TNCC Written Exam | 2025-2026 LATEST UPDATED| REAL EXAM AND
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT |
100% VERFIED | 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
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- 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
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- 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
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- 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