TNCC STUDY GUIDE / TNCC STUDY
GUIDE 2026 | COMPLETE EXAM
WITH QUESTIONS AND CORRECT
ANSWERS GRADED A+ & SKILLS
PREPARATION
MIST (Prehospital report) - answer-Mechanism of injury (MOI)
Injuries sustained
Signs and symptoms in the field
Treatment in the field
Across-the-room Observation - answer-First look at the pt
If pt has uncontrolled hemorrhage reprioritize ABC to CAB
Trauma Nursing Process (TNP) - answer-Assessment
Outcomes/Planning
Implementation
Evaluation
Operational Process Points - answer-Preparation and triage
Primary Survey (ABCDE) w/ resuscitation adjuncts
Reevaluation (consider it pt needs transfer)
Secondary survey (HI) w/ reevaluation adjuncts
Reevaluation and post resuscitation care
Definitive care or transfer
Primary Survey (ABCDE) - answer-Airway & Alertness w/ simultaneous cervical spinal
stabilization
, Breathing and ventilation
Circulation and Control of Hemorrhage
Disability (neuro state)
Exposure and Environmental Control
Cervical spine stabilization for c-spine injury - answer-State need for second person to
provide manual cervical spinal stabilization (two hands holding the pts head and neck)
THEN demonstrate manual opening of airway using jaw-thrust maneuver
Jaw-thrust maneuver - answer-If pt is anything less than A in AVPU airway maybe
compromised
Always use two people to assess for obstruction if suspected CSI
AIRWAY: Inspect mouth for: - answer-Tongue obstruction
Loose or missing teeth
Foreign bodies (FB)
Blood, emesis, secretions
Edema
Is there any snoring, gurgling, or stridor?
Tip - answer-After each intervention, reassess pt
Patent Airway Interventions - answer-Always be alert, can be compromised at anytime
Look for possible risks that can lead to obstruction:
Injury to mouth
Active bleeding
Blistering of oral mucosa
Air is NOT Patent - answer-1. Jaw-thrust maneuver (two people)
GUIDE 2026 | COMPLETE EXAM
WITH QUESTIONS AND CORRECT
ANSWERS GRADED A+ & SKILLS
PREPARATION
MIST (Prehospital report) - answer-Mechanism of injury (MOI)
Injuries sustained
Signs and symptoms in the field
Treatment in the field
Across-the-room Observation - answer-First look at the pt
If pt has uncontrolled hemorrhage reprioritize ABC to CAB
Trauma Nursing Process (TNP) - answer-Assessment
Outcomes/Planning
Implementation
Evaluation
Operational Process Points - answer-Preparation and triage
Primary Survey (ABCDE) w/ resuscitation adjuncts
Reevaluation (consider it pt needs transfer)
Secondary survey (HI) w/ reevaluation adjuncts
Reevaluation and post resuscitation care
Definitive care or transfer
Primary Survey (ABCDE) - answer-Airway & Alertness w/ simultaneous cervical spinal
stabilization
, Breathing and ventilation
Circulation and Control of Hemorrhage
Disability (neuro state)
Exposure and Environmental Control
Cervical spine stabilization for c-spine injury - answer-State need for second person to
provide manual cervical spinal stabilization (two hands holding the pts head and neck)
THEN demonstrate manual opening of airway using jaw-thrust maneuver
Jaw-thrust maneuver - answer-If pt is anything less than A in AVPU airway maybe
compromised
Always use two people to assess for obstruction if suspected CSI
AIRWAY: Inspect mouth for: - answer-Tongue obstruction
Loose or missing teeth
Foreign bodies (FB)
Blood, emesis, secretions
Edema
Is there any snoring, gurgling, or stridor?
Tip - answer-After each intervention, reassess pt
Patent Airway Interventions - answer-Always be alert, can be compromised at anytime
Look for possible risks that can lead to obstruction:
Injury to mouth
Active bleeding
Blistering of oral mucosa
Air is NOT Patent - answer-1. Jaw-thrust maneuver (two people)
