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TNCC TNP A-I STEPS EXAM QUESTIONS
Qs and Ans - Expert- Explanation - ing score -17 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: Across the room assessment
Answer:
uncontrolled hemorrhage repriorotizes to CABC
Question 2: Airway
Answer:
Maintain cervical spine stabilization Ask to open mouth/Jaw thrust Visually inspect oral cavity (name 4 things you could see) Listen with ears only snoring/gurgling/stidor etc Palpate the face for bony deformity
Question 3: Oygenation and ventilation status
Answer:
Consider weaning oxygen based on pulse oximetry/ETCO2/capnography
Question 4: Exposure and environment
Answer:
Completely remove all clothing for easy assessment Warm room/warm blankets/warm fluids/warm air
Question 5: Alertness
Answer:
AVPU
Question 6: Labs
Answer:
ABG, serum lactate, type and cross, CMP, metabolic panel
Question 7: Disability (neurological status)
Answer:
Glascow coma scale Pupils *Consider head CT for abnormalities
Question 8: Breathing and ventilation
Answer:
Visualize bilateral rise and fall of chest Depth, pattern and rate of respirations Spontaneous Skin color Signs of inhalation injury Apply oxygen if any deficiency
Question 9: Just keep reevaluating
Answer:
VIPP -
Vital signs Identify injuries and effectiveness of interventions Primary assessment Pain
Question 10: Monitor
Answer:
apply cardiac monitor and assess for arrythmias
Question 11: Full set of vitals/Family presence
Answer:
Pulse ox/BP cuff/ETCO2/Capnography Ask if the family is informed or wants to be there
Question 12: Circulation and control of hemorrhage
Answer:
Uncontrolled hemorrhage Central pulses Skin color/temperature/moisture Ensure they have two large bore IVs
Question 13: Inspect posterior surface
Answer:
Log role with c-spine stabilization unless contraindicated Remove backboard Verbalize inspect/palpate/auscultate
Question 14: Hx and Head-to-toe
Answer:
From EHR/provider/EMS/family Verbalize inspect/palpate/auscultate
Question 15: Get monitoring/Give Comfort
Answer:
LMNOP
Question 16: Pain assessment and management
Answer:
Manage pain with non/pharmacological means
Question 17: Naso/Orogastric tube
Answer:
Place one as needed
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