TNCC TEST 8TH EDITION 8 ACTUAL TEST
QUESTIONS AND SOLVED ANSWERS
◉ What is the V in AVPU and what intervention may it indicate.
Answer: Responds to verbal stimuli, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
◉ What is the P in AVPU and what intervention may it indicate?
Answer: Responds to pain, patient may not be able to maintain his
or her airway and airway adjunct may be needed while further
assessment is made to determine intubation necessity.
◉ What is the U in AVPU and what must occur if this is the case?.
Answer: Unresponsive, announce loudly and direct someone to
check for pulses while assessing if the cause of the problem is the
airway.
◉ What do you inspect for in the airway?.
Answer: Tongue obstruction, loose or missing teeth, foreign objects,
blood, vomit, secretions, edema or evidence of burn.
◉ What is listened for with airway assessment?.
,Answer: Obstructive airway sounds such as snoring, gurgling or
stridor,
◉ What is palpated with airway assessment?.
Answer: Occlusive maxillofacial bony deformity.
◉ How can you ascertain if the advanced airway is properly placed?.
Answer: 1) Rise and fall of chest
2) Absence of gurgling on auscultation over epigastrium
3) Bilateral breath sounds
4) CO2 detection
◉ What are 2 examples of airway adjuncts?.
Answer: Nasopharyngeal airway and Oropharyngeal airway
◉ What is a definitive airway?.
Answer: A tracheal tube securely placed in the trachea with the cuff
inflated.
◉ How do you determine when to use a naso or oropharangyeal
airway?.
Answer: Naso if they are conscious, oro if they have no gag reflex.
, ◉ What GCS score necessitates a definitive airway?.
Answer: 8 or less
◉ What is inspected during breathing assessment?.
Answer: Spontaneous breaths, symmetrical chest rise and fall, depth
pattern and rate, signs of difficulty, skin color, open pneumothoraces,
JVD, singed nasal hairs.
◉ JVD and tracheal deviation can be an indication of what?.
Answer: Tension pneumothorax
◉ What and where do you auscultate during breathing assessment?.
Answer: Presence, quality, and equality at the 2nd intercostal space
midclavicular line and the bases at the 5th intercostal space anterior
axillary line.
◉ What do you palpate for during the breathing assessment?.
Answer: Bony structures and possible rib fractures.
◉ How quickly should you ventilate with a bag mask device?.
Answer: 10-12 breaths per minute
QUESTIONS AND SOLVED ANSWERS
◉ What is the V in AVPU and what intervention may it indicate.
Answer: Responds to verbal stimuli, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
◉ What is the P in AVPU and what intervention may it indicate?
Answer: Responds to pain, patient may not be able to maintain his
or her airway and airway adjunct may be needed while further
assessment is made to determine intubation necessity.
◉ What is the U in AVPU and what must occur if this is the case?.
Answer: Unresponsive, announce loudly and direct someone to
check for pulses while assessing if the cause of the problem is the
airway.
◉ What do you inspect for in the airway?.
Answer: Tongue obstruction, loose or missing teeth, foreign objects,
blood, vomit, secretions, edema or evidence of burn.
◉ What is listened for with airway assessment?.
,Answer: Obstructive airway sounds such as snoring, gurgling or
stridor,
◉ What is palpated with airway assessment?.
Answer: Occlusive maxillofacial bony deformity.
◉ How can you ascertain if the advanced airway is properly placed?.
Answer: 1) Rise and fall of chest
2) Absence of gurgling on auscultation over epigastrium
3) Bilateral breath sounds
4) CO2 detection
◉ What are 2 examples of airway adjuncts?.
Answer: Nasopharyngeal airway and Oropharyngeal airway
◉ What is a definitive airway?.
Answer: A tracheal tube securely placed in the trachea with the cuff
inflated.
◉ How do you determine when to use a naso or oropharangyeal
airway?.
Answer: Naso if they are conscious, oro if they have no gag reflex.
, ◉ What GCS score necessitates a definitive airway?.
Answer: 8 or less
◉ What is inspected during breathing assessment?.
Answer: Spontaneous breaths, symmetrical chest rise and fall, depth
pattern and rate, signs of difficulty, skin color, open pneumothoraces,
JVD, singed nasal hairs.
◉ JVD and tracheal deviation can be an indication of what?.
Answer: Tension pneumothorax
◉ What and where do you auscultate during breathing assessment?.
Answer: Presence, quality, and equality at the 2nd intercostal space
midclavicular line and the bases at the 5th intercostal space anterior
axillary line.
◉ What do you palpate for during the breathing assessment?.
Answer: Bony structures and possible rib fractures.
◉ How quickly should you ventilate with a bag mask device?.
Answer: 10-12 breaths per minute
