TNCC Trauma Nursing Process Skill
Examination UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is the first step of the trauma nursing process (TNP) - CORRECT ANSWER Preparation
& Triage
What is happening in Preparation & Triage? - CORRECT ANSWER 1. Activate the team and
assign roles
2. Prepare the trauma room
3. Don appropriate PPE
What may need to be considered when preparing the trauma room? (5) - CORRECT
ANSWER IV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
What is the next step of the TNP (following preparation & Triage)? - CORRECT
ANSWER General impression
What is completed during the "General Impression"? - CORRECT ANSWER Assessing for
obvious life threatening circumstances and re-prioritizing the ABC's as necessary (C-ABC)
Specifically, what are some things we are assessing for in the general impression that would require
immediate intervention and re-prioritization of primary survery? - CORRECT ANSWER Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
, In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival? -
CORRECT ANSWER Complete the triage and Donning of PPE to protect yourself prior to
entering the room, but complete general impression and preparation steps simultaneously.
List the Mnemonic used for the primary Survery - CORRECT ANSWER A: Airway and
assessment of Alertness (stabilizing of Spine as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
What is the first step of the Primary Survey - CORRECT ANSWER A: Airway & Assessment
of alertness (with Cervical Spine Stabilization)
What are the steps includes when it comes to assessing Airway & alertness? - CORRECT
ANSWER 1. Assess level of consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
How does one "open the airway" with alert patients vs. Patients with possible csis? - CORRECT
ANSWER Alert: if able you can ask them to open their mouths for assessment
?CSI: require a second person to proceed manual cervical spine stabilization while you demonstrate
manual Jaw-thrust maneuver to assess airway
What are some things we are assessing for when evaluating patency and protection of airway (10) -
CORRECT ANSWER Bony deformity
Burns
Examination UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is the first step of the trauma nursing process (TNP) - CORRECT ANSWER Preparation
& Triage
What is happening in Preparation & Triage? - CORRECT ANSWER 1. Activate the team and
assign roles
2. Prepare the trauma room
3. Don appropriate PPE
What may need to be considered when preparing the trauma room? (5) - CORRECT
ANSWER IV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
What is the next step of the TNP (following preparation & Triage)? - CORRECT
ANSWER General impression
What is completed during the "General Impression"? - CORRECT ANSWER Assessing for
obvious life threatening circumstances and re-prioritizing the ABC's as necessary (C-ABC)
Specifically, what are some things we are assessing for in the general impression that would require
immediate intervention and re-prioritization of primary survery? - CORRECT ANSWER Apnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
, In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival? -
CORRECT ANSWER Complete the triage and Donning of PPE to protect yourself prior to
entering the room, but complete general impression and preparation steps simultaneously.
List the Mnemonic used for the primary Survery - CORRECT ANSWER A: Airway and
assessment of Alertness (stabilizing of Spine as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
J: Just keep Re-evaluating (Just keep swimming)
What is the first step of the Primary Survey - CORRECT ANSWER A: Airway & Assessment
of alertness (with Cervical Spine Stabilization)
What are the steps includes when it comes to assessing Airway & alertness? - CORRECT
ANSWER 1. Assess level of consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
How does one "open the airway" with alert patients vs. Patients with possible csis? - CORRECT
ANSWER Alert: if able you can ask them to open their mouths for assessment
?CSI: require a second person to proceed manual cervical spine stabilization while you demonstrate
manual Jaw-thrust maneuver to assess airway
What are some things we are assessing for when evaluating patency and protection of airway (10) -
CORRECT ANSWER Bony deformity
Burns
