TNCC FINAL EXAM 2023 with all the correct
answers(Actual test 100% verified)
What is kinetic energy (KE)? - CORRECT ANSWER KE equals 1/2 the mass (M)
multiplied by the velocity squared.
What is the Mnemonic for the Initial Assessment? - CORRECT ANSWER A =
Airway with simultaneous cervical spine protection
B = Breathing
C = Circulation
D = Disability (neurologic status)
E = Expose/Environmental controls (remove clothing and keep the patient
warm)
What is the Mnemonic for the Secondary Assessment? - CORRECT ANSWER F =
Full set of VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and
gastric tube)/Family presence
G = Give comfort measures (verbal reassurance, touch, and pharmacologic and
nonpharmacologic management of pain).
H = Hx and Head-to-toe assessment
I = Inspect posterior surfaces
,Where do you listen to auscultate breath sounds? - CORRECT ANSWER
Auscultate the lungs bilaterally at the second intercostal space midclavicular line
and at the fifth intercostal space at the anterior axillary line.
What are the late signs of breathing compromise? - CORRECT ANSWER -
Tracheal deviation
- JVD
What are signs of ineffective breathing? - CORRECT ANSWER - AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as
indicated
- Anticipate definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt breathing
effectively? - CORRECT ANSWER A tight-fitting nonrebreather mask at 12-15
lpm.
What intervention should be done if a pt presents with effective circulation? -
CORRECT ANSWER - Insert 2 large caliber IV's
- Administer warmed isotonic crystalloid solution at an appropriate rate
,What are signs of ineffective circulation? - CORRECT ANSWER - Tachycardia
- AMS
- Uncontrolled external bleeding
- Pale, cool, moist skin
- Distended or abnormally flattened external jugular veins
- Distant heart sounds
What are the interventions for Effective/Ineffective Circulation? - CORRECT
ANSWER - Control any uncontrolled external bleeding by:
- Applying direct pressure over bleeding site
- Elevating bleeding extremity
- Applying pressure over arterial pressure points
- Using tourniquet (last resort).
- Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid
solution
- Use warmed solution
- Use pressure bags to increase speed of IVF infusion
- Use blood administration tubing for possible administration of blood
- Use rapid infusion device based on protocol
- Use NS 0.9% in same tubing as blood product
- IV = surgical cut-down, central line, or both.
- Blood sample to determine ABO and Rh group
- IO in sternum, legs, arms or pelvis
- Administer blood products
, - PASG (without interfering with fluid resuscitation)
How do you assess Mnemonic "D"? - CORRECT ANSWER DISABILITY
A = Alert
V = Verbal
P = Pain
U = Unresponsive
- GCS
- PERRL?
- Determine presence of lateralizing signs including:
- Unilateral deterioration in motor movements or unequal pupils
- Symptoms that help to locate area of injury in brain
What are the interventions for Disability? - CORRECT ANSWER - If assessment
indicates a decreased LOC, conduct further investigation during secondary
focused assessments
- If pt is not alert or verbal, continue to monitor for any compromise to ABC's
- If pt demonstrates signs of herniation or neurologic deterioration, consider
hyperventilation.
What is assessed and intervened for Expose/Environmental Controls? - CORRECT
ANSWER - Remove clothing
- Ensure appropriate decontamination if exposed to hazardous material
- Keep pt warm
- Keep clothing for evidence
answers(Actual test 100% verified)
What is kinetic energy (KE)? - CORRECT ANSWER KE equals 1/2 the mass (M)
multiplied by the velocity squared.
What is the Mnemonic for the Initial Assessment? - CORRECT ANSWER A =
Airway with simultaneous cervical spine protection
B = Breathing
C = Circulation
D = Disability (neurologic status)
E = Expose/Environmental controls (remove clothing and keep the patient
warm)
What is the Mnemonic for the Secondary Assessment? - CORRECT ANSWER F =
Full set of VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and
gastric tube)/Family presence
G = Give comfort measures (verbal reassurance, touch, and pharmacologic and
nonpharmacologic management of pain).
H = Hx and Head-to-toe assessment
I = Inspect posterior surfaces
,Where do you listen to auscultate breath sounds? - CORRECT ANSWER
Auscultate the lungs bilaterally at the second intercostal space midclavicular line
and at the fifth intercostal space at the anterior axillary line.
What are the late signs of breathing compromise? - CORRECT ANSWER -
Tracheal deviation
- JVD
What are signs of ineffective breathing? - CORRECT ANSWER - AMS
- Cyanosis, especially around the mouth
- Asymmetric expansion of chest wall
- Paradoxical movement of the chest wall during inspiration and expiration
- Use of accessory muscles or abdominal muscles or both or diaphragmatic
breathing
- Sucking chest wounds
- Absent or diminished breath sounds
- Administer O2 via NRB or assist ventilations with a bag-mask device, as
indicated
- Anticipate definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt breathing
effectively? - CORRECT ANSWER A tight-fitting nonrebreather mask at 12-15
lpm.
What intervention should be done if a pt presents with effective circulation? -
CORRECT ANSWER - Insert 2 large caliber IV's
- Administer warmed isotonic crystalloid solution at an appropriate rate
,What are signs of ineffective circulation? - CORRECT ANSWER - Tachycardia
- AMS
- Uncontrolled external bleeding
- Pale, cool, moist skin
- Distended or abnormally flattened external jugular veins
- Distant heart sounds
What are the interventions for Effective/Ineffective Circulation? - CORRECT
ANSWER - Control any uncontrolled external bleeding by:
- Applying direct pressure over bleeding site
- Elevating bleeding extremity
- Applying pressure over arterial pressure points
- Using tourniquet (last resort).
- Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid
solution
- Use warmed solution
- Use pressure bags to increase speed of IVF infusion
- Use blood administration tubing for possible administration of blood
- Use rapid infusion device based on protocol
- Use NS 0.9% in same tubing as blood product
- IV = surgical cut-down, central line, or both.
- Blood sample to determine ABO and Rh group
- IO in sternum, legs, arms or pelvis
- Administer blood products
, - PASG (without interfering with fluid resuscitation)
How do you assess Mnemonic "D"? - CORRECT ANSWER DISABILITY
A = Alert
V = Verbal
P = Pain
U = Unresponsive
- GCS
- PERRL?
- Determine presence of lateralizing signs including:
- Unilateral deterioration in motor movements or unequal pupils
- Symptoms that help to locate area of injury in brain
What are the interventions for Disability? - CORRECT ANSWER - If assessment
indicates a decreased LOC, conduct further investigation during secondary
focused assessments
- If pt is not alert or verbal, continue to monitor for any compromise to ABC's
- If pt demonstrates signs of herniation or neurologic deterioration, consider
hyperventilation.
What is assessed and intervened for Expose/Environmental Controls? - CORRECT
ANSWER - Remove clothing
- Ensure appropriate decontamination if exposed to hazardous material
- Keep pt warm
- Keep clothing for evidence
