TRAUMA NURSING CORE COURSE (TNCC) EXAM | QUESTIONS
AND ANSWERS | VERIFIED ANSWERS | LATEST EXAM UPDATE
Describe components of both Primary & Secondary Assessment (Pneumonic) -
CORRECT ANSWERS - Primary:
A- Airway w/ simultaneous cervical spine protection
B- Breathing
C- Circulation
D- Disability (neurologic status)
E- Expose/environmental (Remove clothing and keep pt. warm)
Secondary:
F- Full set VS/ focused adjuncts (cardiac monitor, urinary catheter, gastric tube)
family presence
G- Give comfort measures (verbal reassurance, touch, pain management)
H- History and Head to Toe Assessment
I- Inspect posterior surfaces
If situation is critical, what history information is most important? -
CORRECT ANSWERS - Brief statement composed of patient's Major Injuries
or Chief Complaints and the Mechanism of Injury.
What to look for when assessing airway... - CORRECT ANSWERS -
Vocalization- Is pt able to talk? Cry/Moan?
Tongue obstructing airway
Loose teeth or foreign objects
Blood, vomit, or other secretions
,Edema
Maintain _______ ______ ________ for any patient whose mechanism of
injury, symptoms, or physical findings suggest a spinal injury - CORRECT
ANSWERS - Maintain CERVICAL SPINE PROTECTION for any patient
whose mechanism of injury, symptoms, or physical findings suggest a spinal
injury
Before proceeding with cervical spine protection, ensure that interventions do
not compromise the patient's _______ status. - CORRECT ANSWERS -
breathing
If the airway is totally or partially obstructed, place the patient in ______
position. While maintaining ______ spine protection, ______ the patient onto
his or _____. Carefully and gently remove any ______ if necessary to allow
access to the airway and cervical spine. _________ing wounds may cause
disruption of the integrity of the airway, and ______ trauma may lead to injury
of the larynx or other upper structures, causing partial or complete _______. -
CORRECT ANSWERS - If the airway is totally or partially obstructed, place
the patient in SUPINE position. While maintaining CERVICAL spine
protection, LOGROLL the patient onto his or BACK. Carefully and gently
remove any HEADGEAR if necessary to allow access to the airway and
cervical spine. PENETRATING wounds may cause disruption of the integrity of
the airway, and BLUNT trauma may lead to injury of the larynx or other upper
structures, causing partial or complete OBSTRUCTION.
Complete spinal immobilization includes... - CORRECT ANSWERS -
Complete spinal immobilization includes...
application of a rigid cervical collar
placing patient on a backboard and
appropriately strapping patient to backboard
,When should complete spinal immobilization be done? - CORRECT
ANSWERS - at the completion of the secondary assessment, depending on the
degree of resuscitation required and availability of team members
4 Techniques to open or clear an obstructed airway during primary assessment -
CORRECT ANSWERS - jaw thrust
chin lift
removal of loose teeth or foreign objects
suctioning
When attempting to clear the airway, maintain cervical spine in a _____
position. Do not hyperextend, flex, or rotate the neck during these maneuvers. -
CORRECT ANSWERS - When attempting to clear the airway, maintain
cervical spine in a NEUTRAL position. Do not hyperextend, flex, or rotate the
neck during these maneuvers.
Suction gently to prevent stimulation of the ___ reflex. - CORRECT
ANSWERS - gag
Prepare for endotracheal intubation:
_____ the patient with a _______ device before ET intubation.
A_________ m______ to facilitate ET intubation.
Use an _____ ______ if the patient's airway can't be managed with ET
intubation. - CORRECT ANSWERS - Prepare for endotracheal intubation:
VENTILATE the patient with a BAG-MASK device before ET intubation.
ADMINSITER MEDICATIONS to facilitate ET intubation.
Use an ALTERNATIVE AIRWAY if the patient's airway can't be managed with
ET intubation.
, If there are any life-threatening compromises in airway status, stop and
intervene to correct the problem. What are 4 examples of life-threatening airway
conditions? - CORRECT ANSWERS - LOBE
loose teeth or foreign objects
obstruction by tongue (partial or complete)
blood, vomit, or other secretions
edema
Life-threatening compromises in _______ may occur with a history of:
-blunt or penetrating injuries of the _____
-acceleration, deceleration, or a combination of both types of forces, such as
______ ________ ________, f______, or ____ injuries. - CORRECT
ANSWERS - Life-threatening compromises in BREATHING may occur with a
history of:
-blunt or penetrating injuries of the THORAX
-acceleration, deceleration, or a combination of both types of forces, such as
MVC'S, FALLS, or CRUSH injuries.
Once the patency of the airway is ensured, what are some ways to assess the
quality of breathing?
______ _____ and _____ _______ _______ are considered late signs of
considered late signs of breathing compromise. TRACHEAL DEVIATION and
JUGULAR VEIN DISTENTION are considered late signs of considered late
signs of breathing compromise. - CORRECT ANSWERS - spontaneous
breathing
rise and fall of chest
rate and pattern of breathing
use of accessory muscles
diaphragmatic vs. abdominal breathing
color
integrity of soft tissues & bony structures of chest wall
AND ANSWERS | VERIFIED ANSWERS | LATEST EXAM UPDATE
Describe components of both Primary & Secondary Assessment (Pneumonic) -
CORRECT ANSWERS - Primary:
A- Airway w/ simultaneous cervical spine protection
B- Breathing
C- Circulation
D- Disability (neurologic status)
E- Expose/environmental (Remove clothing and keep pt. warm)
Secondary:
F- Full set VS/ focused adjuncts (cardiac monitor, urinary catheter, gastric tube)
family presence
G- Give comfort measures (verbal reassurance, touch, pain management)
H- History and Head to Toe Assessment
I- Inspect posterior surfaces
If situation is critical, what history information is most important? -
CORRECT ANSWERS - Brief statement composed of patient's Major Injuries
or Chief Complaints and the Mechanism of Injury.
What to look for when assessing airway... - CORRECT ANSWERS -
Vocalization- Is pt able to talk? Cry/Moan?
Tongue obstructing airway
Loose teeth or foreign objects
Blood, vomit, or other secretions
,Edema
Maintain _______ ______ ________ for any patient whose mechanism of
injury, symptoms, or physical findings suggest a spinal injury - CORRECT
ANSWERS - Maintain CERVICAL SPINE PROTECTION for any patient
whose mechanism of injury, symptoms, or physical findings suggest a spinal
injury
Before proceeding with cervical spine protection, ensure that interventions do
not compromise the patient's _______ status. - CORRECT ANSWERS -
breathing
If the airway is totally or partially obstructed, place the patient in ______
position. While maintaining ______ spine protection, ______ the patient onto
his or _____. Carefully and gently remove any ______ if necessary to allow
access to the airway and cervical spine. _________ing wounds may cause
disruption of the integrity of the airway, and ______ trauma may lead to injury
of the larynx or other upper structures, causing partial or complete _______. -
CORRECT ANSWERS - If the airway is totally or partially obstructed, place
the patient in SUPINE position. While maintaining CERVICAL spine
protection, LOGROLL the patient onto his or BACK. Carefully and gently
remove any HEADGEAR if necessary to allow access to the airway and
cervical spine. PENETRATING wounds may cause disruption of the integrity of
the airway, and BLUNT trauma may lead to injury of the larynx or other upper
structures, causing partial or complete OBSTRUCTION.
Complete spinal immobilization includes... - CORRECT ANSWERS -
Complete spinal immobilization includes...
application of a rigid cervical collar
placing patient on a backboard and
appropriately strapping patient to backboard
,When should complete spinal immobilization be done? - CORRECT
ANSWERS - at the completion of the secondary assessment, depending on the
degree of resuscitation required and availability of team members
4 Techniques to open or clear an obstructed airway during primary assessment -
CORRECT ANSWERS - jaw thrust
chin lift
removal of loose teeth or foreign objects
suctioning
When attempting to clear the airway, maintain cervical spine in a _____
position. Do not hyperextend, flex, or rotate the neck during these maneuvers. -
CORRECT ANSWERS - When attempting to clear the airway, maintain
cervical spine in a NEUTRAL position. Do not hyperextend, flex, or rotate the
neck during these maneuvers.
Suction gently to prevent stimulation of the ___ reflex. - CORRECT
ANSWERS - gag
Prepare for endotracheal intubation:
_____ the patient with a _______ device before ET intubation.
A_________ m______ to facilitate ET intubation.
Use an _____ ______ if the patient's airway can't be managed with ET
intubation. - CORRECT ANSWERS - Prepare for endotracheal intubation:
VENTILATE the patient with a BAG-MASK device before ET intubation.
ADMINSITER MEDICATIONS to facilitate ET intubation.
Use an ALTERNATIVE AIRWAY if the patient's airway can't be managed with
ET intubation.
, If there are any life-threatening compromises in airway status, stop and
intervene to correct the problem. What are 4 examples of life-threatening airway
conditions? - CORRECT ANSWERS - LOBE
loose teeth or foreign objects
obstruction by tongue (partial or complete)
blood, vomit, or other secretions
edema
Life-threatening compromises in _______ may occur with a history of:
-blunt or penetrating injuries of the _____
-acceleration, deceleration, or a combination of both types of forces, such as
______ ________ ________, f______, or ____ injuries. - CORRECT
ANSWERS - Life-threatening compromises in BREATHING may occur with a
history of:
-blunt or penetrating injuries of the THORAX
-acceleration, deceleration, or a combination of both types of forces, such as
MVC'S, FALLS, or CRUSH injuries.
Once the patency of the airway is ensured, what are some ways to assess the
quality of breathing?
______ _____ and _____ _______ _______ are considered late signs of
considered late signs of breathing compromise. TRACHEAL DEVIATION and
JUGULAR VEIN DISTENTION are considered late signs of considered late
signs of breathing compromise. - CORRECT ANSWERS - spontaneous
breathing
rise and fall of chest
rate and pattern of breathing
use of accessory muscles
diaphragmatic vs. abdominal breathing
color
integrity of soft tissues & bony structures of chest wall
