TNCC 9th Edition TNP Study Guide | Trauma Nursing Core Course | Complete Exam Questions and Answers

TNCC 9th Edition TNP

,What does the J stand for at the end of the secondary survery?
kr kr kr kr kr kr kr kr kr kr kr kr just keep evaluating - vipp
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What does VIPP stand for?kr kr kr kr vital signs, injuries/interventions, primary survey, pain
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During the head-to-toe, where would you find Grey-Turner's sign? flank
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During the head-to-toe, where would you find Cullen's sign?
kr kr kr kr kr kr kr kr umbilicus

What is sometimes deferred at the end of the head-to-toe? inspecting posterior
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Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting, psychosocial sup
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port, social services, splinting, tetanus, and wound care are all interventions that you do AFTER a
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nd before WHAT?
kr AFTER head-to-toe, BEFORE J (VIPP)
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What three items are obtained during the pertinent history assessment?
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Medical records, prehospital report, SAMPLE kr kr kr kr




What are examples of nonpharmacologic measures? (must identify at least one during testing)
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Distraction, family presence, padding bony prominences, repositioning, splinting, verbal r kr kr kr kr kr kr kr kr kr




eassurance

For whom is capnography highly recommended?
kr kr kr kr kr all patients kr




In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor?
kr kr kr kr kr kr kr kr kr kr kr kr kr EKG

In Step 16 of "Exposure and Environment", you must name at least one of these interventions:
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blankets, room temp increase, warmed fluids, warming lights kr kr kr kr kr kr kr




At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries?
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In Step 15 of "Exposure and Environment" kr kr kr kr kr kr




In Step 13 of "Disability", what is assessed if pt is altered? glucose
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To assess circulation, you must do these two main tasks:
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1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
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What do you do when alterations are identified in any of the steps in the primary survery?
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intervene as appropriate and reassess kr kr kr kr




What three assessments must be done if the patient is intubated?
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1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall
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of the chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for bil
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ateral breath sounds kr kr




Four of these must be identified to assess breathing effectiveness:
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Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, i
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, ncreased work of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, open wound
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s/deformities, skin color kr kr




What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which credit is giv
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en in the LMNOP section?
kr kr cardiac monitor kr kr kr




When should 2 IV sites be established?
kr kr kr kr kr kr During "Circulation" assessment kr kr




If the patient is intubated and you've already assessed ETT placement, what else needs to be don
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e with the ETT? (step 10)
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assess ETT position by noting the number at teeth/gums AND secure ETT kr kr kr kr kr kr kr kr kr kr kr




What should you verbalize after completing all ETT assessments?
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moving patient from assisted ventilation to mechanical kr kr kr kr kr kr




During which part of the primary survey would you anticipate the need for a chest tube, intubati
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on, decompression of pneumothorax, oxygen, or BVMs? "Breathing and Ventilation"
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Four of these must be identified to assess patency and protection of the airway:
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bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction, burns,
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fluids, foreign objects, vocalization
kr kr kr kr




During which part of the primary survey would there be anticipation for intubation, insertion of
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr




OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
kr kr kr kr kr kr kr kr kr kr




Assessing patency and protection of the airway, Step 7 of kr kr kr kr kr kr kr kr kr kr




"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
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If c-spine stabilization is necessary, what need should be stated?
kr kr kr kr kr kr kr kr kr




the need for a second person to provide manual c-spine stabilization
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An adult patient who sustained a severe head trauma has been intubated and is being manually
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ventilated via a bag- kr kr kr




mask device at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolus
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of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the puls
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e oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the
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cerebral blood flow? kr kr




A.Decrease the rate of manual ventilation. kr kr kr kr kr




B.Initiate another fluid bolus. kr kr kr




C.Re A.Decrease the rate of manual ventilation. kr kr kr kr kr