TNCC 9th Edition TNP - Questions and
Answers
just keep evaluating - vipp - answers What does the J stand for at the end of the
secondary survery?
vital signs, injuries/interventions, primary survey, pain - answers What does VIPP stand
for?
flank - answers During the head-to-toe, where would you find Grey-Turner's sign?
umbilicus - answers During the head-to-toe, where would you find Cullen's sign?
inspecting posterior - answers What is sometimes deferred at the end of the head-to-
toe?
AFTER head-to-toe, BEFORE J (VIPP) - answers 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 - answers What three items are obtained
during the pertinent history assessment?
Distraction, family presence, padding bony prominences, repositioning, splinting, verbal
reassurance - answers What are examples of nonpharmacologic measures? (must
identify at least one during testing)
all patients - answers For whom is capnography highly recommended?
EKG - answers In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor?
blankets, room temp increase, warmed fluids, warming lights - answers In Step 16 of
"Exposure and Environment", you must name at least one of these interventions:
, In Step 15 of "Exposure and Environment" - answers At what point PRIOR TO the
head-to-toe is the patient inspected for obvious injuries?
glucose - answers 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 - answers To
assess circulation, you must do these two main tasks:
intervene as appropriate and reassess - answers 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 - answers What three assessments must be done if
the patient is intubated?
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 - answers Four of these must be identified to
assess breathing effectiveness:
cardiac monitor - answers 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 - answers When should 2 IV sites be established?
assess ETT position by noting the number at teeth/gums AND secure ETT - answers 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 - answers What should you
verbalize after completing all ETT assessments?
"Breathing and Ventilation" - answers 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 - answers Four of these must be identified to
assess patency and protection of the airway:
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - answers
During which part of the primary survey would there be anticipation for intubation,
insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
Answers
just keep evaluating - vipp - answers What does the J stand for at the end of the
secondary survery?
vital signs, injuries/interventions, primary survey, pain - answers What does VIPP stand
for?
flank - answers During the head-to-toe, where would you find Grey-Turner's sign?
umbilicus - answers During the head-to-toe, where would you find Cullen's sign?
inspecting posterior - answers What is sometimes deferred at the end of the head-to-
toe?
AFTER head-to-toe, BEFORE J (VIPP) - answers 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 - answers What three items are obtained
during the pertinent history assessment?
Distraction, family presence, padding bony prominences, repositioning, splinting, verbal
reassurance - answers What are examples of nonpharmacologic measures? (must
identify at least one during testing)
all patients - answers For whom is capnography highly recommended?
EKG - answers In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor?
blankets, room temp increase, warmed fluids, warming lights - answers In Step 16 of
"Exposure and Environment", you must name at least one of these interventions:
, In Step 15 of "Exposure and Environment" - answers At what point PRIOR TO the
head-to-toe is the patient inspected for obvious injuries?
glucose - answers 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 - answers To
assess circulation, you must do these two main tasks:
intervene as appropriate and reassess - answers 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 - answers What three assessments must be done if
the patient is intubated?
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 - answers Four of these must be identified to
assess breathing effectiveness:
cardiac monitor - answers 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 - answers When should 2 IV sites be established?
assess ETT position by noting the number at teeth/gums AND secure ETT - answers 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 - answers What should you
verbalize after completing all ETT assessments?
"Breathing and Ventilation" - answers 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 - answers Four of these must be identified to
assess patency and protection of the airway:
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - answers
During which part of the primary survey would there be anticipation for intubation,
insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
