TNCC 9th Edition TNP Exam
Questions & Answers (Grade A+) 2026
—What does the J stand for at the end of the secondary survery? -
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
Questions & Answers (Grade A+) 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
Questions & Answers (Grade A+) 2026
-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
-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
, TNCC 9th Edition TNP Exam
Questions & Answers (Grade A+) 2026
-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
-During which part of the primary survey would you anticipate the
need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs? -
correct answer ✅"Breathing and Ventilation"
Questions & Answers (Grade A+) 2026
—What does the J stand for at the end of the secondary survery? -
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
Questions & Answers (Grade A+) 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
Questions & Answers (Grade A+) 2026
-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
-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
, TNCC 9th Edition TNP Exam
Questions & Answers (Grade A+) 2026
-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
-During which part of the primary survey would you anticipate the
need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs? -
correct answer ✅"Breathing and Ventilation"
