TNCC - Trauma Nursing Core Course
TNCC - Trauma Nursing Core Course
Exam and Answers 2024-2025.
Initial Assessment - Answer: 1. Preparation and Triage
2. Primary Survey
3. Reevaluation
4. Secondary Survey
5. Reevaluation Adjuncts
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, TNCC - Trauma Nursing Core Course
6. Reevaluation and Post Resuscitation Care
7. Definitive Care or Transport
A (Primary Survey) - Answer: Airway and alertness with simultaneous cervical
spinal stabilization.
Alertness Assessment - Answer: A-Alert
V-Verbal
P-Painful
U-Unresponsive
Airway Assessment - Answer: Inspect: tongue obstruction, loose/missing teeth,
foreign objects, blood, vomitus, secretions, edema, burns or evidence of
inhalation injury
Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)
Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous
emphysema
Airway Interventions: - Answer: Suction
Remove foreign body if noted
Jaw thrust maneuver (maintain cspine)
Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)
Consider definitive airway
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, TNCC - Trauma Nursing Core Course
A (AVPU) - Answer: Alert. Will be able to maintain airway once clear.
V (AVPU) - Answer: Verbal. Needs verbal stimuli to respond.
(Airway adjunct may be needed to prevent tongue obstruction)
P (AVPU) - Answer: Painful. Responds only to painful stimuli.
(Airway adjunct may be needed while determining need for intubation)
U (AVPU) - Answer: Unresponsive. Does not respond to any stimuli.
B (Primary Survey) - Answer: Breathing and Ventilation
Breathing and Ventilation Assessment - Answer: Inspect: spontaneous breathing,
symmetrical rise and fall, depth/pattern/rate of respirations, accessory muscle
use, diaphragmatic breathing, skin color (normal, pale, flushed, cyanotic),
contusions/abrasions/deformities (signs of underlying injury), open
pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation
injury
Auscultate: presence, absence and equality of breath sounds at 2nd intercostal
space midclavicular line and bases at the fifth intercostal space anterior axillary
line
3
TNCC - Trauma Nursing Core Course
Exam and Answers 2024-2025.
Initial Assessment - Answer: 1. Preparation and Triage
2. Primary Survey
3. Reevaluation
4. Secondary Survey
5. Reevaluation Adjuncts
1
, TNCC - Trauma Nursing Core Course
6. Reevaluation and Post Resuscitation Care
7. Definitive Care or Transport
A (Primary Survey) - Answer: Airway and alertness with simultaneous cervical
spinal stabilization.
Alertness Assessment - Answer: A-Alert
V-Verbal
P-Painful
U-Unresponsive
Airway Assessment - Answer: Inspect: tongue obstruction, loose/missing teeth,
foreign objects, blood, vomitus, secretions, edema, burns or evidence of
inhalation injury
Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)
Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous
emphysema
Airway Interventions: - Answer: Suction
Remove foreign body if noted
Jaw thrust maneuver (maintain cspine)
Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)
Consider definitive airway
2
, TNCC - Trauma Nursing Core Course
A (AVPU) - Answer: Alert. Will be able to maintain airway once clear.
V (AVPU) - Answer: Verbal. Needs verbal stimuli to respond.
(Airway adjunct may be needed to prevent tongue obstruction)
P (AVPU) - Answer: Painful. Responds only to painful stimuli.
(Airway adjunct may be needed while determining need for intubation)
U (AVPU) - Answer: Unresponsive. Does not respond to any stimuli.
B (Primary Survey) - Answer: Breathing and Ventilation
Breathing and Ventilation Assessment - Answer: Inspect: spontaneous breathing,
symmetrical rise and fall, depth/pattern/rate of respirations, accessory muscle
use, diaphragmatic breathing, skin color (normal, pale, flushed, cyanotic),
contusions/abrasions/deformities (signs of underlying injury), open
pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation
injury
Auscultate: presence, absence and equality of breath sounds at 2nd intercostal
space midclavicular line and bases at the fifth intercostal space anterior axillary
line
3
