TNCC TEST PREP A 8TH EDITION
COMPREHENSIVE SCRIPT WITH SOLUTIONS
◉ 1. Apnea
2. GCS 8 or less
3. Maxillary fractures
4. Evidence of inhalation injury (facial burns)
5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspiration and patients inability to protect the airway
7. Compromised or ineffective ventilation.
Answer: Following conditions might require a definitive airway
◉ Breathing: To assess breathing expose the chest:
1. Inspect for
a. spontaneous breathing
b. symmetrical rise and fall
c. depth, pattern, and rate of respiration
d. signs of difficulty breathing such as accessory muscle use
e. skin color (normal, pale, flushed, cyanotic)
f. contusions, abrasions, deformities (flail chest)
g. open pneumothoraces (sucking chest wounds)
, h. JVD
i. signs of inhalation injury (singed nasal hairs, carbonaceous
sputum).
Answer: B
◉ tracheal deviation and jvd.
Answer: Late signs of tension pneumo:
◉ 1. equal breath sounds bilaterally at the second intercostal space
midclavicular line and the bases for fifth intercostal space at the
axillary line.
Answer: Auscultate the chest for:
◉ 1. bony fractures and possible rib fractures, which may impact
ventilation
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a
pneumothorax
4. soft tissue injury.
Answer: Palpate the chest for
◉ 1. open the airway, use jaw thrust
2. insert an oral airway
COMPREHENSIVE SCRIPT WITH SOLUTIONS
◉ 1. Apnea
2. GCS 8 or less
3. Maxillary fractures
4. Evidence of inhalation injury (facial burns)
5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspiration and patients inability to protect the airway
7. Compromised or ineffective ventilation.
Answer: Following conditions might require a definitive airway
◉ Breathing: To assess breathing expose the chest:
1. Inspect for
a. spontaneous breathing
b. symmetrical rise and fall
c. depth, pattern, and rate of respiration
d. signs of difficulty breathing such as accessory muscle use
e. skin color (normal, pale, flushed, cyanotic)
f. contusions, abrasions, deformities (flail chest)
g. open pneumothoraces (sucking chest wounds)
, h. JVD
i. signs of inhalation injury (singed nasal hairs, carbonaceous
sputum).
Answer: B
◉ tracheal deviation and jvd.
Answer: Late signs of tension pneumo:
◉ 1. equal breath sounds bilaterally at the second intercostal space
midclavicular line and the bases for fifth intercostal space at the
axillary line.
Answer: Auscultate the chest for:
◉ 1. bony fractures and possible rib fractures, which may impact
ventilation
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a
pneumothorax
4. soft tissue injury.
Answer: Palpate the chest for
◉ 1. open the airway, use jaw thrust
2. insert an oral airway
