TNCC STUDY GUIDE 2025| BRAND NEW
ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Describe the care of an amputated part - correct answer - -Keep
the amputated part cool by wrapping it in slightly saline-moistened
sterile gauze, and then place it in a sealed plastic bag
-The bag containing the amputated part is then placed in a
second bag containing ice water
-Do not allow the amputated part to freeze or be submerged in
liquid
-Label the bag with appropriate patient identifiers
-Administer antibiotics as ordered
-Administer tetanus prophylaxis according to current CDC
guidelines
Abrasion - correct answer - -A partial or full thickness wound that
denudes the skin
-Commonly occurring with falls and bicycle or motorcycle
collisions
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-Can be mild to severe
-Road burn or abrasions, resulting in a low side crash or laying
down a motorcycle--large surface area
Avulsion - correct answer - -Full thickness wounds caused by a
tearing or ripping of skin and soft tissue
-Wound edges are not well approximated
-Often fingers, scalps, noses and can occur as a result of working
with machinery or from MVCs
-Degloving
Contusion - correct answer - -A closed wound in which a ruptured
blood vessel or capillary bed hemorrhages into the surrounding
tissue
Hematoma - correct answer - -A hematoma occurs when blood
leaks under the skin surface and often forms a palpable mass
(blood clot) under the skin
Laceration - correct answer - -Open wounds that result from
shearing forces through the dermis and epidermis with potential
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involvement of the underlying structures such a muscles, tendons,
and ligaments
-Common causes include injuries from tools or machinery
Puncture - correct answer - -Caused by penetration of objects into
tissues
-Result from various mechanisms including: superficial wounds
(stepping on a tack), injuries from foreign bodies or implements,
animal and human bites
Describe the interventions for frostbite - correct answer - -Inital
treatment consists of quickly rewarming over a period of 15-30
minutes in water that is at a temperature of 40 C-42 C (104F to
107.6 F)
-Start treatment only after it can be confirmed that the affected
area will not be at risk for frostbite again after it is rewarmed as
incomplete thawing and refreezing can cause further injury
-Administer pain medication as the rewarming process can be
painful
-Avoid any friction or rubbing to preserve tissue integrity
-If possible, immerse the area in warm water, use a method
where the temperature of the water can be maintained within the
appropriate range, such as a whirlpool with circulating water
-Extract fluid in clear blisters to reduce further damage, blisters
that are hemorrhagic are maintained intact
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-Guard against further injury to the area, affected extremities can
be splinted
-Prevent or limit the risk of thrombus formation
-Early trials the use of tPA has been effective in maintaining
perfusion and decreasing the need for amputation
Describe signs of burns to the airway that may indicate airway
edema - correct answer - Burns to tissue can cause massive
edema and airway edema is life threatening. A hoarse voice,
carbonaceous sputum, burns around the mouth or nares, stridor
may indicate burns to the airway
What burn injuries meet the criteria for admission to a burn
center? - correct answer - 1. Partial thickness burns greater than
10% TBSA
2. Burns that involve the face, hands, feet, genitalia, perineum, or
major joints
3. 3rd degree burns in any age group
4. Electrical burns, including lightning injury
5. Chemical burns
6. Inhalation injury
7. Burn injury in patients with pre-existing medical disorder that
could complicate management, prolong recovery, or affect
mortality