Trauma Nursing Process - TNP - TNCC
9th Ed Exam Questions & Answers
(Grade A+)
What should you ask yourself after completing all of your
interventions and reassessments? -
correct answer ✅Does this patient need to be transferred to
another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 -
correct answer ✅1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to
intubate has been made? 4-8
may change based on C-ABC -
correct answer ✅4. Assess for obvious uncontrolled external
hemorrhage or unresponsiveness/apnea and the need to
reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
,Trauma Nursing Process - TNP - TNCC
9th Ed Exam Questions & Answers
(Grade A+)
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 -
correct answer ✅9**. If intubated, assess endotracheal tube
placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or
continue assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred -
correct answer ✅12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or
injuries
Continue the TNP following assessments of circulation, neuro
status, and removal of clothing to inspect for injury. 16-18 -
correct answer ✅16. Provide warmth
, Trauma Nursing Process - TNP - TNCC
9th Ed Exam Questions & Answers
(Grade A+)
17. Obtain a full set of vital signs and weight in kilograms (if not
determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 -
correct answer ✅19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26
-
correct answer ✅24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 -
correct answer ✅27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
9th Ed Exam Questions & Answers
(Grade A+)
What should you ask yourself after completing all of your
interventions and reassessments? -
correct answer ✅Does this patient need to be transferred to
another hospital, to surgery, or to critical care?
What happens prior to patient arrival? 1-3 -
correct answer ✅1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to
intubate has been made? 4-8
may change based on C-ABC -
correct answer ✅4. Assess for obvious uncontrolled external
hemorrhage or unresponsiveness/apnea and the need to
reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
,Trauma Nursing Process - TNP - TNCC
9th Ed Exam Questions & Answers
(Grade A+)
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11 -
correct answer ✅9**. If intubated, assess endotracheal tube
placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or
continue assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred -
correct answer ✅12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or
injuries
Continue the TNP following assessments of circulation, neuro
status, and removal of clothing to inspect for injury. 16-18 -
correct answer ✅16. Provide warmth
, Trauma Nursing Process - TNP - TNCC
9th Ed Exam Questions & Answers
(Grade A+)
17. Obtain a full set of vital signs and weight in kilograms (if not
determined earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23 -
correct answer ✅19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26
-
correct answer ✅24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43 -
correct answer ✅27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
