TNCC Trauma Nursing Core Course 7th
Edition ENA
Questions
and Answers 100% Correct
Components of SBAR and its purpose Correct answer - S: Situation
B: Background
A: Assessment
R: Recommendation
Purpose- to provide framework for communication amount members of the healthcare team
p. 7
Components of DESC and its purpose Correct answer - D: Describe the specific situation or
behavior
E: Express your concerns or how the situation makes you feel
S: Suggest alternatives and seek agreement
C: State consequences in terms of impact on performance goals
Purpose- used in conflict management; paraphrasing the other person's comments is an important
technique that should be done throughout the DESC script. Following discussion of
consequences, team members should work towards consensus.
p. 7
Components of CUS and its purpose Correct answer - C: I am Concerned
U: I am Uncomfortable
S: This is a Safety issue/ I am Stressed
Purpose- used to "stop the line" if a team member senses or discovers an essential safety breach
, TNCC Trauma Nursing Core Course 7th Edition
p. 7
Define trauma Correct answer - - Trauma is injury to living tissue caused by extrinsic agent
- Regardless of MOI, trauma creates stressors that exceed the tissue's or organ's ability to
compensate
p. 9
Leading cause of death for ages
1. over 65
2. 5 to 24
3. 25 to 64 Correct answer - 1. Falls
2. MVCs
3. poisoning
p. 9
Explain 3 phases of injury prevention Correct answer - Primary: prevention of the occurrence of
the injury
Secondary: Reduction in the severity of the injury that has occurred
Tertiary: Improvement of outcomes related to the traumatic injury
p. 10
Describe the three E's of injury control Correct answer - Engineering: technological
interventions such as side impact airbags, automated blind spot alarms, ignition lock devices for
those with DUIs. In playgrounds and sports, this involves surface material under playground
equipment and athletic safety gear. Another intervention is improved use of smoke alarms in fire
prevention
, TNCC Trauma Nursing Core Course 7th Edition
Enforcement and legislation: include laws at all jurisdictional levels regarding driving while
intoxicated, booster seats, primary seatbelt use, and distracted driving. For sports this includes
rules regarding illegal hits, examination after impact, and return-to-play requirements after a
head injury
Education: these can be community-based initiatives such as public service announcements for
improved seatbelt use, education regarding risks of distracted driving, programs to commit to no
texting while driving, and promotions for bicycle helmet giveaways with instructions for proper
use
p. 11
How can the trauma nurse have an impact when it comes to the legislative process?
Correct answer - By advocating for stronger laws and more consistent enforcement
p. 11
Define kinematics Correct answer - The study of energy transfer as it applies to
identifying actual or intentional injuries
p. 25
Define biomechanics Correct answer - The general study of forces and their effects
p. 25
Define mechanism of injury (MOI) Correct answer - How external energy forces in
the environment are transferred to the body
p. 25
, TNCC Trauma Nursing Core Course 7th Edition
Newton's First Law of Motion Correct answer - A body at rest will remain at rest, and a
body in motion will stay in motion
p. 26
Newton's Second Law of Motion Correct answer - Force = Mass X Acceleration
p. 26
Newton's Third Law of Motion Correct answer - For every action, there is an equal and opposite
reaction
p. 26
Law of Conservation of Energy Correct answer - Energy can neither be created nor
destroyed, but it can change form
p. 26
Describe energy forms Correct answer - - Mechanical (energy transfer from one object to
another in the form of motion)
- Thermal (energy transfer of heat in environment to the host)
- Chemical (heat energy transfer from active chemical substances such as chlorine, drain cleaner,
acids, or plants)
- Electrical (energy transfer from light socket, power lines, or lightning)
- Radiant (energy transfer from blast sound waves, radioactivity such as a nuclear facility, or rays
of the sun)
p. 26