TNCC 9th Edition – Questions and Answers Graded A+
(SOLVED 2023/2024)
just keep evaluating - vipp - ANSWER-What does the J stand for at the end
of the secondary survery?
vital signs, injuries/interventions, primary survey, pain - ANSWER-What
does VIPP stand for?
flank - ANSWER-During the head-to-toe, where would you find Grey-
Turner's sign?
umbilicus - ANSWER-During the head-to-toe, where would you find
Cullen's sign?
inspecting posterior - ANSWER-What is sometimes deferred at the end of
the head-to-toe?
AFTER head-to-toe, BEFORE J (VIPP) - ANSWER-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?
Medical records, prehospital report, SAMPLE - ANSWER-What three items
are obtained during the pertinent history assessment?
Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance - ANSWER-What are examples of
nonpharmacologic measures? (must identify at least one during testing)
, TNCC 9th Edition – Questions and Answers Graded A+
(SOLVED 2023/2024)
all patients - ANSWER-For whom is capnography highly recommended?
EKG - ANSWER-In step M of "Get Adjuncts", what else might be indicated
besides cardiac monitor?
blankets, room temp increase, warmed fluids, warming lights - ANSWER-In
Step 16 of "Exposure and Environment", you must name at least one of
these interventions:
In Step 15 of "Exposure and Environment" - ANSWER-At what point
PRIOR TO the head-to-toe is the patient inspected for obvious injuries?
glucose - ANSWER-In Step 13 of "Disability", what is assessed if pt is
altered?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse -
ANSWER-To assess circulation, you must do these two main tasks:
intervene as appropriate and reassess - ANSWER-What do you do when
alterations are identified in any of the steps in the primary survery?
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 -
ANSWER-What three assessments must be done if the patient is
intubated?
, TNCC 9th Edition – Questions and Answers Graded A+
(SOLVED 2023/2024)
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 - ANSWER-
Four of these must be identified to assess breathing effectiveness:
cardiac monitor - ANSWER-What can be applied in step 12 of "Circulation
and Control of Hemorrhage" for which credit is given in the LMNOP
section?
During "Circulation" assessment - ANSWER-When should 2 IV sites be
established?
assess ETT position by noting the number at teeth/gums AND secure ETT
- ANSWER-If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
moving patient from assisted ventilation to mechanical - ANSWER-What
should you verbalize after completing all ETT assessments?
"Breathing and Ventilation" - ANSWER-During which part of the primary
survey would you anticipate the need for a chest tube, intubation,
decompression of pneumothorax, oxygen, or BVMs?
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue
obstruction, burns, fluids, foreign objects, vocalization - ANSWER-Four of
these must be identified to assess patency and protection of the airway:
Assessing patency and protection of the airway, Step 7 of
(SOLVED 2023/2024)
just keep evaluating - vipp - ANSWER-What does the J stand for at the end
of the secondary survery?
vital signs, injuries/interventions, primary survey, pain - ANSWER-What
does VIPP stand for?
flank - ANSWER-During the head-to-toe, where would you find Grey-
Turner's sign?
umbilicus - ANSWER-During the head-to-toe, where would you find
Cullen's sign?
inspecting posterior - ANSWER-What is sometimes deferred at the end of
the head-to-toe?
AFTER head-to-toe, BEFORE J (VIPP) - ANSWER-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?
Medical records, prehospital report, SAMPLE - ANSWER-What three items
are obtained during the pertinent history assessment?
Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance - ANSWER-What are examples of
nonpharmacologic measures? (must identify at least one during testing)
, TNCC 9th Edition – Questions and Answers Graded A+
(SOLVED 2023/2024)
all patients - ANSWER-For whom is capnography highly recommended?
EKG - ANSWER-In step M of "Get Adjuncts", what else might be indicated
besides cardiac monitor?
blankets, room temp increase, warmed fluids, warming lights - ANSWER-In
Step 16 of "Exposure and Environment", you must name at least one of
these interventions:
In Step 15 of "Exposure and Environment" - ANSWER-At what point
PRIOR TO the head-to-toe is the patient inspected for obvious injuries?
glucose - ANSWER-In Step 13 of "Disability", what is assessed if pt is
altered?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse -
ANSWER-To assess circulation, you must do these two main tasks:
intervene as appropriate and reassess - ANSWER-What do you do when
alterations are identified in any of the steps in the primary survery?
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 -
ANSWER-What three assessments must be done if the patient is
intubated?
, TNCC 9th Edition – Questions and Answers Graded A+
(SOLVED 2023/2024)
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 - ANSWER-
Four of these must be identified to assess breathing effectiveness:
cardiac monitor - ANSWER-What can be applied in step 12 of "Circulation
and Control of Hemorrhage" for which credit is given in the LMNOP
section?
During "Circulation" assessment - ANSWER-When should 2 IV sites be
established?
assess ETT position by noting the number at teeth/gums AND secure ETT
- ANSWER-If the patient is intubated and you've already assessed ETT
placement, what else needs to be done with the ETT? (step 10)
moving patient from assisted ventilation to mechanical - ANSWER-What
should you verbalize after completing all ETT assessments?
"Breathing and Ventilation" - ANSWER-During which part of the primary
survey would you anticipate the need for a chest tube, intubation,
decompression of pneumothorax, oxygen, or BVMs?
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue
obstruction, burns, fluids, foreign objects, vocalization - ANSWER-Four of
these must be identified to assess patency and protection of the airway:
Assessing patency and protection of the airway, Step 7 of
