the concepts of force and mass of the object or body.
What is kinematics? - ANSA branch of mechanics (energy transfer) that refers to motion and does not
consider the concepts of force and mass of the object or body.
What is hyphema and its S/S? - ANSAccumulation of blood, mainly RBC's that disperse and layer within
the anterior chamber. A severe hymphema obscures entire anterior chamber + will diminish visual acuity
severely or completely. Injuries are graded on amount of blood in chamber (Grades I-IV).
What is hyphema and its S/S? - ANSAccumulation of blood, mainly RBC's that disperse and layer within
the anterior chamber. A severe hymphema obscures entire anterior chamber + will diminish visual acuity
severely or completely. Injuries are graded on amount of blood in chamber (Grades I-IV).
What is diffuse axonal injury and its signs and symptoms? - ANS(DAI) is widespread, rather than
localized, through the brain. Diffuse shearing, tearing and compressive stresses from rotational or
accerleration/deceleration forces resulting in microscopic damage primarily to axons within the brain.
What is diffuse axonal injury and its signs and symptoms? - ANS(DAI) is widespread, rather than
localized, through the brain. Diffuse shearing, tearing and compressive stresses from rotational or
accerleration/deceleration forces resulting in microscopic damage primarily to axons within the brain.
What is Cushing's phenomenon or Cushing's Reflex? - ANSTriad of progressive HTN, bradycardia and
diminished respiratory effort.

, TNCC test prepa, TNCC Notes for Written Exam, TNCC Notes for Written Exam,
TNCC Prep, TNCC EXAM, TNCC 20th Edition Graded A+



What is Cushing's phenomenon or Cushing's Reflex? - ANSTriad of progressive HTN, bradycardia and
diminished respiratory effort.
What is Cullen's sign and its significance? - ANSCullens sign is periumbilical bruising and is indicative of
intraperitoneal bleeding
What is Cullen's sign and its significance? - ANSCullens sign is periumbilical bruising and is indicative of
intraperitoneal bleeding
What is compression? - ANSCrushing by squeezing together
What is compression? - ANSCrushing by squeezing together
What is combined loading? - ANSAny combination of tension compression torsion bending and/or shear.
What is combined loading? - ANSAny combination of tension compression torsion bending and/or shear.
What is bending? - ANSLoading about an axis. Bending causes compression on the side the person is
bending toward intention to the opposite side
What is bending? - ANSLoading about an axis. Bending causes compression on the side the person is
bending toward intention to the opposite side
What is assessed under the Mnemonic "I"? - ANSINSPECT POSTERIOR SURFACES
What is assessed under the Mnemonic "I"? - ANSINSPECT POSTERIOR SURFACES
What is assessed under the Mnemonic "H"? - ANSHISTORY / HEAD-TO-TOE ASSESSMENT
What is assessed under the Mnemonic "H"? - ANSHISTORY / HEAD-TO-TOE ASSESSMENT
What is assessed and intervened for Expose/Environmental Controls? - ANS- Remove clothing
What is assessed and intervened for Expose/Environmental Controls? - ANS- Remove clothing
What is an epidural hematoma and its S/S? - ANSResults when a collection of blood forms between the
skull and the dura mater. Bleeding is arterial=blood accumulates rapidly:
What is an epidural hematoma and its S/S? - ANSResults when a collection of blood forms between the
skull and the dura mater. Bleeding is arterial=blood accumulates rapidly:
What is a trademark symptom of an epidural hematoma - ANSLoss of consciousness then awake and
alert then loss of consciousness
What is a trademark symptom of an epidural hematoma - ANSLoss of consciousness then awake and
alert then loss of consciousness
What is a subdural hematoma and its S/S? - ANSA focal brain injury beneath the dura mater that results
from acceleration/deceleration. Usually venous, and not necessarily from a fx. Formation may be acute or
chronic.
What is a subdural hematoma and its S/S? - ANSA focal brain injury beneath the dura mater that results
from acceleration/deceleration. Usually venous, and not necessarily from a fx. Formation may be acute or
chronic.
What is a pulmonary contusion? - ANSThey occur as a result of direct impact, deceleration or high-
velocity bullet wounds. It develops when blood leaks into lung parenchyma, causing edema +
hemorrhage. This usually develops overtime and not immediately.
What is a pulmonary contusion? - ANSThey occur as a result of direct impact, deceleration or high-
velocity bullet wounds. It develops when blood leaks into lung parenchyma, causing edema +
hemorrhage. This usually develops overtime and not immediately.
What is a Laryngeal Mask Airway? - ANSLooks like an ET tube but is equipped with an inflatable,
elliptical, silicone rubber collar at the distal end. It is designed to cover the supraglottic area.
What is a Laryngeal Mask Airway? - ANSLooks like an ET tube but is equipped with an inflatable,
elliptical, silicone rubber collar at the distal end. It is designed to cover the supraglottic area.
What is a flail chest? - ANSA fracture of two or more sites on two or more adjacent ribs, or when rib
fractures produce a free-floating sternum.
What is a flail chest? - ANSA fracture of two or more sites on two or more adjacent ribs, or when rib
fractures produce a free-floating sternum.
What is a concussion and its signs and symptoms? - ANSA temporary change in neurologic function that
may occur as a result of minor head trauma.
What is a concussion and its signs and symptoms? - ANSA temporary change in neurologic function that
may occur as a result of minor head trauma.

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