TNCC Questions and Answers with
Verified Solutions
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? ✔✔Airway/Intubate
Lab evidence of cellular perfusion ✔✔Base Excess (Less than -6 is BAD)
Multiple people are in the ER of different ages who all go to the same church. They all have the
same symptoms. What is the most likely cause? ✔✔Biologic
Suspected shock type with a spinal cord injury ✔✔Distributive Shock (Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the
cause? ✔✔Herniation
Middle Meningeal Artery ✔✔Epidural Hematoma (results from collection of blood that forms
between dura mater and skull)
,Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What
is the cause? ✔✔2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? ✔✔Ruptured diaphragm
Symptoms of __________________: include muffled heart sounds and hypotension
✔✔Pericardiocentesis
How should you dress a severed limb? ✔✔Sterile gauze with normal saline THEN put ice on it
Amylase level looks at _____________ ✔✔Pancreas
What should you do if your patient has hyphema (collection of blood inside the front part of the
eye?) ✔✔Sit HOB up to 30 degrees
Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness ✔✔Mitigation
,What organ is most at risk following a gunshot ✔✔Liver
8 year old child with longitudinal thigh lacerations ✔✔Sign of child abuse
Bleeding around belly button ✔✔Cullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? ✔✔Carboxyhemoglobin
(increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body ✔✔Biomechanics
Study of energy transfer as it applies to identifying actual or potential injuries ✔✔Kinematics
Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the effect
is a crushing pressure wave which creates a temporary cavity, followed by a rapid and violent
closing of the cavity. ✔✔Cavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue ✔✔Cavitation
, Used in OR; does not provide protection against aspiration and not recommended in patients who
have eaten recently. It is a supraglottic airway. ✔✔Laryngeal Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis opening between
an esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each with a
separate cuff. Does NOT provide protection against aspiration and is not indicated in children. It
is a retroglottic airway. ✔✔King Tube
Types of Shock (4) ✔✔Hypovolemic, Obstructive, Cardiogenic, Distributive
Hemorrhage is the leading cause. Can result from vomiting, diarrhea, and burn trauma.
Decreased circulating volume --> decreased preload. Therapy includes replacing the type of
volume that was lost. ✔✔Hypovolemic Shock
Results from hypo perfusion of tissue due to an obstruction in either the vasculature or heart.
Therapy aimed at relieving the obstruction and improving perfusion. ✔✔Obstructive Shock
Two classic examples of obstructive shock ✔✔Cardiac tamponade and tension pneumothorax
Verified Solutions
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? ✔✔Airway/Intubate
Lab evidence of cellular perfusion ✔✔Base Excess (Less than -6 is BAD)
Multiple people are in the ER of different ages who all go to the same church. They all have the
same symptoms. What is the most likely cause? ✔✔Biologic
Suspected shock type with a spinal cord injury ✔✔Distributive Shock (Includes neurogenic)
Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the
cause? ✔✔Herniation
Middle Meningeal Artery ✔✔Epidural Hematoma (results from collection of blood that forms
between dura mater and skull)
,Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What
is the cause? ✔✔2nd Impact Syndrome
Bowel sounds heard in the L chest. What is this a symptom of? ✔✔Ruptured diaphragm
Symptoms of __________________: include muffled heart sounds and hypotension
✔✔Pericardiocentesis
How should you dress a severed limb? ✔✔Sterile gauze with normal saline THEN put ice on it
Amylase level looks at _____________ ✔✔Pancreas
What should you do if your patient has hyphema (collection of blood inside the front part of the
eye?) ✔✔Sit HOB up to 30 degrees
Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness ✔✔Mitigation
,What organ is most at risk following a gunshot ✔✔Liver
8 year old child with longitudinal thigh lacerations ✔✔Sign of child abuse
Bleeding around belly button ✔✔Cullen's Sign
What would cause an inaccurate reading from an 02 saturation probe? ✔✔Carboxyhemoglobin
(increase FiO2 to 100%)
General study of forces and their effects on living tissue and the human body ✔✔Biomechanics
Study of energy transfer as it applies to identifying actual or potential injuries ✔✔Kinematics
Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the effect
is a crushing pressure wave which creates a temporary cavity, followed by a rapid and violent
closing of the cavity. ✔✔Cavitation
This rapid motion can lead to crushing, tearing, and shearing forces on tissue ✔✔Cavitation
, Used in OR; does not provide protection against aspiration and not recommended in patients who
have eaten recently. It is a supraglottic airway. ✔✔Laryngeal Mask Airway
Single tube retroglottic device inserted into the esophagus and traps the glottis opening between
an esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each with a
separate cuff. Does NOT provide protection against aspiration and is not indicated in children. It
is a retroglottic airway. ✔✔King Tube
Types of Shock (4) ✔✔Hypovolemic, Obstructive, Cardiogenic, Distributive
Hemorrhage is the leading cause. Can result from vomiting, diarrhea, and burn trauma.
Decreased circulating volume --> decreased preload. Therapy includes replacing the type of
volume that was lost. ✔✔Hypovolemic Shock
Results from hypo perfusion of tissue due to an obstruction in either the vasculature or heart.
Therapy aimed at relieving the obstruction and improving perfusion. ✔✔Obstructive Shock
Two classic examples of obstructive shock ✔✔Cardiac tamponade and tension pneumothorax
