TNCC 8TH EDITION EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ —What does VIPP stand for? Answer: vital signs,
injuries/interventions, primary survey, pain
◉ —During the head-to-toe, where would you find Grey-Turner's
sign? Answer: flank
◉ —During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
◉ -What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
◉ -Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? Answer: AFTER head-to-toe, BEFORE J
(VIPP)
◉ -What three items are obtained during the pertinent history
assessment? Answer: Medical records, prehospital report, SAMPLE
,◉ -What are examples of nonpharmacologic measures? (must
identify at least one during testing) Answer: Distraction, family
presence, padding bony prominences, repositioning, splinting,
verbal reassurance
◉ -For whom is capnography highly recommended? Answer: all
patients
◉ -In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? Answer: EKG
◉ -In Step 16 of "Exposure and Environment", you must name at
least one of these interventions: Answer: blankets, room temp
increase, warmed fluids, warming lights
◉ -To assess circulation, you must do these two main tasks: Answer:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a
pulse
◉ -What do you do when alterations are identified in any of the
steps in the primary survery? Answer: intervene as appropriate and
reassess
◉ -What three assessments must be done if the patient is intubated?
Answer: 1. attach CO2 detector and assess for evidence of exhaled
,CO2; 2. observe for rise and fall of the chest w/ assisted ventilations;
3. auscultate over epigastrium for gurgling AND lungs for bilateral
breath sounds
◉ -Four of these must be identified to assess breathing effectiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing,
subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
◉ -What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section?
Answer: cardiac monitor
◉ -When should 2 IV sites be established? Answer: During
"Circulation" assessment
◉ -If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
Answer: assess ETT position by noting the number at teeth/gums
AND secure ETT
◉ -What should you verbalize after completing all ETT assessments?
Answer: moving patient from assisted ventilation to mechanical
, ◉ -During which part of the primary survey would you anticipate
the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs? Answer: "Breathing and
Ventilation"
◉ -Four of these must be identified to assess patency and protection
of the airway: Answer: bony deformity, loose teeth, edema,
inhalation injury, sounds, tongue obstruction, burns, fluids, foreign
objects, vocalization
◉ -During which part of the primary survey would there be
anticipation for intubation, insertion of OPA/NPA, removal of any
loose teeth or foreign objects, or suctioning? Answer: Assessing
patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal
Stabilization"
◉ If c-spine stabilization is necessary, what need should be stated?
Answer: the need for a second person to provide manual c-spine
stabilization
◉ *An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry
QUESTIONS WITH ANSWERS GRADED A+
◉ —What does VIPP stand for? Answer: vital signs,
injuries/interventions, primary survey, pain
◉ —During the head-to-toe, where would you find Grey-Turner's
sign? Answer: flank
◉ —During the head-to-toe, where would you find Cullen's sign?
Answer: umbilicus
◉ -What is sometimes deferred at the end of the head-to-toe?
Answer: inspecting posterior
◉ -Antibiotics, consults, head CT, imaging, law enforcement,
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do
AFTER and before WHAT? Answer: AFTER head-to-toe, BEFORE J
(VIPP)
◉ -What three items are obtained during the pertinent history
assessment? Answer: Medical records, prehospital report, SAMPLE
,◉ -What are examples of nonpharmacologic measures? (must
identify at least one during testing) Answer: Distraction, family
presence, padding bony prominences, repositioning, splinting,
verbal reassurance
◉ -For whom is capnography highly recommended? Answer: all
patients
◉ -In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? Answer: EKG
◉ -In Step 16 of "Exposure and Environment", you must name at
least one of these interventions: Answer: blankets, room temp
increase, warmed fluids, warming lights
◉ -To assess circulation, you must do these two main tasks: Answer:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a
pulse
◉ -What do you do when alterations are identified in any of the
steps in the primary survery? Answer: intervene as appropriate and
reassess
◉ -What three assessments must be done if the patient is intubated?
Answer: 1. attach CO2 detector and assess for evidence of exhaled
,CO2; 2. observe for rise and fall of the chest w/ assisted ventilations;
3. auscultate over epigastrium for gurgling AND lungs for bilateral
breath sounds
◉ -Four of these must be identified to assess breathing effectiveness:
Answer: Breath sounds, depth/pattern/rate, spontaneous breathing,
subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
◉ -What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section?
Answer: cardiac monitor
◉ -When should 2 IV sites be established? Answer: During
"Circulation" assessment
◉ -If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
Answer: assess ETT position by noting the number at teeth/gums
AND secure ETT
◉ -What should you verbalize after completing all ETT assessments?
Answer: moving patient from assisted ventilation to mechanical
, ◉ -During which part of the primary survey would you anticipate
the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs? Answer: "Breathing and
Ventilation"
◉ -Four of these must be identified to assess patency and protection
of the airway: Answer: bony deformity, loose teeth, edema,
inhalation injury, sounds, tongue obstruction, burns, fluids, foreign
objects, vocalization
◉ -During which part of the primary survey would there be
anticipation for intubation, insertion of OPA/NPA, removal of any
loose teeth or foreign objects, or suctioning? Answer: Assessing
patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal
Stabilization"
◉ If c-spine stabilization is necessary, what need should be stated?
Answer: the need for a second person to provide manual c-spine
stabilization
◉ *An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry
