TNCC trauma assessment EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

TNCC EXAM ms




Exam Solution ms




TNCC Trauma Nurse Process 2026 A+ GRADE ASSURED
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COMPLETE SOLUTIONS AND VERIFIED ANSWERS (A42
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08)




QUESTION 1 ms




Term
ANSWER

Definition



QUESTION 2 ms




Primary Survey - ABCDEFG LMNOP Secondary Survey - HIJ VIPP
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ANSWER

Across the room observation Alertness & Airway & Cervical Spine Immob Breathing & Ventilation Ci
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rculation & Control of hemorrhage Disability (Neuro status) Exposure & Environmental control Full s
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et of Vitals & Family presence Get Monitoring Devices --> Labs --> Monitor HR & Rhythym --
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> Naso/orogatric tube insertion --> Oxygen weaning assess capnography --
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> Pain assessment and management (pharm/nonphar) History & Head-to-
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toe assessment Inspect posterior surfaces Just keep reevealuating --> Vitals --
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> Identified Injuries & Intervention effectiveness --> Primary assessment --> Pain
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QUESTION 3 ms




Preparation and Triage ms ms




ANSWER

Activate trauma team Gather appropriate equipment (fluid warmer/peds) Don PPE Consider need fo
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r decontamination
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QUESTION 4 ms

, A - Across the room observation
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ANSWER

Assess for uncontrolled bleeding --> if observed, switch to C-ABC
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QUESTION 5 ms




A - Airway & Alertness w/ simultaneous Cervical Spine Immobilization
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ANSWER

-AVPU (alert, voice, pain, unresponsive) -
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Maintain cervical spine immobilization (using second person if suspected) -
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Assess airway patency, checking for: (4) 1. tongue blocking airway 2. missing or loose teeth 3. foreig
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n objects 4. secretions 5. snoring, gurgling
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QUESTION 6 ms




B - Breathing & Ventilation
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ANSWER

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Assess breathing effectiveness, checking for: (4) 1. spontaneous breathing 2. increased work of breat
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hing 3. breath sounds are present and equal 4. trach deviation or JVD 5. symmetrical chest rise/fall
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6. what is depth, rate, & pattern of RR 7. presence of subcutaneous emphysema -
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If intubated, assess ET Tube placement by: (3) 1. attaching CO2 detecter, assess after 5 to 6 breaths
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2. observe for chest rise and fall 3. auscultate over epigastrium & lungs for bilateral breath sounds -
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Note ET Tube placement at gums/teeth and secure it
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QUESTION 7 ms




C - Circulation & Control of Hemorrhage
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ANSWER

-Assess for: 1. unControlled Hemorrhage 2. Central pulse 3. skin Color/temp/moisture -
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Assess patency of 1st IV, Insert 2nd large bore IV, if needed -
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Administer warmed isotonic Crystalloids with blood tubing at Controlled/bolus rate
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QUESTION 8 ms




D - Disability (Neuro status)
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ANSWER

-Glasgow Coma Scale (eye, verbal,motor) --> if <15, obtain CT --> if <8, intubate -Check PUPILS --
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> CT if abnormal -GLUCOSE CHECKS!
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