TNCC - TRAUMA NURSE PROCESS EXAM QUESTIONS

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TNCC - TRAUMA NURSE PROCESS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -22 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: M - Monitor

Answer:

-Place on cardiac monitor/ obtain ekg

-Monitor:

--> HR --> Rhythm

Question 2: A - Across the room observation

Answer:

Assess for uncontrolled bleeding --> if observed, switch to C-ABC

Question 3: Primary Survey - ABCDEFG

LMNOP Secondary Survey - HIJ VIPP

Answer:

Across the room observation Alertness & Airway & Cervical Spine Immob Breathing & Ventilation Circulation & Control of hemorrhage Disability (Neuro status) Exposure & Environmental control Full set of Vitals & Family presence Get Monitoring Devices

--> Labs --> Monitor HR & Rhythym --> Naso/orogatric tube insertion --> Oxygen weaning assess capnography --> Pain assessment and management (pharm/nonphar) History & Head-to-toe assessment Inspect posterior surfaces Just keep reevealuating --> Vitals --> Identified Injuries & Intervention effectiveness --> Primary assessment --> Pain

Question 4: VIPP

Answer:

• Vitals
• Identified injuries and effectiveness of Interventions
• Primary assessment
• Pain

Question 5: Preparation and Triage

Answer:

Activate trauma team Gather appropriate equipment (fluid warmer/peds) Don PPE Consider need for decontamination

Question 6: I - Inspect posterior surfaces

Answer:

-Turn patient

-Inspect & Palpate: posterior surfaces

(unless contraindicated by suspected spine/pelvic injury) -Consider removal from transport devices (stretcher, back board) -Summarize injuries

Question 7: D - Disability (Neuro status)

Answer:

-Glasgow Coma Scale (eye, verbal,motor) --> if <15, obtain CT --> if <8, intubate -Check PUPILS

--> CT if abnormal

-GLUCOSE CHECKS!

Question 8: Definitive Care or Transport

Answer:

Determine if patient need to be transferred to a trauma center, burn center, children hospital, or admitted

Question 9: E - Exposure & Environment

Answer:

-Remove clothes -Inspect for hemorrhage and injuries -Provide warmth --> blanket, warm fluids, room temp

Question 10: C - Circulation & Control of Hemorrhage

Answer:

-Assess for:

• unControlled Hemorrhage

• Central pulse

• skin Color/temp/moisture

-Assess patency of 1st IV, Insert 2nd large bore IV, if needed -Administer warmed isotonic Crystalloids with blood tubing at Controlled/bolus rate

Question 11: O - Oxygen

Answer:

-Wean Oxygen based on oximetry -Assess Capnography (required if sedated, intubated, manually ventilated) Question 12: Prior to secondary assessment, determine:

Answer:

if there is a need to consider transfer to a trauma center or prepare for definitive treatment.

Question 13: L - Labs

Answer:

-blood typing -blood gases -lactate Question 14: A - Airway & Alertness w/ simultaneous Cervical Spine Immobilization

Answer:

-AVPU (alert, voice, pain, unresponsive) -Maintain cervical spine immobilization (using second person if suspected)

-Assess airway patency, checking for: (4)

• tongue blocking airway

• missing or loose teeth

• foreign objects

• secretions

• snoring, gurgling

Question 15: P - Pain

Answer:

-Pain assessment

-Pain management using:

--> nonpharmacological method (1) (reposition, padding, ice) --> pharmacological interventions (analgesics)

Question 16: H - History & Head-to-toe Assessment

Answer:

-History (1) (prehospital report, health record, family) -Head-to-toe assessment

--> Inspect/Palpate: Head, Face, Neck, Chest

--> Ausculatate: Breath sounds, Heart sounds

--> Inspect/Palpate: Abdomen, 4 quadrants, bowel sounds, flanks, and Pelvis & Symphysis pubis (gentle pressure, down and medially)

-> Inspect: Perineum for injury

--> Inspect/Palpate: All 4 Extremities for neurovascular status

--> Determine indications/contraindications for URINARY CATHETER!!!