TRAUMA NURSING PROCESS - TNP -
TNCC 9TH ED: EXAM, 2025/2026
WITH CORRECT/ACCURATE
ANSWERS
The general impression in TNP is to... - CORRECT ANSWERS-
Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC.
What should you ask yourself after completing all of your
interventions and reassessments? - CORRECT ANSWERS- Does
this patient need to be transferred to another hospital, to surgery,
or to critical care?
What might need to be reprioritized during the general
impression? Why? - CORRECT ANSWERS- You may need to switch
from ABCs to C-ABCs in the case of uncontrolled external
hemorrhage.
During the general impression in TNP, when alterations are
identified, you must do what? Then what? - CORRECT ANSWERS-
Intervene as appropriate and continuously reassess for efficacy
What interventions are potentially included in the general
impression? - CORRECT ANSWERS- - pulse
,- control of external hemorrhage
- initiation of chest compressions
- initiation of IV resuscitation
Why would you initiate IV resuscitation? - CORRECT ANSWERS-
for signs of significant blood loss with signs of very poor perfusion
T/F: During the general impression, you can perform the
assessment and interventions simultaneously when multiple team
members are present. - CORRECT ANSWERS- True.
T/F: During the general impression, assessments and
interventions identify life-threatening conditions, and you should
prioritize the life-saving interventions. Order of step completion is
not important. - CORRECT ANSWERS- False. Order of step
completion is of critical importance.
What is the first double-starred assessment? What step is it? -
CORRECT ANSWERS- Alertness and AVPU are the first double-
starred assessments. It is step 5**.
What should you ask yourself when assessing for alertness, avpu?
- CORRECT ANSWERS- Is the patient Alert, do they require a
Verbal or Painful stimulus to respond, or are they Unresponsive?
, T/F: If the patient was deemed unresponsive in step 4, you do not
need to assess level of alertness, avpu. - CORRECT ANSWERS-
True
General impression is step 4, and if you already know the patient
is unresponsive, they won't be alert or responsive.
What 2 things must you do when opening the airway if c-spine
injury is suspected? - CORRECT ANSWERS- 1. You need to have a
second person provide manual cervical spinal stabilization
2. You must demonstrate manual opening of the airway using the
jaw-thrust maneuver
When assessing for alertness and airway, you must
simultaneously ___________. - CORRECT ANSWERS- continue
cervical spinal stabilization
T/F: Even if the patient is alert and can cooperate, you must
demonstrate manual opening of the airway using the jaw-thrust
maneuver. - CORRECT ANSWERS- False.
When the patient is alert and can cooperate, it is acceptable to
ask the patient to open their mouth to assess the airway.
Give at least 4 examples of things to inquire about when
assessing the patency and protection of the airway: - CORRECT
ANSWERS- Acceptable things to ask about during this step
include assessments for:
- Bony deformity
TNCC 9TH ED: EXAM, 2025/2026
WITH CORRECT/ACCURATE
ANSWERS
The general impression in TNP is to... - CORRECT ANSWERS-
Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC.
What should you ask yourself after completing all of your
interventions and reassessments? - CORRECT ANSWERS- Does
this patient need to be transferred to another hospital, to surgery,
or to critical care?
What might need to be reprioritized during the general
impression? Why? - CORRECT ANSWERS- You may need to switch
from ABCs to C-ABCs in the case of uncontrolled external
hemorrhage.
During the general impression in TNP, when alterations are
identified, you must do what? Then what? - CORRECT ANSWERS-
Intervene as appropriate and continuously reassess for efficacy
What interventions are potentially included in the general
impression? - CORRECT ANSWERS- - pulse
,- control of external hemorrhage
- initiation of chest compressions
- initiation of IV resuscitation
Why would you initiate IV resuscitation? - CORRECT ANSWERS-
for signs of significant blood loss with signs of very poor perfusion
T/F: During the general impression, you can perform the
assessment and interventions simultaneously when multiple team
members are present. - CORRECT ANSWERS- True.
T/F: During the general impression, assessments and
interventions identify life-threatening conditions, and you should
prioritize the life-saving interventions. Order of step completion is
not important. - CORRECT ANSWERS- False. Order of step
completion is of critical importance.
What is the first double-starred assessment? What step is it? -
CORRECT ANSWERS- Alertness and AVPU are the first double-
starred assessments. It is step 5**.
What should you ask yourself when assessing for alertness, avpu?
- CORRECT ANSWERS- Is the patient Alert, do they require a
Verbal or Painful stimulus to respond, or are they Unresponsive?
, T/F: If the patient was deemed unresponsive in step 4, you do not
need to assess level of alertness, avpu. - CORRECT ANSWERS-
True
General impression is step 4, and if you already know the patient
is unresponsive, they won't be alert or responsive.
What 2 things must you do when opening the airway if c-spine
injury is suspected? - CORRECT ANSWERS- 1. You need to have a
second person provide manual cervical spinal stabilization
2. You must demonstrate manual opening of the airway using the
jaw-thrust maneuver
When assessing for alertness and airway, you must
simultaneously ___________. - CORRECT ANSWERS- continue
cervical spinal stabilization
T/F: Even if the patient is alert and can cooperate, you must
demonstrate manual opening of the airway using the jaw-thrust
maneuver. - CORRECT ANSWERS- False.
When the patient is alert and can cooperate, it is acceptable to
ask the patient to open their mouth to assess the airway.
Give at least 4 examples of things to inquire about when
assessing the patency and protection of the airway: - CORRECT
ANSWERS- Acceptable things to ask about during this step
include assessments for:
- Bony deformity
