TNCC EXAM
TNCC EXAM Study Guide Review Exam
Containing 71 Questions with Definitive
Solutions 2024-2025
Initial Assessment - Answer: 1. Preparation and Triage
2. Primary Survey (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
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, TNCC EXAM
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
ABCDEFGHI - Answer: 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 capnography
H- History and head to toe assessment
I- Inspect posterior surfaces
When should PPE be placed: - Answer: Before the arrival of the pt
Safe Care: - Answer: Pt is at hospital in the right amount of time, right care, right
trauma facility, right resources
Major cause of preventable death: - Answer: Uncontrolled Hemorrhage
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, TNCC EXAM
If uncontrolled hemorrhage .. - Answer: reorganize care to C-ABC
Airway and AVPU: - Answer: 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.
While assessing airway the patient is alert and responds to verbal stimuli you
should.. - Answer: ask pt to pen his or her mouth
While assessing airway pt is unable to open mouth, responds only to pain, or is
unresponsive you should.. - Answer: 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.
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TNCC EXAM Study Guide Review Exam
Containing 71 Questions with Definitive
Solutions 2024-2025
Initial Assessment - Answer: 1. Preparation and Triage
2. Primary Survey (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
1
, TNCC EXAM
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
ABCDEFGHI - Answer: 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 capnography
H- History and head to toe assessment
I- Inspect posterior surfaces
When should PPE be placed: - Answer: Before the arrival of the pt
Safe Care: - Answer: Pt is at hospital in the right amount of time, right care, right
trauma facility, right resources
Major cause of preventable death: - Answer: Uncontrolled Hemorrhage
2
, TNCC EXAM
If uncontrolled hemorrhage .. - Answer: reorganize care to C-ABC
Airway and AVPU: - Answer: 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.
While assessing airway the patient is alert and responds to verbal stimuli you
should.. - Answer: ask pt to pen his or her mouth
While assessing airway pt is unable to open mouth, responds only to pain, or is
unresponsive you should.. - Answer: 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.
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