TRAUMA SCENARIO CHECK OFF TNCC EXAM QUESTIONS

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TRAUMA SCENARIO CHECK OFF (TNCC) EXAM QUESTIONS

Qs and Ans - Expert- Explanation - ing score -19 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: what is AVPU

Answer:

Alert, Verbal, Pain, Unresponsive

Question 2: g- get monitoring devices and give comfort

Answer:

• put patient on cardiac monitor
• put patient on pulse ox
• consider need for urinary catheter
• consider need for gastric tube
• draw labs
• assess pain
• give comfort measures
• potential orders for pain meds

Question 3: H- history & head to toe

Answer:

• states pertinent history to be obtained
• inspect and palpate head and face
• inspect and palpate neck
• inspect and palpate chest
• listen to breath and heart sounds
• inspect abdomen for injury
• listen to bowel sounds
• palpate abdomen for injury

• inspect perineum for injury
• inspect and palpate all 4 extremities for neuromuscular status and injuries

Question 4: J- just keep reassessing

Answer:

• state need to reassess primary assessment
• state need to reassess vitals
• state need to reassess pain
• state need to reassess all ID injuries

Question 5: A- airway

Answer:

• ask patient their name
• see if tongue is obstructing airway
• look for teeth or foreign objects
• look for blood, vomit or other secretions

Question 6: c- circulation

Answer:

• inspect & palpate skin for color, temperature and moisture
• palpate central pulse

-inspect for external bleeding

• assess IV sites
• ensure large bore IV placement
• administer warmed isotonic fluids (+ blood if needed)

Question 7: d- disability

Answer:

assess AVPU and pupils

Question 8: what should be identified with I

Answer:

• all suspected injuries
• appropriate diagnostic studies or interventions

Question 9: examples of diagnostic studies and interventions

Answer:

• head CT
• C spine xray/CT
• chest xray/CT
• abdominal CT

-FAST exam

• extremity xray
• ABG
• serum lactate level
• type and screen
• GCS
• revised trauma score
• pain control
• psychosocial support
• tetanus prophylaxis
• prepare for admin, surgery or transfer

Question 10: B- breathing

Answer:

• assess rise and fall of chest
• look for accessory muscle use
• look at skin color
• bilateral breath sounds

Question 11: what should be done during A

Answer:

maintain spinal immobilization (c collar or c spine)

Question 12: how to assess pupils

Answer:

assess for PERRLA (pupils are equal, round, reactive and accommodating)

Question 13: e- environmental

Answer:

• remove all clothing
• methods to prevent heat loss

Question 14: I- inspect posterior surfaces

Answer:

• maintain spinal stabilization during log roll
• inspect and palpate posterior surfaces

Question 15: how to assess need for ET tube placement

Answer:

• look for chest rise and fall with bag-valve ventilations
• auscultates epigastric area and bilateral breath sounds

Question 16: f- full set of vitals & family presence

Answer:

• need for full set of vitals
• facilitate family presence

Question 17: comfort measure examples

Answer:

• verbal reassurance
• touching
• applying ice to swollen area
• padding uncomfortable areas

Question 18: what is a method to prevent heat loss

Answer:

warmed blankets, increase temperature of room

Question 19: what else should be done during B

Answer:

assess need for placement of ET tube