TNCC TRAUMA NURSING CORE COURSE
STUDY GUIDE QUESTIONS AND SOLUTIONS
2026 GRADED A+
⩥ What are airway consideration specific to burns?
Answer: - if they have thermal burns to their neck or chest, or nares,
check for inhalation injury.
-inspect for evidence of extensive and deep facial burns, sit, carbonizing,
sputum, singed, nasal hair, Arythma, or swelling of oropharynx, brassy,
cough, difficulty swallowing, progressive hoarseness. If any are present,
consider prophylactic intubation.
⩥ What is the initial treatment for known or suspected carbon monoxide
poisoning?
Answer: move into fresh air then Pure Oxygen
⩥ What is the difference in an abrasion and an avulsion injury?
Answer: abrasion: partial or full-thickness wound that denudes the skin,
exposing the dermis or subcutaneous skin layer
avulsion: full thickness wounds caused by tearing or ripping of skin and
soft tissue away from underlying tissues
⩥ One of the signs and symptoms of mild injury related to frostbite? To
deep injury?
,Answer: Mild: early reqarming after brief exposure, clear blisters to
digit, bright red or normal skin color, sensation is present, digits are
warm
Deep: delaying warming, hemorrhagic proximal blisters, purple or
mottled skin color, sensation absent, digits are cool
⩥ What are the interventions for frostbite?
Answer: -gently rewarm the affected limbs for 15-30 min.
-give warm fluids by mouth, remove wet clothes
- ibuprofen for pain, avoid friction
-large blisters that impede movement need to be drained or debrised and
bandaged
⩥ Where is the difference between cultural competency and cultural
humility?
Answer: cultural competence focuses on acquiring knowledge and skills
to effectively interact with people from different cultures, cultural
humility emphasizes a continuous process of self-reflection and a
willingness to learn from others
⩥ Why is it important to use a person's correct pronouns?
Answer: by using the correct pronouns, you will build a good repour
with your patients and they will be more open and trusting with their
care
, ⩥ What are some physiological considerations for trauma patient who is
undergoing gender reassignment procedures?
Answer: consider if HIV positive, on any active hormones, homeless, on
drugs
⩥ What are opportunities to improve the care provided to the patient
from the LGBTQ community at your facility?
Answer: we only have so many transgenders in alabama. honestly just
being kind and nonjudgmental
⩥ What is the pediatric assessment triangle? How is it used to help form
general impression of physiological stability when a pediatric patient
arrives to the emergency department?
Answer: Appearance, work of breathing, and circulation
it helps provide a general impression of the patient's physiologic status
and is performed before general contact is initiated
⩥ What are some anatomical or physiological differences in a pediatric
patient that can affect the components of the primary survey? What are
some cognitive and developmental considerations that increased risk of
injury?
Answer: *look at Table 13-2 on pg 270,271*
pediatric patient's tend to regress developmentally when under extreme
stress.
STUDY GUIDE QUESTIONS AND SOLUTIONS
2026 GRADED A+
⩥ What are airway consideration specific to burns?
Answer: - if they have thermal burns to their neck or chest, or nares,
check for inhalation injury.
-inspect for evidence of extensive and deep facial burns, sit, carbonizing,
sputum, singed, nasal hair, Arythma, or swelling of oropharynx, brassy,
cough, difficulty swallowing, progressive hoarseness. If any are present,
consider prophylactic intubation.
⩥ What is the initial treatment for known or suspected carbon monoxide
poisoning?
Answer: move into fresh air then Pure Oxygen
⩥ What is the difference in an abrasion and an avulsion injury?
Answer: abrasion: partial or full-thickness wound that denudes the skin,
exposing the dermis or subcutaneous skin layer
avulsion: full thickness wounds caused by tearing or ripping of skin and
soft tissue away from underlying tissues
⩥ One of the signs and symptoms of mild injury related to frostbite? To
deep injury?
,Answer: Mild: early reqarming after brief exposure, clear blisters to
digit, bright red or normal skin color, sensation is present, digits are
warm
Deep: delaying warming, hemorrhagic proximal blisters, purple or
mottled skin color, sensation absent, digits are cool
⩥ What are the interventions for frostbite?
Answer: -gently rewarm the affected limbs for 15-30 min.
-give warm fluids by mouth, remove wet clothes
- ibuprofen for pain, avoid friction
-large blisters that impede movement need to be drained or debrised and
bandaged
⩥ Where is the difference between cultural competency and cultural
humility?
Answer: cultural competence focuses on acquiring knowledge and skills
to effectively interact with people from different cultures, cultural
humility emphasizes a continuous process of self-reflection and a
willingness to learn from others
⩥ Why is it important to use a person's correct pronouns?
Answer: by using the correct pronouns, you will build a good repour
with your patients and they will be more open and trusting with their
care
, ⩥ What are some physiological considerations for trauma patient who is
undergoing gender reassignment procedures?
Answer: consider if HIV positive, on any active hormones, homeless, on
drugs
⩥ What are opportunities to improve the care provided to the patient
from the LGBTQ community at your facility?
Answer: we only have so many transgenders in alabama. honestly just
being kind and nonjudgmental
⩥ What is the pediatric assessment triangle? How is it used to help form
general impression of physiological stability when a pediatric patient
arrives to the emergency department?
Answer: Appearance, work of breathing, and circulation
it helps provide a general impression of the patient's physiologic status
and is performed before general contact is initiated
⩥ What are some anatomical or physiological differences in a pediatric
patient that can affect the components of the primary survey? What are
some cognitive and developmental considerations that increased risk of
injury?
Answer: *look at Table 13-2 on pg 270,271*
pediatric patient's tend to regress developmentally when under extreme
stress.
