TNCC EXAM Study Guide Questions and Answers Latest
Update 2023 GRADED A+
1. Preparation and Triage
2. Primary Survey (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse - correct answer
✅Initial Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
DO NOT COPY
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron
dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - correct answer ✅ABCDEFGHI
Before the arrival of the pt - correct answer ✅When should PPE be placed:
P a g e 1 | 15
, Pt is at hospital in the right amount of time, right care, right trauma facility, right
resources - correct answer ✅Safe Care:
Uncontrolled Hemorrhage - correct answer ✅Major cause of preventable death:
reorganize care to C-ABC - correct answer ✅If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once
it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the tongue
from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able
to maintain his or her airway adjunct may need to be placed while further
assessment is made to determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and
direct someone to chk in the pt is pulseless while assessing if the cause of the
problem is the airway. - correct answer ✅Airway and AVPU:
ask pt to pen his or her mouth - correct answer ✅While assessing airway the
patient is alert and responds to verbal stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction. If pt has a
suspected csi, the jaw thrust procedure should be done by two providers. One
provider can maintain c-spine and the other can perform the jaw thrust
maneuver. - correct answer ✅While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
P a g e 2 | 15
Update 2023 GRADED A+
1. Preparation and Triage
2. Primary Survey (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse - correct answer
✅Initial Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
DO NOT COPY
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron
dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - correct answer ✅ABCDEFGHI
Before the arrival of the pt - correct answer ✅When should PPE be placed:
P a g e 1 | 15
, Pt is at hospital in the right amount of time, right care, right trauma facility, right
resources - correct answer ✅Safe Care:
Uncontrolled Hemorrhage - correct answer ✅Major cause of preventable death:
reorganize care to C-ABC - correct answer ✅If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once
it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the tongue
from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able
to maintain his or her airway adjunct may need to be placed while further
assessment is made to determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and
direct someone to chk in the pt is pulseless while assessing if the cause of the
problem is the airway. - correct answer ✅Airway and AVPU:
ask pt to pen his or her mouth - correct answer ✅While assessing airway the
patient is alert and responds to verbal stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction. If pt has a
suspected csi, the jaw thrust procedure should be done by two providers. One
provider can maintain c-spine and the other can perform the jaw thrust
maneuver. - correct answer ✅While assessing airway pt is unable to open mouth,
responds only to pain, or is unresponsive you should..
P a g e 2 | 15
