TNCC EXAM LATEST VERSION UPDATED WITH COMPLETE SOLUTION
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse - CORRECT ANSWER-Initial
Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide
(ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - CORRECT ANSWER-ABCDEFGHI
Before the arrival of the pt - CORRECT ANSWER-When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility, right resources -
CORRECT ANSWER-Safe Care:
Uncontrolled Hemorrhage - CORRECT ANSWER-Major cause of preventable death:
, reorganize care to C-ABC - CORRECT ANSWER-If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation to
respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able to maintain
his or her airway adjunct may need to be placed while further assessment is made to
determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct
someone to chk in the pt is pulseless while assessing if the cause of the problem is the
airway. - CORRECT ANSWER-Airway and AVPU:
ask pt to pen his or her mouth - CORRECT ANSWER-While assessing airway the patient is
alert and responds to verbal stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction. If pt has a suspected csi, the
jaw thrust procedure should be done by two providers. One provider can maintain c-spine
and the other can perform the jaw thrust maneuver. - CORRECT ANSWER-While assessing
airway pt is unable to open mouth, responds only to pain, or is unresponsive you should..
1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse - CORRECT ANSWER-Initial
Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide
(ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - CORRECT ANSWER-ABCDEFGHI
Before the arrival of the pt - CORRECT ANSWER-When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility, right resources -
CORRECT ANSWER-Safe Care:
Uncontrolled Hemorrhage - CORRECT ANSWER-Major cause of preventable death:
, reorganize care to C-ABC - CORRECT ANSWER-If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation to
respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able to maintain
his or her airway adjunct may need to be placed while further assessment is made to
determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct
someone to chk in the pt is pulseless while assessing if the cause of the problem is the
airway. - CORRECT ANSWER-Airway and AVPU:
ask pt to pen his or her mouth - CORRECT ANSWER-While assessing airway the patient is
alert and responds to verbal stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction. If pt has a suspected csi, the
jaw thrust procedure should be done by two providers. One provider can maintain c-spine
and the other can perform the jaw thrust maneuver. - CORRECT ANSWER-While assessing
airway pt is unable to open mouth, responds only to pain, or is unresponsive you should..
1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
