TNCC SKILLS DEMONSTRATION EXAM QUESTIONS

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TNCC SKILLS DEMONSTRATION EXAM QUESTIONS

Qs and Ans - Expert- Explanation - ing score -66 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Instructor Responses

"PPE has been donned by the team"

Answer:

Across-the-room Observation

Question 2: Instructor Responses

"ECG shows normal sinus rhythm with no ectopy."

Answer:

Student Skill Steps 29 States the need to consider insertion of a Naso/Orogastric tube

Question 3: Instructor Responses

"Clothing is removed. Multiple abrasions and contusions are noted on the face."

Answer:

Student Skill Steps 24 States the need to keep the patient warm (identifies AT LEAST 1/5).

• Blankets

• Warming lights.

• Increased room temp

• Warmed fluids.

• Warmed oxygen

Question 4: Student Skill Steps

• Assesses for obvious uncontrolled external hemorrhage

Answer:

Instructor Responses "There is no uncontrolled external hemorrhage and no need to consider reprioritizing to C-ABC."

Question 5: Instructor Responses

"The trauma team is activated"

Answer:

Student Skill Steps

• States the need to prepare the trauma room

Get the Rapid Infuser, Chest Trauma Equipment.

Question 6: Student Skill Steps

43 Applies gentle pressure over iliac crests downward and medially.

Answer:

Instructor Responses "There is no instability noted."

Question 7: Instructor Responses

"The spine board has been removed."

Answer:

Reevaluation Adjuncts

Question 8: Instructor Responses

"Preparation is complete"

Answer:

Student Skill Steps

• States the need to don personal protective equipment (PPE)

Question 9: Instructor Responses

"A warming method has been applied."

Answer:

Rescuscitation Adjuncts

Question 10: Student Skill Steps

41 Palpates all four quadrants of the abdomen for injuries.

Answer:

Instructor Responses "No abnormalities are noted."

Question 11: Student Skill Steps

37 Inspects AND palpates chest for injuries.

Answer:

Instructor Responses "No abnormalities are noted."

Question 12: Instructor Responses

"Ventilations are being assisted."

Answer:

Instructor Response:

"The patient has just been intubated using rapid sequence intubation. What is your next step?"

Question 13: Student Skill Steps

36 Inspects AND palpates neck for injuries; demonstrating removal AND replacement of cervical collar for assessment.

Answer:

Instructor Responses "I will maintain cervical spinal stabilization while you perform your assessment." "There is a step-off deformity and crepitus palpated at C4-C6."

Question 14: Instructor Responses

"The patients pain ins indeterminant due to RSI. Assume pain is present based on MOI and identified injuries."

Answer:

Student Skill Steps 32 Gives appropriate nonpharmacologic comfort measure (identifies AT LEAST 1/4).

• Apply ice to swollen areas.

• Repositioning.

• Padding over bony prominences

• Other, as appropriate.

Question 15: Student Skill Steps

52 States the need to reevaluate primary assessment.

Answer:

Instructor Responses

Question 16: Full Set of Vitals

Answer:

Student Skill Steps 25 Obtain a full set of vitals

Question 17: Instructor Responses

"The team maintains spinal stabilization for assessment of posterior surfaces."

Answer:

Student Skill Steps 48 Inspects AND palpates posterior surfaces.

Question 18: Instructor Responses

"1. Breathing in spontaneous.

• Chest rise is symmetrical and shallow.
• Respirations are very slow and shallow.
• There are no signs of increased work of breathing.
• The skin is pale.
• No wounds are noted. There is no subcutaneous emphysema. The chest wall is intact.
• There is no tracheal deviation or jugular venous distension.
• Breath sounds are diminished."

Answer:

Student Skill Steps 12 States the need for assisted ventilation with bag valve mask.

Question 19: Student Skill Steps

26 States the need to facilitate family presence

Answer:

Instructor Responses "The family has just arrived and the family presence liaison is preparing to bring them in."