TNCC TRAUMA NURSING PROCESS SKILL EXAMINATION

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TNCC TRAUMA NURSING PROCESS SKILL EXAMINATION

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -54 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What is the Second Step of the Primary Survey?

Answer:

Breathing and Ventilation Question 2: When assessing Breathing and Ventilation, what are we assessing specifically? (9)

Answer:

Breath sounds Depth, Pattern and Rate of Reps.Increased work of breathing Open wounds or deformities Skin colour Spontaneous Breathing Subcutaneous Emphysema Symmetrical Chest Rise & Fall Tracheal deviation or JVD

Question 3: What is the first step of the trauma nursing process (TNP)

Answer:

Preparation & Triage

Question 4: When alterations are noted during assessment of circulation, what potential interventions should we begin to consider?

Answer:

Goal-directed therapy for shock Cardiac Monitor Pelvic binder Traction splint Insert IV/IO (assess if pre-existing is patent) Compare central vs. peripheral pulses Consider sources of internal hemorrhage Control External Hemorrhage Draw labs Facilitate FAST or get radiographs to identify sources of internal hemorrhage Initiate Chets compressions and ACLS Palpate central pulse is peripheral is absent Question 5: Specifically, what are some things we are assessing for in the general impression that would require immediate intervention and re-prioritization of primary survery?

Answer:

Apnea External Hemorrhage A systole Significant blood loss with signs of poor perfusion

Question 6: What is happening in Preparation & Triage?

Answer:

• Activate the team and assign roles

• Prepare the trauma room

• Don appropriate PPE

Question 7: Other than the GCS what else should we assess when considering disability?

Answer:

Assess pupils

Question 8: After Getting Adjuncts and Giving comfort, what must be considered?

Answer:

Need for Definitive Care "at this time, is there a need for transfer to a trauma centre, surgery, or critical care?"

Question 9: What is the first assessment in the secondary survey?

Answer:

History & Head-to-Toe Question 10: What is an effective pneumonic used to collect a brief but thorough history?

Answer:

S- Symptoms associated with injury A- Allergies M- Medications P- Past medical History L- Last intake and output E- Events & Environmental Factors related to the injury

Question 11: What is the second step in the 6th portion of the primary survey?

Answer:

Facilitate family presence Question 12: In the event that there are alterations with airway patency, what may be some interventions to consider? (4)

Answer:

Need for intubation OPA or NPA insertion Removing any loose teeth or foreign objects Suctioning Fluids Question 13: What consideration should we account for if circulation is compromised in a pregnant patient

Answer:

Tilt the patient or manually displace the uterus.

Question 14: What findings will you continue to reevaluate while the patient remains in your care?

Answer:

VIPP Vital signs Identified injuries & effectiveness of interventions Primary survey Pain

Question 15: In the event we must intervene and intubate, what must me do?

Answer:

Assess Endotracheal tube placement, and secure the tube Question 16: In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival?

Answer:

Complete the triage and Donning of PPE to protect yourself prior to entering the room, but complete general impression and preparation steps simultaneously.

Question 17: What is the first step of the Primary Survey

Answer:

A: Airway & Assessment of alertness (with Cervical Spine Stabilization)

Question 18: What may need to be considered when preparing the trauma room? (5)

Answer:

IV equipment Airway equipment Fluid warmer Bariatric equipment Paediatric equipment

Question 19: What is an additional recording used to determine tube placement?

Answer:

Following securing the ET tube, note the number at the teeth or gums and record