TNCC FULL SOLUTION TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ What are some physiological considerations for trauma patient who is
undergoing gender reassignment procedures? Answer: consider if HIV
positive, on any active hormones, homeless, on drugs
⩥ What are opportunities to improve the care provided to the patient
from the LGBTQ community at your facility? Answer: we only have so
many transgenders in alabama. honestly just being kind and
nonjudgmental
⩥ What is the pediatric assessment triangle? How is it used to help form
general impression of physiological stability when a pediatric patient
arrives to the emergency department? Answer: Appearance, work of
breathing, and circulation
it helps provide a general impression of the patient's physiologic status
and is performed before general contact is initiated
⩥ What are some anatomical or physiological differences in a pediatric
patient that can affect the components of the primary survey? What are
some cognitive and developmental considerations that increased risk of
injury? Answer: *look at Table 13-2 on pg 270,271*
pediatric patient's tend to regress developmentally when under extreme
stress.
,⩥ What are some steps at your facility to implement to improve
pediatric readiness? Answer: - have more pediatric supplies
- have more pediatric sensitivity training
- provide more pediatric readiness classes
⩥ What are some differences in pediatric compensatory mechanisms
compared to adult patients? Answer: Cardiovascular compensatory
methods are greater in children than adults. Ped's trauma patients
survival rate is directly related to their rapid airway management,
initiation of ventilatory support, and early recognition of intracranial and
intra-abdominal hemorrhage
⩥ what special considerations are needed for pediatric fluid volume and
medication administration and pediatric pain assessment? Answer: since
children can only take 20mL/kg of warmed isotonic fluids for
hypovolemic shock, a good method to deliver is push pull method.
administer each bolus in a 20mL syringe. count out how many you need
to deliver to keep track of volume
⩥ What are possible signs of child maltreatment? What is the TEN - 4
pneumonic Answer: Signs of maltreatment:
- injuries inconsistent with developmental stages
- injuries inconsistent with hx
- hx of repeated injuries
, - prolonged time wit injury
- injuries in various stages of healing
-rib fractures in children younger 18
*TEN-4: bruising to torso, ears, or neck in children under 4*
⩥ What injuries are more common and should be anticipated in an obese
patient? Answer: most common injuries are orthopedic injuries (pelvic
fractures, extremity fractures, pulmonary contusions, or rib fractures
⩥ What airway ventilation differences should be consider considered
when caring for an obese patient? Answer: consider narrow airway,
larger tongue, relaxed pharyngeal muscle
respiratory insufficiency due to chest-wall weight, decreased chest wall
compliance and increased airway resistance
⩥ What differences in equipment or it's use might be necessary in obese
patients? Answer: specialized imaging devices
bariatric beds
bariatric commodes
⩥ What considerations may be appropriate to keep the patient in the
staff safe when caring for an obese patient? Answer: -having multiple
people stand them up or sit them up in bed
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ What are some physiological considerations for trauma patient who is
undergoing gender reassignment procedures? Answer: consider if HIV
positive, on any active hormones, homeless, on drugs
⩥ What are opportunities to improve the care provided to the patient
from the LGBTQ community at your facility? Answer: we only have so
many transgenders in alabama. honestly just being kind and
nonjudgmental
⩥ What is the pediatric assessment triangle? How is it used to help form
general impression of physiological stability when a pediatric patient
arrives to the emergency department? Answer: Appearance, work of
breathing, and circulation
it helps provide a general impression of the patient's physiologic status
and is performed before general contact is initiated
⩥ What are some anatomical or physiological differences in a pediatric
patient that can affect the components of the primary survey? What are
some cognitive and developmental considerations that increased risk of
injury? Answer: *look at Table 13-2 on pg 270,271*
pediatric patient's tend to regress developmentally when under extreme
stress.
,⩥ What are some steps at your facility to implement to improve
pediatric readiness? Answer: - have more pediatric supplies
- have more pediatric sensitivity training
- provide more pediatric readiness classes
⩥ What are some differences in pediatric compensatory mechanisms
compared to adult patients? Answer: Cardiovascular compensatory
methods are greater in children than adults. Ped's trauma patients
survival rate is directly related to their rapid airway management,
initiation of ventilatory support, and early recognition of intracranial and
intra-abdominal hemorrhage
⩥ what special considerations are needed for pediatric fluid volume and
medication administration and pediatric pain assessment? Answer: since
children can only take 20mL/kg of warmed isotonic fluids for
hypovolemic shock, a good method to deliver is push pull method.
administer each bolus in a 20mL syringe. count out how many you need
to deliver to keep track of volume
⩥ What are possible signs of child maltreatment? What is the TEN - 4
pneumonic Answer: Signs of maltreatment:
- injuries inconsistent with developmental stages
- injuries inconsistent with hx
- hx of repeated injuries
, - prolonged time wit injury
- injuries in various stages of healing
-rib fractures in children younger 18
*TEN-4: bruising to torso, ears, or neck in children under 4*
⩥ What injuries are more common and should be anticipated in an obese
patient? Answer: most common injuries are orthopedic injuries (pelvic
fractures, extremity fractures, pulmonary contusions, or rib fractures
⩥ What airway ventilation differences should be consider considered
when caring for an obese patient? Answer: consider narrow airway,
larger tongue, relaxed pharyngeal muscle
respiratory insufficiency due to chest-wall weight, decreased chest wall
compliance and increased airway resistance
⩥ What differences in equipment or it's use might be necessary in obese
patients? Answer: specialized imaging devices
bariatric beds
bariatric commodes
⩥ What considerations may be appropriate to keep the patient in the
staff safe when caring for an obese patient? Answer: -having multiple
people stand them up or sit them up in bed
