TNCC TRAUMA NURSING CORE COURSE UPDATED
QUESTIONS AND CORRECT ANSWERS
Describe components of both Primary & Secondary Assessment (Pneumonic) - CORRECT
ANSWER✅✅✅Primary:
A- Airway w/ simultaneous cervical spine protection
B- Breathing
C- Circulation
D- Disability (neurologic status)
E- Expose/environmental (Remove clothing and keep pt. warm)
Secondary:
F- Full set VS/ focused adjuncts (cardiac monitor, urinary catheter, gastric tube) family presence
G- Give comfort measures (verbal reassurance, touch, pain management)
H- History and Head to Toe Assessment
I- Inspect posterior surfaces
If situation is critical, what history information is most important? - CORRECT
ANSWER✅✅✅Brief statement composed of patient's Major Injuries or Chief Complaints
and the Mechanism of Injury.
What to look for when assessing airway... - CORRECT ANSWER✅✅✅Vocalization- Is pt
able to talk? Cry/Moan?
Tongue obstructing airway
Loose teeth or foreign objects
Blood, vomit, or other secretions
Edema
Maintain _______ ______ ________ for any patient whose mechanism of injury, symptoms, or
physical findings suggest a spinal injury - CORRECT ANSWER✅✅✅Maintain CERVICAL
,SPINE PROTECTION for any patient whose mechanism of injury, symptoms, or physical
findings suggest a spinal injury
Before proceeding with cervical spine protection, ensure that interventions do not compromise
the patient's _______ status. - CORRECT ANSWER✅✅✅breathing
If the airway is totally or partially obstructed, place the patient in ______ position. While
maintaining ______ spine protection, ______ the patient onto his or _____. Carefully and gently
remove any ______ if necessary to allow access to the airway and cervical spine. _________ing
wounds may cause disruption of the integrity of the airway, and ______ trauma may lead to
injury of the larynx or other upper structures, causing partial or complete _______. - CORRECT
ANSWER✅✅✅If the airway is totally or partially obstructed, place the patient in SUPINE
position. While maintaining CERVICAL spine protection, LOGROLL the patient onto his or
BACK. Carefully and gently remove any HEADGEAR if necessary to allow access to the airway
and cervical spine. PENETRATING wounds may cause disruption of the integrity of the airway,
and BLUNT trauma may lead to injury of the larynx or other upper structures, causing partial or
complete OBSTRUCTION.
Complete spinal immobilization includes... - CORRECT ANSWER✅✅✅Complete spinal
immobilization includes...
application of a rigid cervical collar
placing patient on a backboard and
appropriately strapping patient to backboard
When should complete spinal immobilization be done? - CORRECT ANSWER✅✅✅at the
completion of the secondary assessment, depending on the degree of resuscitation required and
availability of team members
4 Techniques to open or clear an obstructed airway during primary assessment - CORRECT
ANSWER✅✅✅jaw thrust
chin lift
removal of loose teeth or foreign objects
suctioning
,When attempting to clear the airway, maintain cervical spine in a _____ position. Do not
hyperextend, flex, or rotate the neck during these maneuvers. - CORRECT
ANSWER✅✅✅When attempting to clear the airway, maintain cervical spine in a
NEUTRAL position. Do not hyperextend, flex, or rotate the neck during these maneuvers.
Suction gently to prevent stimulation of the ___ reflex. - CORRECT ANSWER✅✅✅gag
Prepare for endotracheal intubation:
_____ the patient with a _______ device before ET intubation.
A_________ m______ to facilitate ET intubation.
Use an _____ ______ if the patient's airway can't be managed with ET intubation. - CORRECT
ANSWER✅✅✅Prepare for endotracheal intubation:
VENTILATE the patient with a BAG-MASK device before ET intubation.
ADMINSITER MEDICATIONS to facilitate ET intubation.
Use an ALTERNATIVE AIRWAY if the patient's airway can't be managed with ET intubation.
If there are any life-threatening compromises in airway status, stop and intervene to correct the
problem. What are 4 examples of life-threatening airway conditions? - CORRECT
ANSWER✅✅✅LOBE
loose teeth or foreign objects
obstruction by tongue (partial or complete)
blood, vomit, or other secretions
edema
Life-threatening compromises in _______ may occur with a history of:
-blunt or penetrating injuries of the _____
-acceleration, deceleration, or a combination of both types of forces, such as ______ ________
________, f______, or ____ injuries. - CORRECT ANSWER✅✅✅Life-threatening
compromises in BREATHING may occur with a history of:
, -blunt or penetrating injuries of the THORAX
-acceleration, deceleration, or a combination of both types of forces, such as MVC'S, FALLS, or
CRUSH injuries.
Once the patency of the airway is ensured, what are some ways to assess the quality of
breathing?
______ _____ and _____ _______ _______ are considered late signs of considered late signs of
breathing compromise. TRACHEAL DEVIATION and JUGULAR VEIN DISTENTION are
considered late signs of considered late signs of breathing compromise. - CORRECT
ANSWER✅✅✅spontaneous breathing
rise and fall of chest
rate and pattern of breathing
use of accessory muscles
diaphragmatic vs. abdominal breathing
color
integrity of soft tissues & bony structures of chest wall
bilateral breath sounds
All trauma patients should receive _______, regardless of their preexisting history. - CORRECT
ANSWER✅✅✅All trauma patients should receive OXYGEN, regardless of their preexisting
history.
It is best to deliver oxygen to an alert trauma patient via ....
Supplemental oxygen should be administered at a flow rate sufficient to keep the reservoir bag
inflated/deflated during expiration/inspiration. - CORRECT ANSWER✅✅✅It is best to
deliver oxygen to an alert trauma patient via a tight-fitting nonrebreather mask.
Supplemental oxygen should be administered at a flow rate sufficient to keep the reservoir bag
inflated during inspiration.
QUESTIONS AND CORRECT ANSWERS
Describe components of both Primary & Secondary Assessment (Pneumonic) - CORRECT
ANSWER✅✅✅Primary:
A- Airway w/ simultaneous cervical spine protection
B- Breathing
C- Circulation
D- Disability (neurologic status)
E- Expose/environmental (Remove clothing and keep pt. warm)
Secondary:
F- Full set VS/ focused adjuncts (cardiac monitor, urinary catheter, gastric tube) family presence
G- Give comfort measures (verbal reassurance, touch, pain management)
H- History and Head to Toe Assessment
I- Inspect posterior surfaces
If situation is critical, what history information is most important? - CORRECT
ANSWER✅✅✅Brief statement composed of patient's Major Injuries or Chief Complaints
and the Mechanism of Injury.
What to look for when assessing airway... - CORRECT ANSWER✅✅✅Vocalization- Is pt
able to talk? Cry/Moan?
Tongue obstructing airway
Loose teeth or foreign objects
Blood, vomit, or other secretions
Edema
Maintain _______ ______ ________ for any patient whose mechanism of injury, symptoms, or
physical findings suggest a spinal injury - CORRECT ANSWER✅✅✅Maintain CERVICAL
,SPINE PROTECTION for any patient whose mechanism of injury, symptoms, or physical
findings suggest a spinal injury
Before proceeding with cervical spine protection, ensure that interventions do not compromise
the patient's _______ status. - CORRECT ANSWER✅✅✅breathing
If the airway is totally or partially obstructed, place the patient in ______ position. While
maintaining ______ spine protection, ______ the patient onto his or _____. Carefully and gently
remove any ______ if necessary to allow access to the airway and cervical spine. _________ing
wounds may cause disruption of the integrity of the airway, and ______ trauma may lead to
injury of the larynx or other upper structures, causing partial or complete _______. - CORRECT
ANSWER✅✅✅If the airway is totally or partially obstructed, place the patient in SUPINE
position. While maintaining CERVICAL spine protection, LOGROLL the patient onto his or
BACK. Carefully and gently remove any HEADGEAR if necessary to allow access to the airway
and cervical spine. PENETRATING wounds may cause disruption of the integrity of the airway,
and BLUNT trauma may lead to injury of the larynx or other upper structures, causing partial or
complete OBSTRUCTION.
Complete spinal immobilization includes... - CORRECT ANSWER✅✅✅Complete spinal
immobilization includes...
application of a rigid cervical collar
placing patient on a backboard and
appropriately strapping patient to backboard
When should complete spinal immobilization be done? - CORRECT ANSWER✅✅✅at the
completion of the secondary assessment, depending on the degree of resuscitation required and
availability of team members
4 Techniques to open or clear an obstructed airway during primary assessment - CORRECT
ANSWER✅✅✅jaw thrust
chin lift
removal of loose teeth or foreign objects
suctioning
,When attempting to clear the airway, maintain cervical spine in a _____ position. Do not
hyperextend, flex, or rotate the neck during these maneuvers. - CORRECT
ANSWER✅✅✅When attempting to clear the airway, maintain cervical spine in a
NEUTRAL position. Do not hyperextend, flex, or rotate the neck during these maneuvers.
Suction gently to prevent stimulation of the ___ reflex. - CORRECT ANSWER✅✅✅gag
Prepare for endotracheal intubation:
_____ the patient with a _______ device before ET intubation.
A_________ m______ to facilitate ET intubation.
Use an _____ ______ if the patient's airway can't be managed with ET intubation. - CORRECT
ANSWER✅✅✅Prepare for endotracheal intubation:
VENTILATE the patient with a BAG-MASK device before ET intubation.
ADMINSITER MEDICATIONS to facilitate ET intubation.
Use an ALTERNATIVE AIRWAY if the patient's airway can't be managed with ET intubation.
If there are any life-threatening compromises in airway status, stop and intervene to correct the
problem. What are 4 examples of life-threatening airway conditions? - CORRECT
ANSWER✅✅✅LOBE
loose teeth or foreign objects
obstruction by tongue (partial or complete)
blood, vomit, or other secretions
edema
Life-threatening compromises in _______ may occur with a history of:
-blunt or penetrating injuries of the _____
-acceleration, deceleration, or a combination of both types of forces, such as ______ ________
________, f______, or ____ injuries. - CORRECT ANSWER✅✅✅Life-threatening
compromises in BREATHING may occur with a history of:
, -blunt or penetrating injuries of the THORAX
-acceleration, deceleration, or a combination of both types of forces, such as MVC'S, FALLS, or
CRUSH injuries.
Once the patency of the airway is ensured, what are some ways to assess the quality of
breathing?
______ _____ and _____ _______ _______ are considered late signs of considered late signs of
breathing compromise. TRACHEAL DEVIATION and JUGULAR VEIN DISTENTION are
considered late signs of considered late signs of breathing compromise. - CORRECT
ANSWER✅✅✅spontaneous breathing
rise and fall of chest
rate and pattern of breathing
use of accessory muscles
diaphragmatic vs. abdominal breathing
color
integrity of soft tissues & bony structures of chest wall
bilateral breath sounds
All trauma patients should receive _______, regardless of their preexisting history. - CORRECT
ANSWER✅✅✅All trauma patients should receive OXYGEN, regardless of their preexisting
history.
It is best to deliver oxygen to an alert trauma patient via ....
Supplemental oxygen should be administered at a flow rate sufficient to keep the reservoir bag
inflated/deflated during expiration/inspiration. - CORRECT ANSWER✅✅✅It is best to
deliver oxygen to an alert trauma patient via a tight-fitting nonrebreather mask.
Supplemental oxygen should be administered at a flow rate sufficient to keep the reservoir bag
inflated during inspiration.
