TNCC EXAM QUESTIONS AND
ANSWERS (2022/2023) (VERIFIED
SOLUTIONS)
Initial Assessment ✔✔1. Preparation and Triage
2. Primary Survery (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
ABCDEFGHI ✔✔1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
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
When should PPE be placed: ✔✔Before the arrival of the pt
Safe Care: ✔✔Pt is at hospital in the right amount of time, right care, right trauma facility, right
resources
Major cause of preventable death: ✔✔Uncontrolled Hemorrhage
If uncontrolled hemorrhage .. ✔✔reorganize care to C-ABC
Airway and AVPU: ✔✔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.
While assessing airway the patient is alert and responds to verbal stimuli you should.. ✔✔ask pt
to pen his or her mouth
While assessing airway pt is unable to open mouth, responds only to pain, or is unresponsive 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.
Inspect the mouth for: ✔✔1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
ANSWERS (2022/2023) (VERIFIED
SOLUTIONS)
Initial Assessment ✔✔1. Preparation and Triage
2. Primary Survery (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
ABCDEFGHI ✔✔1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
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
When should PPE be placed: ✔✔Before the arrival of the pt
Safe Care: ✔✔Pt is at hospital in the right amount of time, right care, right trauma facility, right
resources
Major cause of preventable death: ✔✔Uncontrolled Hemorrhage
If uncontrolled hemorrhage .. ✔✔reorganize care to C-ABC
Airway and AVPU: ✔✔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.
While assessing airway the patient is alert and responds to verbal stimuli you should.. ✔✔ask pt
to pen his or her mouth
While assessing airway pt is unable to open mouth, responds only to pain, or is unresponsive 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.
Inspect the mouth for: ✔✔1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
