TNCC EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
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 - ANS Initial Assessment
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
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, H- History and head to toe assessment
I- Inspect posterior surfaces - ANS ABCDEFGHI
Before the arrival of the pt - ANS When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility, right resources -
ANS Safe Care:
Uncontrolled Hemorrhage - ANS Major cause of preventable death:
reorganize care to C-ABC - ANS If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation to
respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able to maintain his
or her airway adjunct may need to be placed while further assessment is made to determine
the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct
someone to chk in the pt is pulseless while assessing if the cause of the problem is the airway. -
ANS Airway and AVPU:
ask pt to pen his or her mouth - ANS While assessing airway the patient is alert and responds
to verbal stimuli you should..
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS GRADED A+ 2025/2026
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 - ANS Initial Assessment
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
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, H- History and head to toe assessment
I- Inspect posterior surfaces - ANS ABCDEFGHI
Before the arrival of the pt - ANS When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility, right resources -
ANS Safe Care:
Uncontrolled Hemorrhage - ANS Major cause of preventable death:
reorganize care to C-ABC - ANS If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation to
respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able to maintain his
or her airway adjunct may need to be placed while further assessment is made to determine
the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct
someone to chk in the pt is pulseless while assessing if the cause of the problem is the airway. -
ANS Airway and AVPU:
ask pt to pen his or her mouth - ANS While assessing airway the patient is alert and responds
to verbal stimuli you should..
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
