TNP TNCC 9TH EDITION FINAL EXAM PAPER
WITH ACCURATE VERIFIED SOLUTIONS A+
2026
◉ What does VIPP stand for? Answer: vital signs,
injuries/interventions, primary survey, pain
◉ During the head-to-toe, where would you find Grey-Turner's sign?
Answer: flank
◉ During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
◉ What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
◉ Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? Answer: AFTER head-to-toe, BEFORE J
(VIPP)
,◉ What three items are obtained during the pertinent history
assessment? Answer: Medical records, prehospital report, SAMPLE
◉ What are examples of nonpharmacologic measures? (must
identify at least one during testing) Answer: Distraction, family
presence, padding bony prominences, repositioning, splinting,
verbal reassurance
◉ For whom is capnography highly recommended? Answer: all
patients
◉ In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? Answer: EKG
◉ In Step 16 of "Exposure and Environment", you must name at
least one of these interventions: Answer: blankets, room temp
increase, warmed fluids, warming lights
◉ At what point PRIOR TO the head-to-toe is the patient inspected
for obvious injuries? Answer: In Step 15 of "Exposure and
Environment"
◉ In Step 13 of "Disability", what is assessed if pt is altered? Answer:
glucose
, ◉ To assess circulation, you must do these two main tasks: Answer:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a
pulse
◉ What do you do when alterations are identified in any of the steps
in the primary survery? Answer: intervene as appropriate and
reassess
◉ What three assessments must be done if the patient is intubated?
Answer: 1. attach CO2 detector and assess for evidence of exhaled
CO2; 2. observe for rise and fall of the chest w/ assisted ventilations;
3. auscultate over epigastrium for gurgling AND lungs for bilateral
breath sounds
◉ Four of these must be identified to assess breathing effectiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing,
subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
◉ What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section?
Answer: cardiac monitor
◉ When should 2 IV sites be established? Answer: During
"Circulation" assessment
WITH ACCURATE VERIFIED SOLUTIONS A+
2026
◉ What does VIPP stand for? Answer: vital signs,
injuries/interventions, primary survey, pain
◉ During the head-to-toe, where would you find Grey-Turner's sign?
Answer: flank
◉ During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
◉ What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
◉ Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? Answer: AFTER head-to-toe, BEFORE J
(VIPP)
,◉ What three items are obtained during the pertinent history
assessment? Answer: Medical records, prehospital report, SAMPLE
◉ What are examples of nonpharmacologic measures? (must
identify at least one during testing) Answer: Distraction, family
presence, padding bony prominences, repositioning, splinting,
verbal reassurance
◉ For whom is capnography highly recommended? Answer: all
patients
◉ In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? Answer: EKG
◉ In Step 16 of "Exposure and Environment", you must name at
least one of these interventions: Answer: blankets, room temp
increase, warmed fluids, warming lights
◉ At what point PRIOR TO the head-to-toe is the patient inspected
for obvious injuries? Answer: In Step 15 of "Exposure and
Environment"
◉ In Step 13 of "Disability", what is assessed if pt is altered? Answer:
glucose
, ◉ To assess circulation, you must do these two main tasks: Answer:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a
pulse
◉ What do you do when alterations are identified in any of the steps
in the primary survery? Answer: intervene as appropriate and
reassess
◉ What three assessments must be done if the patient is intubated?
Answer: 1. attach CO2 detector and assess for evidence of exhaled
CO2; 2. observe for rise and fall of the chest w/ assisted ventilations;
3. auscultate over epigastrium for gurgling AND lungs for bilateral
breath sounds
◉ Four of these must be identified to assess breathing effectiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing,
subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
◉ What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section?
Answer: cardiac monitor
◉ When should 2 IV sites be established? Answer: During
"Circulation" assessment
