TNCC test prepA, TNCC Notes for Written Exam, TNCC
Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition
.. activation: .... are found in the carotid sinus and along the
aortic arch, are sensitive to the degree of stretch in the arterial
wall. When the receptors sense a decrease in stretch, they
stimulate the sympathetic nervous system to release Epi, norepi,
causing stimulation of cardiac activity and constriction of blood
vessels, which causes a rise in heart rate and diastolic blood
pressure Correct Answer Baroreceptors:
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
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 Correct Answer ABCDEFGHI
1. Apnea
2. GCS 8 or less
3. Maxillary fractures
4. Evidence of inhalation injury (facial burns)
,5. Laryngeal or tracheal injury or neck hematoma
6. High risk of aspiration and patients inability to protect the
airway
7. Compromised or ineffective ventilation Correct Answer
Following conditions might require a definitive airway
1. bony fractures and possible rib fractures, which may impact
ventilation
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a
pneumothorax
4. soft tissue injury Correct Answer Palpate the chest for
1. Check the presence of adequate rise and fall of the chest with
assisted ventilation
2. Absence of gurgling on auscultation over the epigastrium
3. Bilateral breath sounds present on auscultation
4. Presence of carbon dioxide (CO2) verified by a CO2 device
or monitor Correct Answer If the pt has a definitive airway in
what should you do?
1. Dyspnea
2. Tachycardia
3. Decreased or absent breath sounds on the injured side
4. CP Correct Answer Simple Pneumo assessment:
1. equal breath sounds bilaterally at the second intercostal space
midclavicular line and the bases for fifth intercostal space at the
axillary line Correct Answer Auscultate the chest for:
1. Get a CT
,2. Consider ABG 's if decreased LOC
3. Consider glucose check Correct Answer D Interventions
1. open the airway, use jaw thrust
2. insert an oral airway
3. assist ventilations with a bag mask
4. prepare for definitive airway Correct Answer If breathing is
absent..
1. pain - hallmark sign, early sign
2. pressure - early sign
3. pallor, pules, paresthesia, paralysis - late sign Correct Answer
Six P's of compartment syndrome:
1. Preparation
2. Preoxygenation
3. Pretreatment
4. Paralysis and Induction
5. Protecting and positioning - v
6. Placement of proof - secure the tube
7. Post intubation - secure ETT Tube, get X-ray for placement
Correct Answer Steps of Rapid Sequence Intubation
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
Correct Answer Initial Assessment
1. Suction the airway
2, Use care to avoid stimulating the gag reflex
3. If the airway is obstructed by blood or vomitus secretions, use
a rigid suction device
If foreign body is noted, remove it carefully with forceps or
another appropriate method Correct Answer If Airway is not
patent
1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema Correct Answer Inspect the
mouth for:
50 to 150 Correct Answer MAP Range
500 mL/hr Correct Answer You are treating a 27 y/o M in
respiratory distress who was involved in a house fire.
Calculating TBSA burned is deferred due to the need for
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