FINAL EXAM TNCC 9TH EDITION EXAM QUESTIONS WITH
ACTUAL CORRECT ANSWERS OF CURRENTLY TESTING
SOLUTIONS
What does the J stand for at the end of the secondary survery?
just keep evaluating - vipp
What does VIPP stand for?
vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign?
flank
During the head-to-toe, where would you find Cullen's sign?
umbilicus
What is sometimes deferred at the end of the head-to-toe?
,inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting, psychosocial support,
social services, splinting, tetanus, and wound care are all interventions that you do AFTER and before
WHAT?
AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment?
Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one during testing)
Distraction, family presence, padding bony prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended?
all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor?
EKG
,In Step 16 of "Exposure and Environment", you must name at least one of these interventions:
blankets, room temp increase, warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries?
In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered?
glucose
To assess circulation, you must do these two main tasks:
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary survery?
intervene as appropriate and reassess
What three assessments must be done if the patient is intubated?
, 1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest
w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs for bilateral breath sounds
Four of these must be identified to assess breathing effectiveness:
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, increased work
of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, open wounds/deformities, skin
color
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which credit is given in
the LMNOP section?
cardiac monitor
When should 2 IV sites be established?
During "Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else needs to be done with
the ETT? (step 10)
assess ETT position by noting the number at teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments?
