TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
What does the J stand for at the end of the secondary survey? -
correct answer ✅just keep evaluating - vipp
What does VIPP stand for? -
correct answer ✅vital signs, injuries/interventions, primary survey,
pain
During the head-to-toe, where would you find Grey-Turner's sign? -
correct answer ✅flank
During the head-to-toe, where would you find Cullen's sign? -
correct answer ✅umbilicus
What is sometimes deferred at the end of the head-to-toe? -
correct 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? -
correct answer ✅AFTER head-to-toe, BEFORE J (VIPP)
,TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
What three items are obtained during the pertinent history
assessment? -
correct answer ✅Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify
at least one during testing) -
correct answer ✅Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended? -
correct answer ✅all patients
In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? -
correct answer ✅EKG
In Step 16 of "Exposure and Environment", you must name at least
one of these interventions: -
correct answer ✅blankets, room temp increase, warmed fluids,
warming lights
,TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
At what point PRIOR TO the head-to-toe is the patient inspected for
obvious injuries? -
correct answer ✅In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? -
correct answer ✅glucose
To assess circulation, you must do these two main tasks: -
correct 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? -
correct answer ✅intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? -
correct 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
, TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
Four of these must be identified to assess breathing effectiveness: -
correct 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? -
correct answer ✅cardiac monitor
When should 2 IV sites be established? -
correct 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) -
correct answer ✅assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? -
correct answer ✅moving patient from assisted ventilation to
mechanical
Questions and Answers 2026
What does the J stand for at the end of the secondary survey? -
correct answer ✅just keep evaluating - vipp
What does VIPP stand for? -
correct answer ✅vital signs, injuries/interventions, primary survey,
pain
During the head-to-toe, where would you find Grey-Turner's sign? -
correct answer ✅flank
During the head-to-toe, where would you find Cullen's sign? -
correct answer ✅umbilicus
What is sometimes deferred at the end of the head-to-toe? -
correct 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? -
correct answer ✅AFTER head-to-toe, BEFORE J (VIPP)
,TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
What three items are obtained during the pertinent history
assessment? -
correct answer ✅Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify
at least one during testing) -
correct answer ✅Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended? -
correct answer ✅all patients
In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? -
correct answer ✅EKG
In Step 16 of "Exposure and Environment", you must name at least
one of these interventions: -
correct answer ✅blankets, room temp increase, warmed fluids,
warming lights
,TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
At what point PRIOR TO the head-to-toe is the patient inspected for
obvious injuries? -
correct answer ✅In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? -
correct answer ✅glucose
To assess circulation, you must do these two main tasks: -
correct 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? -
correct answer ✅intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? -
correct 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
, TNCC 9th Edition TNP Exam Actual
Questions and Answers 2026
Four of these must be identified to assess breathing effectiveness: -
correct 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? -
correct answer ✅cardiac monitor
When should 2 IV sites be established? -
correct 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) -
correct answer ✅assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? -
correct answer ✅moving patient from assisted ventilation to
mechanical
