1 | P a g e | © copyright 2024/2025 | Grade A+
Trauma Nursing Process - TNP -
TNCC 9th Ed Questions and Answer
| Latest Update 2024/2025
What should you ask yourself after completing all of your interventions and
reassessments?
✓ ~~> Does this patient need to be transferred to another hospital, to
surgery, or to critical care?
What happens prior to patient arrival? 1-3
✓ ~~> 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to intubate has
been made? 4-8
may change based on C-ABC
✓ ~~> 4. Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11
✓ ~~> 9**. If intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue
assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred
✓ ~~> 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and
removal of clothing to inspect for injury. 16-18
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
✓ ~~> 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23
✓ ~~> 19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26
✓ ~~> 24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43
Master01 | September, 2024/2025 | Latest update
Trauma Nursing Process - TNP -
TNCC 9th Ed Questions and Answer
| Latest Update 2024/2025
What should you ask yourself after completing all of your interventions and
reassessments?
✓ ~~> Does this patient need to be transferred to another hospital, to
surgery, or to critical care?
What happens prior to patient arrival? 1-3
✓ ~~> 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
What happens following patient arrival but before a decision to intubate has
been made? 4-8
may change based on C-ABC
✓ ~~> 4. Assess for obvious uncontrolled external hemorrhage or
unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
Continue the TNP assuming the patient was intubated. 9-11
✓ ~~> 9**. If intubated, assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue
assisted ventilation
Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred
✓ ~~> 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
Continue the TNP following assessments of circulation, neuro status, and
removal of clothing to inspect for injury. 16-18
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
✓ ~~> 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)
18. Facilitate family presence
Continue the TNP using the LMNOP mnemonic. 19-23
✓ ~~> 19. L - trauma panel labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
23**. P - assess pain using appropriate pain scale
Continue TNP after LMNOP (so after pain has been assessed). 24-26
✓ ~~> 24. Non-pharmacological comfort measures
25. Consider analgesic med order
26. Obtain pertinent history
Head-to-Toe 27-43
Master01 | September, 2024/2025 | Latest update
