TNCC INITIAL ASSESSMENT EXAM QUESTIONS

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TNCC | INITIAL ASSESSMENT EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -11 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What comorbid conditions or special considerations increase the patient's risk for complications?

Answer:

Age <55 or pediatrics Burns Pregnancy Disabilities (physical, mental, emotional)

Question 2: Difference between primary and secondary survey

Answer:

Primary: A-E

Secondary: H-J

Question 3: What are the guidelines for field triage of injured patients?

Answer:

Transport patients with the greatest degree of injury to highest level of care.

Question 4: Examples of mechanism of injury (MOI) and high-energy impact.

Answer:

Falls >20 ft for adults Falls >10 ft for children MVC (roof intrusion, body ejection, passenger death) Auto vs. ped Motorcycle crash >20 mph

Question 5: List resuscitation monitoring devices and support.

Answer:

L Labs M monitor EKG N NGT or OGT decompression O Oxygen (SaO2) vs ventilation (ETCO2) P Pain assessment & management

Question 6: What are important aspects of patient history?

Answer:

S Symptoms of illness or injury A Allergies M Medication used, including anticoag P PMH, including hospitalizations and surgeries L Last oral intake/menstruation E Events and environmental factors related to injury

Question 7: When is the appropriate time to perform secondary survey?

Answer:

After initiating resuscitative efforts (A-E), when vital functions have stabilized, and after additional monitoring have been considered (F-G).

Question 8: Examples of anatomical injuries.

Answer:

Open or decompressed skull Penetrating injuries to head, neck, torso, extremities proximal elbow or knee Flail chest Crushed, mangled, pulseless extremity Amputation proximal wrist/ankle Long-bone fx Pelvic fx Paralysis

Question 9: Which special population group should be triaged to trauma center?

Answer:

Age >55 with SBP <110 (might represent shock) Elderly with ground level falls Pediatrics Anticoagulants & bleeding disorders Burns

Pregnancy >20 weeks

Question 10: Examples of physiologic derangements.

Answer:

GCS <13 SBP <90 RR <10 or >29 Need for ventilatory support

Question 11: Steps in the Trauma Nursing Process (TNP)

Answer:

Mnemonic that helps trauma nurse assess and intervene life-threatening injuries: A-J A Across the room assessment for uncontrolled hemorrhage B Breathing and ventilation C Circulation and control of hemorrhage D Disability (neuro status) E Exposure and environmental control F Full set of VS; Family presence G Get devises and Give comfort via LMNOP H Hx and Head-to-toe assessment I Inspect posterior surfaces J Just keep reevaluating A-I