2024 ACTUAL EXAM, 200+ QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
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What does the J stand for at the end of the secondary survery?
- ✔ -just keep evaluating - vipp
What does VIPP stand for?
- ✔ -vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign?
- ✔ -flank
During the head-to-toe, where would you find Cullen's sign?
- ✔ -umbilicus
What is sometimes deferred at the end of the head-to-toe?
- ✔ -inspecting posterior
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?
- ✔ -AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment?
- ✔ -Medical records, prehospital report, SAMPLE
, TNCC 9TH EDITION TNP
2024 ACTUAL EXAM, 200+ QUESTIONS AND
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What are examples of nonpharmacologic measures? (must identify at least one during testing) -
✔ -Distraction, family presence, padding bony prominences, repositioning, splinting, verbal
reassurance
For who is capnography highly recommended?
- ✔ -all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor?
- ✔ -EKG
In Step 16 of "Exposure and Environment", you must name at least one of these interventions: -
✔ -blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries?
- ✔ -In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered?
- ✔ -glucose
To assess circulation, you must do these two main tasks:
- ✔ -1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
, TNCC 9TH EDITION TNP
2024 ACTUAL EXAM, 200+ QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
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What do you do when alterations are identified in any of the steps in the primary survery?
- ✔ -intervene as appropriate and reassess
What three assessments must be done if the patient is intubated?
- ✔ -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
Four of these must be identified to assess breathing effectiveness:
- ✔ -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
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which credit is
given in the LMNOP section?
- ✔ -cardiac monitor
When should 2 IV sites be established?
- ✔ -During "Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else needs to be
done with the ETT? (step 10)
- ✔ -assess ETT position by noting the number at teeth/gums AND secure ETT