TNCC 9TH EDITION QUESTIONS AND
ANSWERS FULLY CORRECT (SETS)
GRADED A+
MARCH mneumonic - ANSWER Massive Hemorrhage: Control with combat
gauze, celox gauze, or chito gauze; replacement of blood loss with whole blood or
1:1:1 ratio of plasma, RBC, and platelets to achieve SBP of 80-90mmHg.
Airway: Establish and maintain patent airway
Respiration: Decompress suspected tension pneumothorax, seal open chest
wounds, and support ventilation and oxygenation as required.
Circulation: Provide vascular access (IV/IO) and administer fluids as required to
treat shock
Head injury/Hypothermia: Prevent or treat hypotension and hypoxia to prevent
worsening of TBI and prevent or treat hypothermia.
AVPU - ANSWER Assessing Alertness
A: Alert and oriented
V: Responds to verbal stimuli
P: Responds only to painful stimuli
U: Unresponsive
LACE - ANSWER Soft Tissue Injuries
L: Lacerations
A: Abrasions, Avulsions
C: Contusions
E: Edema, Ecchymosis
Urinary Catheter Contraindications - ANSWER if urethral transsection is
suspected:
-blood at the urethral meatus
, TNCC 9TH EDITION QUESTIONS AND
ANSWERS FULLY CORRECT (SETS)
GRADED A+
-perineal ecchymosis
-scrotal ecchymosis
-high-riding or nonpalpable prostate
Breathing Intervention Reassessment - ANSWER 1. Attach CO2 detector
2. Listen over epigastrum
3. Bilateral breath sounds at midaxillary and midclavicular lines
4. Color change after 6 breaths
5. Monitor skin color; get xr
Troubleshooting Ventilator Alarms - ANSWER D: Displaced Tube
O: Obstructed or Kinked Tube
P: Pneumothorax
E: Equipment failure, such as the patient becoming detached from the equipment
or loss of capnography
Seven P's of RSI - ANSWER -Preparation: ensure you have all necessary
equipment and personnel. Verify IV sites
-Preoxygenation: high flow oxygen for minimum of 3 minutes. Position is HOB
elevated to 20 degrees. For spinal precautions, reverse Trendelenburg at 30
degrees.
-Pre-intubation optimization: Lidocaine (may reduce risk of rise in ICP during
intubation) or Fentanyl (mitigates sympathetic response increased HR and BP
during intubation) administration
-Paralysis with induction
ANSWERS FULLY CORRECT (SETS)
GRADED A+
MARCH mneumonic - ANSWER Massive Hemorrhage: Control with combat
gauze, celox gauze, or chito gauze; replacement of blood loss with whole blood or
1:1:1 ratio of plasma, RBC, and platelets to achieve SBP of 80-90mmHg.
Airway: Establish and maintain patent airway
Respiration: Decompress suspected tension pneumothorax, seal open chest
wounds, and support ventilation and oxygenation as required.
Circulation: Provide vascular access (IV/IO) and administer fluids as required to
treat shock
Head injury/Hypothermia: Prevent or treat hypotension and hypoxia to prevent
worsening of TBI and prevent or treat hypothermia.
AVPU - ANSWER Assessing Alertness
A: Alert and oriented
V: Responds to verbal stimuli
P: Responds only to painful stimuli
U: Unresponsive
LACE - ANSWER Soft Tissue Injuries
L: Lacerations
A: Abrasions, Avulsions
C: Contusions
E: Edema, Ecchymosis
Urinary Catheter Contraindications - ANSWER if urethral transsection is
suspected:
-blood at the urethral meatus
, TNCC 9TH EDITION QUESTIONS AND
ANSWERS FULLY CORRECT (SETS)
GRADED A+
-perineal ecchymosis
-scrotal ecchymosis
-high-riding or nonpalpable prostate
Breathing Intervention Reassessment - ANSWER 1. Attach CO2 detector
2. Listen over epigastrum
3. Bilateral breath sounds at midaxillary and midclavicular lines
4. Color change after 6 breaths
5. Monitor skin color; get xr
Troubleshooting Ventilator Alarms - ANSWER D: Displaced Tube
O: Obstructed or Kinked Tube
P: Pneumothorax
E: Equipment failure, such as the patient becoming detached from the equipment
or loss of capnography
Seven P's of RSI - ANSWER -Preparation: ensure you have all necessary
equipment and personnel. Verify IV sites
-Preoxygenation: high flow oxygen for minimum of 3 minutes. Position is HOB
elevated to 20 degrees. For spinal precautions, reverse Trendelenburg at 30
degrees.
-Pre-intubation optimization: Lidocaine (may reduce risk of rise in ICP during
intubation) or Fentanyl (mitigates sympathetic response increased HR and BP
during intubation) administration
-Paralysis with induction
