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TNCC PROCESS EXAM QUESTIONS
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -49 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: Step 17
Answer:
Obtain a full set of vital signs -BP and MAP -HR -RR -T -SpO2
Question 2: Step 39
Answer:
Apply gentle pressure on the symphysis pubis (if iliac crest are stable)
Question 3: Step 34
Answer:
Auscultate bowel sounds
Question 4: Step 32
Answer:
Auscultate heart sounds
Question 5: Step 11
Answer:
If intubated, begin mechanical ventilation or continue assisted ventilation
Question 6: Step 36
Answer:
Inspect and palpate the flanks for injuries
Question 7: Step 31
Answer:
Auscultate breath sounds
Question 8: Step 22
Answer:
O: assess oxygenation and continuous end-tidal capnography
-increase/decrease the rate of assisted ventilation -wean oxygen (consider parameters other than oximetry due to hypothermia, vasoconstriction, and skin color impact on pulse ox)
Question 9: Step 28
Answer:
Inspect AND palpate face for injuries
Question 10: Step 19
Answer:
L: consider the need for lab analysis
-blood gases -blood cross/type and screen -coagulation studies -CBC -CMP -lactate -pregnancy -tox screen
Question 11: Step 10
Answer:
If intubated, assess ETT position by noting the number at the teeth or gums AND secure the ETT
Question 12: Step 13
Answer:
Assess neurologic status using GCS -best eye opening -best verbal response -best motor response When alterations are identified, intervene as appropriate and reassess -anticipate the need for head CT -anticipate need for drug-assisted intubation -assess bedside glucose (with AMS
Question 13: Step 25
Answer:
Consider obtaining order for analgesic medication * is there a need to consider transfer to a trauma center, surgery, or critical care?*
Question 14: Step 29
Answer:
Inspect AND palpate neck for injuries
Question 15: Step 38
Answer:
Apply gentle pressure over iliac crest downward and medially
Question 16: Step 42
Answer:
Inspect and palpate all 4 extremities for neurovascular status and injuries
Question 17: Step 48
Answer:
Reevaluate pain
Question 18: Step 41
Answer:
Considere how to measure urinary output -assess for contraindications for a catheter -use external catheter -weigh diapers (peds and adults)
Question 19: Step 9
Answer:
If intubated, assess ETT placement (name ALL 3)
- attach a CO2 detector device, after 5-6 breaths, assess for evidence of exhaled CO2
- simultaneously observe for rise and fall of the chest with assisted ventilations
- auscultate over the epigastrium for gurgling AND lungs for bilateral breath sounds
*capnography
Question 20: Step 26
Answer:
Obtain pertinent history (name 1) -medical records/documents -prehospital report
-SAMPLE
S: signs and symptoms
A: allergies
M: medications
P: past medical history
L: last ate or drank
E: events leading up to this
** head-to-toe **