TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
- Correct Answer ✅ :Prehospital shock index pg. 85
.. activation: .... are found in the carotid sinus and along the aortic arch, are sensitive to the
degree of stretch in the arterial wall. When the receptors sense a decrease in stretch, they
stimulate the sympathetic nervous system to release Epi, norepi, causing stimulation of cardiac
activity and constriction of blood vessels, which causes a rise in heart rate and diastolic blood
pressure - Correct Answer ✅ :Baroreceptors:
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02)
monitoring and capnopgraphy H- History and head to toe assessment
I- Inspect posterior surfaces - Correct Answer ✅ :ABCDEFGHI
1.
Apnea
2. GCS 8 or
less
3. Maxillary
fractures
4. Evidence of inhalation injury (facial
burns)
5. Laryngeal or tracheal injury or neck
hematoma
6. High risk of aspiration and patients inability to protect the
airway
7. Compromised or ineffective ventilation - Correct Answer ✅ :Following conditions
might require a definitive airway
1. bony fractures and possible rib fractures, which may impact ventilation
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a pneumothorax
4. soft tissue injury - Correct Answer ✅ :Palpate the chest for
1. Check the presence of adequate rise and fall of the chest with assisted ventilation
2. Absence of gurgling on auscultation over the epigastrium
3. Bilateral breath sounds present on auscultation
pg. 1
, TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
4. Presence of carbon dioxide (CO2) verified by a CO2 device or monitor - Correct Answer ✅
:If the pt has a definitive airway in what should you do?
1. Dyspnea
2. Tachycardia
3. Decreased or absent breath sounds on the injured side
4. CP - Correct Answer ✅ :Simple Pneumo assessment:
1. equal breath sounds bilaterally at the second intercostal space midclavicular line and the bases
for fifth
intercostal space at the axillary line - Correct Answer ✅
:Auscultate the chest for:
1. Get a
CT
2. Consider ABG 's if decreased
LOC
3. Consider glucose check - Correct Answer
✅ :D Interventions
1. Hypotension
2.
JVD
3. Muffled heart
sounds - Correct
Answer ✅ :Becks
Triad:
1. open the airway,
use jaw thrust
2. insert an
oral airway
3. assist ventilations
with a bag mask
4. prepare for definitive
airway - Correct Answer
✅ :If breathing is absent..
1. pain - hallmark
sign, early sign
2. pressure -
early sign
3. pallor, pules, paresthesia, paralysis -
late sign - Correct Answer ✅ :Six P's
of compartment syndrome:
pg. 2
, TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
1. Preparation
2. Preoxygenation
3. Pretreatment
4. Paralysis and Induction
5. Protecting and positioning - v
6. Placement of proof - secure the tube
7. Post intubation - secure ETT Tube, get X-ray for placement - Correct Answer ✅ :Steps of
Rapid Sequence Intubation
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse - Correct Answer ✅ :Initial
Assessment
1. Suction the airway
2, Use care to avoid stimulating the gag reflex
3. If the airway is obstructed by blood or vomitus secretions, use a rigid suction device
If foreign body is noted, remove it carefully with forceps or another appropriate method -
Correct Answer ✅ :If Airway is not patent
1. The tongue obstructing the
airway
2. loose or missing
teeth
3. foreign
objects
4. blood, vomit, or
secretions'
5.
edema
6. burns or evidence of inhalation
injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema - Correct Answer ✅ :Inspect the mouth for:
50 to 150 - Correct Answer ✅ :MAP Range
500 mL/hr - Correct Answer ✅ :You are treating a 27 y/o M in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred due to the need for emergent
intubation. At what rate should you begin fluid resuscitation?
pg. 3
, TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
A 14 gauge needle that is inserted into the 2nd intercostal space in the midclavicular line on the
affected
side over the top of the rib to avoid neuromuscular bundle that runs under
the rib.
Prepare for chest tube placement. - Correct Answer ✅ :Tension pneumo intervention
a 52 y/o diabetic male with a partial thickness burn to the left lower leg - Correct Answer
✅ :Which of the following
patients warrants referral to a burn
center?
A breath every 5 to 6 seconds: 10-12 ventilations per minute - Correct Answer ✅ :Bag mask
ventilation
a pertinent medical hx is crucial - Correct Answer ✅ :Which of the following considerations
is the most important when
caring for a geriatric trauma
pt?
According to newtons law which of these two force is greater: size or force? - Correct Answer
✅ :Neither. For each force
there is an equal and opposite
reaction.
acidosis - Correct Answer ✅ :Which of the following is a component of the trauma triad of
death?
activation: consist of carotid and aortic bodies. ... detect changes in blood oxygen and Co2 and
pH. When Co2 rises or oxygen level of pH falls these receptors are activated and information is
relayed to the CNS and the cardiorespiratory centers in the medulla , which increases respiratory
rage and depth and BP - Correct Answer ✅ :Chemoreceptors:
advanced age - Correct Answer ✅ :Which of the following is most likely to contribute
to inadequate oxygenation and
ventilation?
after a physical examination if the pt has no radiologic abnormalities on CT - Correct
Answer ✅ :EMS arrives with the
intoxicated driver of a car involved in a MVC. EMS reports significant damage to the
drivers side of the
car. The pt is asking to have the cervical collar removed. When it is appropriate to remove
the cervical
collar?
Air cannot escape intrapleural space.. can begin to compress heart. pt will have sever
resp distress,
pg. 4
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
- Correct Answer ✅ :Prehospital shock index pg. 85
.. activation: .... are found in the carotid sinus and along the aortic arch, are sensitive to the
degree of stretch in the arterial wall. When the receptors sense a decrease in stretch, they
stimulate the sympathetic nervous system to release Epi, norepi, causing stimulation of cardiac
activity and constriction of blood vessels, which causes a rise in heart rate and diastolic blood
pressure - Correct Answer ✅ :Baroreceptors:
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02)
monitoring and capnopgraphy H- History and head to toe assessment
I- Inspect posterior surfaces - Correct Answer ✅ :ABCDEFGHI
1.
Apnea
2. GCS 8 or
less
3. Maxillary
fractures
4. Evidence of inhalation injury (facial
burns)
5. Laryngeal or tracheal injury or neck
hematoma
6. High risk of aspiration and patients inability to protect the
airway
7. Compromised or ineffective ventilation - Correct Answer ✅ :Following conditions
might require a definitive airway
1. bony fractures and possible rib fractures, which may impact ventilation
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a pneumothorax
4. soft tissue injury - Correct Answer ✅ :Palpate the chest for
1. Check the presence of adequate rise and fall of the chest with assisted ventilation
2. Absence of gurgling on auscultation over the epigastrium
3. Bilateral breath sounds present on auscultation
pg. 1
, TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
4. Presence of carbon dioxide (CO2) verified by a CO2 device or monitor - Correct Answer ✅
:If the pt has a definitive airway in what should you do?
1. Dyspnea
2. Tachycardia
3. Decreased or absent breath sounds on the injured side
4. CP - Correct Answer ✅ :Simple Pneumo assessment:
1. equal breath sounds bilaterally at the second intercostal space midclavicular line and the bases
for fifth
intercostal space at the axillary line - Correct Answer ✅
:Auscultate the chest for:
1. Get a
CT
2. Consider ABG 's if decreased
LOC
3. Consider glucose check - Correct Answer
✅ :D Interventions
1. Hypotension
2.
JVD
3. Muffled heart
sounds - Correct
Answer ✅ :Becks
Triad:
1. open the airway,
use jaw thrust
2. insert an
oral airway
3. assist ventilations
with a bag mask
4. prepare for definitive
airway - Correct Answer
✅ :If breathing is absent..
1. pain - hallmark
sign, early sign
2. pressure -
early sign
3. pallor, pules, paresthesia, paralysis -
late sign - Correct Answer ✅ :Six P's
of compartment syndrome:
pg. 2
, TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
1. Preparation
2. Preoxygenation
3. Pretreatment
4. Paralysis and Induction
5. Protecting and positioning - v
6. Placement of proof - secure the tube
7. Post intubation - secure ETT Tube, get X-ray for placement - Correct Answer ✅ :Steps of
Rapid Sequence Intubation
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse - Correct Answer ✅ :Initial
Assessment
1. Suction the airway
2, Use care to avoid stimulating the gag reflex
3. If the airway is obstructed by blood or vomitus secretions, use a rigid suction device
If foreign body is noted, remove it carefully with forceps or another appropriate method -
Correct Answer ✅ :If Airway is not patent
1. The tongue obstructing the
airway
2. loose or missing
teeth
3. foreign
objects
4. blood, vomit, or
secretions'
5.
edema
6. burns or evidence of inhalation
injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema - Correct Answer ✅ :Inspect the mouth for:
50 to 150 - Correct Answer ✅ :MAP Range
500 mL/hr - Correct Answer ✅ :You are treating a 27 y/o M in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred due to the need for emergent
intubation. At what rate should you begin fluid resuscitation?
pg. 3
, TNCC test preps, TNCC Notes for Written Exam, TNCC Notes for
Written Exam, TNCC Prep, TNCC EXAM, TNCC 20th Edition
Graded A+
A 14 gauge needle that is inserted into the 2nd intercostal space in the midclavicular line on the
affected
side over the top of the rib to avoid neuromuscular bundle that runs under
the rib.
Prepare for chest tube placement. - Correct Answer ✅ :Tension pneumo intervention
a 52 y/o diabetic male with a partial thickness burn to the left lower leg - Correct Answer
✅ :Which of the following
patients warrants referral to a burn
center?
A breath every 5 to 6 seconds: 10-12 ventilations per minute - Correct Answer ✅ :Bag mask
ventilation
a pertinent medical hx is crucial - Correct Answer ✅ :Which of the following considerations
is the most important when
caring for a geriatric trauma
pt?
According to newtons law which of these two force is greater: size or force? - Correct Answer
✅ :Neither. For each force
there is an equal and opposite
reaction.
acidosis - Correct Answer ✅ :Which of the following is a component of the trauma triad of
death?
activation: consist of carotid and aortic bodies. ... detect changes in blood oxygen and Co2 and
pH. When Co2 rises or oxygen level of pH falls these receptors are activated and information is
relayed to the CNS and the cardiorespiratory centers in the medulla , which increases respiratory
rage and depth and BP - Correct Answer ✅ :Chemoreceptors:
advanced age - Correct Answer ✅ :Which of the following is most likely to contribute
to inadequate oxygenation and
ventilation?
after a physical examination if the pt has no radiologic abnormalities on CT - Correct
Answer ✅ :EMS arrives with the
intoxicated driver of a car involved in a MVC. EMS reports significant damage to the
drivers side of the
car. The pt is asking to have the cervical collar removed. When it is appropriate to remove
the cervical
collar?
Air cannot escape intrapleural space.. can begin to compress heart. pt will have sever
resp distress,
pg. 4
