Trauma Nursing Core Course ( TNCC ) Bundle

Initial Assessment Correct Answer: 1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport Breathing and Ventilation Intervention

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c Correct Answer: a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to det...

What is kinematics? Correct Answer: A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? Correct Answer: A body at rest will remain at rest. A body in motion will remain in motion...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? Correct Answer: Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? Correct Answer: Vasoc...

ABCDE Correct Answer: A. Airway: airway maintenance and cervical spine B. Breathing: labored or adequate (Lung Sounds) C. Circulation: impaired or adequate D. Disability: neurological status E. Expose: quick scan Glasgow Coma Scale Correct Answer: The GCS is scored between 3 and 15, 3 being th...

What is kinematics? Correct Answer A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? Correct Answer A body at rest will remain at rest. A body in motion will remain in motion until...

What are the greatest risks for transport? Correct Answer Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient...

Expedite transfer to the closest trauma center CORRECT ANSWER A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via N...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? CORRECT ANSWER Airway/Intubate Lab evidence of cellular perfusion CORRECT ANSWER Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church....

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c CORRECT ANSWER a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to de...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? CORRECT ANSWER Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? CORRECT ANSWER Vasocons...

What is kinematics? CORRECT ANSWER A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? CORRECT ANSWER A body at rest will remain at rest. A body in motion will remain in motion until...