TNCC Trauma Nursing Process Skill
Examination Questions With Correct
Answers
What is the first step of the trauma nursing process (TNP) - answer✔✔Preparation & Triage
What is happening in Preparation & Triage? - answer✔✔1. Activate the team and assign roles
2. Prepare the trauma room
3. Don appropriate PPE
What may need to be considered when preparing the trauma room? (5) - answer✔✔IV
equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
What is the next step of the TNP (following preparation & Triage)? - answer✔✔General
impression
What is completed during the "General Impression"? - answer✔✔Assessing for obvious life
threatening circumstances and re-prioritizing the ABC's as necessary (C-ABC)
Specifically, what are some things we are assessing for in the general impression that would
require immediate intervention and re-prioritization of primary survery? - answer✔✔Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
, ©THEBRIGHTSTARS 2024
In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival? -
answer✔✔Complete the triage and Donning of PPE to protect yourself prior to entering the
room, but complete general impression and preparation steps simultaneously.
List the Mnemonic used for the primary Survery - answer✔✔A: Airway and assessment of
Alertness (stabilizing of Spine as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
What is the first step of the Primary Survey - answer✔✔A: Airway & Assessment of alertness
(with Cervical Spine Stabilization)
What are the steps includes when it comes to assessing Airway & alertness? - answer✔✔1.
Assess level of consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
How does one "open the airway" with alert patients vs. patients with possible CSIs? -
answer✔✔Alert: if able you can ask them to open their mouths for assessment
?CSI: require a second person to proceed manual cervical spine stabilization while you
demonstrate manual Jaw-thrust maneuver to assess airway
What are some things we are assessing for when evaluating patency and protection of airway
(10) - answer✔✔Bony deformity
Burns
Edema
Fluids (Blood, Vomit, Secretions)