1 | P a g e | © copyright 2024/2025 | Grade A+
TNCC EXAM Questions and Answer
| Latest Update 2024/2025
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
✓ ~~> Initial Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal
caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces
✓ ~~> ABCDEFGHI
Before the arrival of the pt
✓ ~~> When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility,
right resources
✓ ~~> Safe Care:
Uncontrolled Hemorrhage
✓ ~~> Major cause of preventable death:
reorganize care to C-ABC
✓ ~~> If uncontrolled hemorrhage ..
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway
once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the
tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be
able to maintain his or her airway adjunct may need to be placed while
further assessment is made to determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team
and direct someone to chk in the pt is pulseless while assessing if the cause of
the problem is the airway.
✓ ~~> Airway and AVPU:
ask pt to pen his or her mouth
✓ ~~> While assessing airway the patient is alert and responds to
verbal stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction. If pt has a
suspected csi, the jaw thrust procedure should be done by two providers.
Master01 | September, 2024/2025 | Latest update
TNCC EXAM Questions and Answer
| Latest Update 2024/2025
1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
✓ ~~> Initial Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal
caron dioxide (ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces
✓ ~~> ABCDEFGHI
Before the arrival of the pt
✓ ~~> When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility,
right resources
✓ ~~> Safe Care:
Uncontrolled Hemorrhage
✓ ~~> Major cause of preventable death:
reorganize care to C-ABC
✓ ~~> If uncontrolled hemorrhage ..
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway
once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the
tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be
able to maintain his or her airway adjunct may need to be placed while
further assessment is made to determine the need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team
and direct someone to chk in the pt is pulseless while assessing if the cause of
the problem is the airway.
✓ ~~> Airway and AVPU:
ask pt to pen his or her mouth
✓ ~~> While assessing airway the patient is alert and responds to
verbal stimuli you should..
jaw thrust maneuver to open airway and assess for obstruction. If pt has a
suspected csi, the jaw thrust procedure should be done by two providers.
Master01 | September, 2024/2025 | Latest update
