TNCC (TRAUMA NURSING CORE COURSE PROVIDER
MANUAL (TNCC) 7TH EDITION) WRITTEN EXAM QUESTIONS
AND ANSWERS ELABORATIONS!!
Disclaimer: The purpose of TNCC is to teach registered nurses (RNs) core-level
knowledge and psychomotor skills, which are defined as central or key elements of
the multidimensional processes involved in the initial assessment and management
of injured patients. TNCC also provides a foundation for integrated
communication and collaboration in trauma teamwork. The trauma nursing
process (TNP) skill station was created to develop and reinforce a systematic and
standardized approach for the assessment and interventions of the trauma patient,
helping nurses to build a firm foundation and refine skills in trauma nursing. The
intent of TNCC is to help the nurse develop a rapid and accurate approach to
caring for the trauma patient and ultimately contribute to a decrease in the
morbidity and mortality associated with trauma.
What is the best measure of the adequacy of cellular perfusion and helps predict
the outcome of resuscitation?
answers: Base deficit used in conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature?
answers: Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit?
answers: Metabolic acidosis
What type of shock results in generalized vasodilation?
answers: Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in
what?
, answers: Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury?
answers: Compartment Syndrome
What is a high risk of frostbite?
answers: Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite
injury along with rewarming?
answers: Tissue plasminogen activator or non steroidal anti-inflammatory
medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what?
answers: Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric
patient?
answers: Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries?
answers: Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis?
answers: Quaternary Phase
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