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TNCC Exam 2025 – Trauma Nursing Core Course 9th Edition | Verified Questions + Rationale | ENA Certified Study Pack

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Ace your TNCC Certification with Confidence! This comprehensive TNCC 2025 study guide is designed for nurses preparing for the Trauma Nursing Core Course exam (9th Edition). Developed using verified resources, current ENA guidelines, and real test-takers’ input, this guide covers all core concepts, skills, and clinical scenarios required to pass the TNCC written and skills assessment.

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TNCC EXAM
Study online at https://quizlet.com/_462hvr

1. 1. Preparation and Triage Initial Assessment
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

2. 1. A- airway and Alertness with simultaneous cervical ABCDEFGHI
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 cross-
match)
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) mon-
itoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces

3. Before the arrival of the pt When should PPE be
placed:

4. Pt is at hospital in the right amount of time, right care, Safe Care:
right trauma facility, right resources


, TNCC EXAM
Study online at https://quizlet.com/_462hvr

5. Uncontrolled Hemorrhage Major cause of pre-
ventable death:

6. reorganize care to C-ABC If uncontrolled hemor-
rhage ..

7. Used at the beginning of the initial assessment Airway and AVPU:

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 assess-
ment 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.

8. ask pt to pen his or her mouth While assessing airway the
patient is alert and re-
sponds to verbal stimuli
you should..

9. jaw thrust maneuver to open airway and assess for ob- While assessing airway pt
struction. If pt has a suspected csi, the jaw thrust pro- is unable to open mouth,
cedure should be done by two providers. One provider responds only to pain, or is
can maintain c-spine and the other can perform the unresponsive you should..
jaw thrust maneuver.

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