1
TRAUMA NURSING PROCESS TNP TNCC EXAM LATEST
UPDATES -2025/2026- ACTUAL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS
How do you first assess for pelvic instability? Then what do you do?
Apply gentle pressure over iliac crests downward and medially. If iliac crests are
stable, then apply gentle pressure on the symphysis pubis.
T/F: It is appropriate to consider transfer to a higher level of care before or
during the A-E.
True. Consider this throughout.
4. Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11
9**. If intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue
assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred
12**. Assess circulation
, 2
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and
removal of clothing to inspect for injury. 16-18
16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23
19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26
24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43
27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if
indicated).
TRAUMA NURSING PROCESS TNP TNCC EXAM LATEST
UPDATES -2025/2026- ACTUAL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS
How do you first assess for pelvic instability? Then what do you do?
Apply gentle pressure over iliac crests downward and medially. If iliac crests are
stable, then apply gentle pressure on the symphysis pubis.
T/F: It is appropriate to consider transfer to a higher level of care before or
during the A-E.
True. Consider this throughout.
4. Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11
9**. If intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue
assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred
12**. Assess circulation
, 2
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and
removal of clothing to inspect for injury. 16-18
16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23
19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26
24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43
27. Inspect and palpate head for injuries
28. Inspect and palpate face for injuries
29. Inspect and palpate neck for injuries
-- Demonstrate removal AND reapplication of cervical collar for assessment (if
indicated).
