TNCC 9TH EDITION UPDATED EXAM TEST QUESTIONS AND
ANSWERS FIRM A+
✔✔What intervention specific to pregnancy with a gestation of greater than 20 weeks
should you consider if a patient is in shock? How is this accomplished? - ✔✔the patient
should be laid on her left side to relieve pressure from the inferior vena cava to improve
blood flow to the heart and back into circulation
✔✔Why are signs of hypovolemic shock, especially significant in a pregnant patient? -
✔✔- increased blood pressure is an early sign
- decreased fetal heart rate
-oliguria
-tissue hypoxia
-mental change
- MAP under 50
✔✔What injury specific of pregnancy may occur? What signs and symptoms would you
anticipate for these injuries? - ✔✔lower back pain, pelvic pain, abdominal pain, vaginal
bleeding
✔✔What is the process at your facility when a patient presents who has been sexually
assaulted? - ✔✔calling craig crisis center and letting the patient know that we have
called on their behalf. if they want to get the process started, they have to go to the
center to get the process going
✔✔Is there a sexual assault nurse examiner who responds to your department? -
✔✔nope, patient must go to craig crisis
✔✔What are the mandated reporting laws in your area for sexual assault victims? -
✔✔There is mandatory reporting of suspected child victims of physical and sexual
assault and neglect. There is no mandatory reporting for adult victims (18 years and
older) unless the adult victim cannot make their own healthcare decisions i.e., those
patients who have a legal guardian who makes decisions for them
✔✔What is trauma informed care? How is it integrated into your care for trauma
patients at your facility? - ✔✔Trauma-informed care (TIC) is a framework for
understanding and responding to the effects of trauma in healthcare, social service, and
other settings. This can be implemented by setting aside a set amount of time to sit with
the patient and go at their pace. be very patient with them.
✔✔What is the respond pneumonic? How have you used these approaches when
caring for trauma patients in the past? - ✔✔Reassure
Establish rapport
, Support the patient
Plan care; manage plan
Offer help
Never deliver news of death or disability to the patient or the family of yours
Determine the patient's needs
✔✔What are some example examples of stress disorders? - ✔✔Acute Stress disorder
Post traumatic stress disorder
✔✔What is the policy for family presence during resuscitation or invasive procedures at
your facility? Is this approach supported by the staff? - ✔✔our facility prefers for the
family to wait in the family room during resuscitations. However, if the patient is clearly
not going to recover, or has no quality of life, some MDs will bring in family to see how
invasive and brutal resuscitation efforts are and to allow them to peacefully go.
✔✔What are some interventions you can use to prevent escalation of negative
behaviors in patients or visitors? - ✔✔keeping all things in the famiyl room bolted to the
floor.
-allowing only 2 visitors at a time to see the patient
- use calm voice and demeanor
- try to affirm their feelings
✔✔What are some possible consequences for staff after repeated exposure to suffering
and trauma? How can you support a colleague who may be experiencing one of these
consequences? How can you care for yourself if you do it? - ✔✔- by being open to
sitting in silence
- taking multiple days off
- having a trauma dump buddy
✔✔Which disaster triage tool is used at your facility is the same tool used by the local
emergency medical services? - ✔✔- mass triage
- mass casualty protocol
- meetings for deparment managers and EMS workers on where the EMS crews will
stage at nights
✔✔How often are disaster drills were exercises carried at your facility? Have you
participated in one? - ✔✔I can't say we have participated in a disaster drill at the new
hospital. UAB main does one once every 6 months
✔✔What are the four phases of disaster management? - ✔✔mitigation, preparedness,
response, recovery
✔✔What is the key component of each phase of disaster management? - ✔✔Mitigation:
help reduce or avoid loss of life
ANSWERS FIRM A+
✔✔What intervention specific to pregnancy with a gestation of greater than 20 weeks
should you consider if a patient is in shock? How is this accomplished? - ✔✔the patient
should be laid on her left side to relieve pressure from the inferior vena cava to improve
blood flow to the heart and back into circulation
✔✔Why are signs of hypovolemic shock, especially significant in a pregnant patient? -
✔✔- increased blood pressure is an early sign
- decreased fetal heart rate
-oliguria
-tissue hypoxia
-mental change
- MAP under 50
✔✔What injury specific of pregnancy may occur? What signs and symptoms would you
anticipate for these injuries? - ✔✔lower back pain, pelvic pain, abdominal pain, vaginal
bleeding
✔✔What is the process at your facility when a patient presents who has been sexually
assaulted? - ✔✔calling craig crisis center and letting the patient know that we have
called on their behalf. if they want to get the process started, they have to go to the
center to get the process going
✔✔Is there a sexual assault nurse examiner who responds to your department? -
✔✔nope, patient must go to craig crisis
✔✔What are the mandated reporting laws in your area for sexual assault victims? -
✔✔There is mandatory reporting of suspected child victims of physical and sexual
assault and neglect. There is no mandatory reporting for adult victims (18 years and
older) unless the adult victim cannot make their own healthcare decisions i.e., those
patients who have a legal guardian who makes decisions for them
✔✔What is trauma informed care? How is it integrated into your care for trauma
patients at your facility? - ✔✔Trauma-informed care (TIC) is a framework for
understanding and responding to the effects of trauma in healthcare, social service, and
other settings. This can be implemented by setting aside a set amount of time to sit with
the patient and go at their pace. be very patient with them.
✔✔What is the respond pneumonic? How have you used these approaches when
caring for trauma patients in the past? - ✔✔Reassure
Establish rapport
, Support the patient
Plan care; manage plan
Offer help
Never deliver news of death or disability to the patient or the family of yours
Determine the patient's needs
✔✔What are some example examples of stress disorders? - ✔✔Acute Stress disorder
Post traumatic stress disorder
✔✔What is the policy for family presence during resuscitation or invasive procedures at
your facility? Is this approach supported by the staff? - ✔✔our facility prefers for the
family to wait in the family room during resuscitations. However, if the patient is clearly
not going to recover, or has no quality of life, some MDs will bring in family to see how
invasive and brutal resuscitation efforts are and to allow them to peacefully go.
✔✔What are some interventions you can use to prevent escalation of negative
behaviors in patients or visitors? - ✔✔keeping all things in the famiyl room bolted to the
floor.
-allowing only 2 visitors at a time to see the patient
- use calm voice and demeanor
- try to affirm their feelings
✔✔What are some possible consequences for staff after repeated exposure to suffering
and trauma? How can you support a colleague who may be experiencing one of these
consequences? How can you care for yourself if you do it? - ✔✔- by being open to
sitting in silence
- taking multiple days off
- having a trauma dump buddy
✔✔Which disaster triage tool is used at your facility is the same tool used by the local
emergency medical services? - ✔✔- mass triage
- mass casualty protocol
- meetings for deparment managers and EMS workers on where the EMS crews will
stage at nights
✔✔How often are disaster drills were exercises carried at your facility? Have you
participated in one? - ✔✔I can't say we have participated in a disaster drill at the new
hospital. UAB main does one once every 6 months
✔✔What are the four phases of disaster management? - ✔✔mitigation, preparedness,
response, recovery
✔✔What is the key component of each phase of disaster management? - ✔✔Mitigation:
help reduce or avoid loss of life
