TNCC QUESTION BANK 2026 EMERGENCY
CARE REVIEW MATERIAL SOLUTIONS
UPDATED A+
◉ What are some anatomical or physiological differences in an older
adult that can affect the components of the primary survey and
should be considered when caring for these patients?
Answer: - decreased airway protection due to reduced muscle tone
in the pharynx
- diminished chest wall compliance leading to poorer ventilation,
- fragile skin with increased risk of tears
- decreased cardiac reserve
- reduced renal function
- potential cognitive impairments which can hinder communication
and cooperation during assessment.
◉ What are the most common mechanisms of injury in older adult
adults? Why?
Answer: Most common MOI is falls, often caused by wet surfaces,
poor lighting, inadequate footwear, cluttered pathways, along with
weakness, gait, and balance impairments, and use of psychoactive
medications
, ◉ How does your facility define older
Answer: over the age of 65
◉ What comorbidities or other factor should be considered when
providing care for older trauma patients?
Answer: HTN
CVD
DM
CKD
COPD
hx of stroke
anticoagulations on board
◉ Why are older patients at risk for pulmonary complications
especially when there is tenderness to the chest area and pain on
movement or inspiration?
Answer: due to age-related decline in lung function, weakened
respiratory muscles, decreased chest wall compliance, and a
compromised immune system
◉ What considerations are there when evaluating vitals of older
trauma patients?
CARE REVIEW MATERIAL SOLUTIONS
UPDATED A+
◉ What are some anatomical or physiological differences in an older
adult that can affect the components of the primary survey and
should be considered when caring for these patients?
Answer: - decreased airway protection due to reduced muscle tone
in the pharynx
- diminished chest wall compliance leading to poorer ventilation,
- fragile skin with increased risk of tears
- decreased cardiac reserve
- reduced renal function
- potential cognitive impairments which can hinder communication
and cooperation during assessment.
◉ What are the most common mechanisms of injury in older adult
adults? Why?
Answer: Most common MOI is falls, often caused by wet surfaces,
poor lighting, inadequate footwear, cluttered pathways, along with
weakness, gait, and balance impairments, and use of psychoactive
medications
, ◉ How does your facility define older
Answer: over the age of 65
◉ What comorbidities or other factor should be considered when
providing care for older trauma patients?
Answer: HTN
CVD
DM
CKD
COPD
hx of stroke
anticoagulations on board
◉ Why are older patients at risk for pulmonary complications
especially when there is tenderness to the chest area and pain on
movement or inspiration?
Answer: due to age-related decline in lung function, weakened
respiratory muscles, decreased chest wall compliance, and a
compromised immune system
◉ What considerations are there when evaluating vitals of older
trauma patients?
