TNCC TEST 8TH EDITION 8 UPDATED EXAM
SCRIPT WITH COMPLETE ANSWERS
◉ B.
Answer: Breathing and Ventilation
◉ C.
Answer: Circulation and Control of Hemorrhage
◉ D.
Answer: Disability (neurologic status)
◉ E.
Answer: Exposure and Environmental control
◉ F.
Answer: Full set of Vital Signs, Family Presence, Focused adjuncts
◉ What is the first "assessment"?.
Answer: Across the room assessment.
,◉ Serosanguinous fluid drainage from the nose and ears could be
what and be indicative of what injury?.
Answer: CSF, basilar skull fracture.
◉ What are 2 rapid ways of testing if fluid is CSF?.
Answer: Drop some on gauze and look for halo or check for glucose
presence.
◉ The primary survey includes which steps?.
Answer: A B C D E
◉ G.
Answer: Get resuscitation adjuncts (LMNOP), Give comfort measures
◉ H.
Answer: History and Head to toe assessment
◉ I.
Answer: Inspect posterior surfaces, palpate spine, check rectum for
blood and tone.
◉ L.
,Answer: Lab studies
◉ M.
Answer: Monitor for continuous cardiac rhythm and rate assessment
◉ N.
Answer: Naso or orogastric tube consideration
◉ O.
Answer: Oxygenation and ventilation analysis (pulse ox or
capnography)
◉ P.
Answer: Pain assessment and management
◉ What alteration to ABC can exist, what is that alteration and when
is it identified?.
Answer: <C>ABC, <C> signifies catastrophic hemorrhage, identified
during across the room assessment.
◉ What is MARCH.
Answer: M Massive Hemorrhage
, A Airway
R Respiration- decompress suspected tension pneumo, seal open
chest wounds
C Circulation
H Head injury/ Hypothermia
◉ What is the A in AVPU?.
Answer: Alert
◉ 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.
SCRIPT WITH COMPLETE ANSWERS
◉ B.
Answer: Breathing and Ventilation
◉ C.
Answer: Circulation and Control of Hemorrhage
◉ D.
Answer: Disability (neurologic status)
◉ E.
Answer: Exposure and Environmental control
◉ F.
Answer: Full set of Vital Signs, Family Presence, Focused adjuncts
◉ What is the first "assessment"?.
Answer: Across the room assessment.
,◉ Serosanguinous fluid drainage from the nose and ears could be
what and be indicative of what injury?.
Answer: CSF, basilar skull fracture.
◉ What are 2 rapid ways of testing if fluid is CSF?.
Answer: Drop some on gauze and look for halo or check for glucose
presence.
◉ The primary survey includes which steps?.
Answer: A B C D E
◉ G.
Answer: Get resuscitation adjuncts (LMNOP), Give comfort measures
◉ H.
Answer: History and Head to toe assessment
◉ I.
Answer: Inspect posterior surfaces, palpate spine, check rectum for
blood and tone.
◉ L.
,Answer: Lab studies
◉ M.
Answer: Monitor for continuous cardiac rhythm and rate assessment
◉ N.
Answer: Naso or orogastric tube consideration
◉ O.
Answer: Oxygenation and ventilation analysis (pulse ox or
capnography)
◉ P.
Answer: Pain assessment and management
◉ What alteration to ABC can exist, what is that alteration and when
is it identified?.
Answer: <C>ABC, <C> signifies catastrophic hemorrhage, identified
during across the room assessment.
◉ What is MARCH.
Answer: M Massive Hemorrhage
, A Airway
R Respiration- decompress suspected tension pneumo, seal open
chest wounds
C Circulation
H Head injury/ Hypothermia
◉ What is the A in AVPU?.
Answer: Alert
◉ 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.
