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TNCC Trauma Nursing Process Skill Examination questions and answers graded A+ 2024/2025
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TNCC Trauma Nursing Process Skill Examination questions and answers graded A+ 2024/2025
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TNCC Trauma Nursing Process SkillExamination
What is the first step of the trauma nursing process (TNP) - ANSPreparation & Triage
What is happening in Preparation & Triage? - ANS1. Activate the team and assign roles
2. Prepare the trauma room
3. Don appropriate PPE
What may need to be considered when preparing the trauma room? (5) - ANSIV equipment
Airway equipment
Fluid warmer
Bariatric equipment
Paediatric equipment
What is the next step of the TNP (following preparation & Triage)? - ANSGeneral impression
What is completed during the "General Impression"? - ANSAssessing for obvious life
threatening circumstances and re-prioritizing the ABC's as necessary (C-ABC)
Specifically, what are some things we are assessing for in the general impression that would
require immediate intervention and re-prioritization of primary survery? - ANSApnea
External Hemorrhage
A systole
Significant blood loss with signs of poor perfusion
In the TNP, what do we do if there is not a pre-hospital notification prior to patient arrival? -
ANSComplete the triage and Donning of PPE to protect yourself prior to entering the room, but
complete general impression and preparation steps simultaneously.
List the Mnemonic used for the primary Survery - ANSA: Airway and assessment of Alertness
(stabilizing of Spine as well)
B: Breathing and Ventilation
C: Circulation and Control of Hemorrhage
D: Disability (Neurological Status)
E: Exposure and Environmental Control
F: Full set of Vitals and Family Presence
G: Get Adjuncts and Give Comfort (LMNOP)
H: Head to toe assessment & History
I: Inspect Posterior Surfaces
, J: Just keep Re-evaluating (Just keep swimming)
What is the first step of the Primary Survey - ANSA: Airway & Assessment of alertness (with
Cervical Spine Stabilization)
What are the steps includes when it comes to assessing Airway & alertness? - ANS1. Assess
level of consciousness (Using AVPU)
2. Open the airway
3. Assess for patency and protection of the airway
How does one "open the airway" with alert patients vs. patients with possible CSIs? - ANSAlert:
if able you can ask them to open their mouths for assessment
?CSI: require a second person to proceed manual cervical spine stabilization while you
demonstrate manual Jaw-thrust maneuver to assess airway
What are some things we are assessing for when evaluating patency and protection of airway
(10) - ANSBony deformity
Burns
Edema
Fluids (Blood, Vomit, Secretions)
Foreign Objects
Inhalation Injuries (Burns & Soot)
Loose or missing teeth
Sounds (Snoring, gurgling, stridor)
Tongue obstruction
Vocalization
In the event that there are alterations with airway patency, what may be some interventions to
consider? (4) - ANSNeed for intubation
OPA or NPA insertion
Removing any loose teeth or foreign objects
Suctioning Fluids
What is the Second Step of the Primary Survey? - ANSBreathing and Ventilation
When assessing Breathing and Ventilation, what are we assessing specifically? (9) - ANSBreath
sounds
Depth, Pattern and Rate of Reps.
Increased work of breathing
Open wounds or deformities
Skin colour
Spontaneous Breathing
Subcutaneous Emphysema
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