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TNCC practice exam

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Components of SBAR and its purpose - ansS: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose - ansD: Describe the specific situation or behavior E: Express your concerns or how the situation makes you feel S: Suggest alternatives and seek agreement C: State consequences in terms of impact on performance goals Purpose- used in conflict management; paraphrasing the other person's comments is an important technique that should be done throughout the DESC script. Following discussion of consequences, team members should work towards consensus. p. 7 Components of CUS and its purpose - ansC: I am Concerned U: I am Uncomfortable S: This is a Safety issue/ I am Stressed Purpose- used to "stop the line" if a team member senses or discovers an essential safety breach p. 7 Define trauma - ans- Trauma is injury to living tissue caused by extrinsic agent - Regardless of MOI, trauma creates stressors that exceed the tissue's or organ's ability to compensate p. 9 Leading cause of death for ages 1. over 65 2. 5 to 24 3. 25 to 64 - ans1. Falls 2. MVCs 3. poisoning p. 9 Explain 3 phases of injury prevention - ansPrimary: prevention of the occurrence of the injury Secondary: Reduction in the severity of the injury that has occurred Tertiary: Improvement of outcomes related to the traumatic injury

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TNCC practice exam
what is the key to a high-performance trauma team?

A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication - ansD. Effective communication

When obtaining a history for an injured patient, understanding the kinematic concepts
associated with the mechanism of injury and energy transfer can initially assist the trauma
provider in:

A. Evaluating and anticipating the types of injury that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - ansA. Evaluating and anticipating the types
of injury that may be present

The major preventable cause of death in the trauma patient is:

A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled hemorrhage - ansD. Uncontrolled hemorrhage

The across-the-room observation step in the initial assessment providers the opportunity to:

A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team - ansC. Reprioritize circulation before airway or breathing

Which of the following accurately describes ventilation principles associated with a bag-
mask device?

A. Ventilate at a rate of 10 to 12 breaths/minute
B. Deliver 100% oxygen
C. Compress the bag-mask device completely
D. Maintain the oxygen saturation level between 92% and 94% - ansA. Ventilate at a rate of
10-12 breaths/minute

Which of the following is the best measure of the adequacy of cellular perfusion and helps to
predict the outcome of resuscitation?

A. End-tidal carbon dioxide
B. Hypoxia
C. Base deficit

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