TNCC 9th Edition TNP EXAM NEWEST
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS |WELL GRADED
A+||LATEST UPDATE
An adult patient was brought to the emergency department following a motorcycle
crash. On arrival, the patient is only responsive to pain, has bleeding from the nose, and
multiple abrasions and contusions to the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect - CORRECT ANSWERS-C.Use a jaw
thrust to open the airway and look for signs of obstruction.
*An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40
mph. The patient is awake and alert and the right leg is shortened. Following initial
resuscitation with fluids, the patient remains hypotensive. What would be the priority
intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - CORRECT ANSWERS-B.Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically ventilated. The
patient has received a balanced resuscitation including multiple blood products. Under
which circumstance will it be harder for the hemoglobin to release oxygen to the
tissues?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - CORRECT ANSWERS-C.Decreased body
temperature
*A patient is thrown against a car during a tornado and presents with obvious bilateral
femur fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles?
,A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the next few hours
D. Cotnact the command center for personnel to notify next of kin - CORRECT
ANSWERS-A.Initiate two large-caliber intravenous lines for isotonic crystalloid
administration.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three sides. The patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - CORRECT ANSWERS-C.Dressing removal
—What does the J stand for at the end of the secondary survery? - CORRECT
ANSWERS-just keep evaluating - vipp
—What does VIPP stand for? - CORRECT ANSWERS-vital signs, injuries/interventions,
primary survey, pain
—During the head-to-toe, where would you find Grey-Turner's sign? - CORRECT
ANSWERS-flank
—During the head-to-toe, where would you find Cullen's sign? - CORRECT ANSWERS-
umbilicus
-What is sometimes deferred at the end of the head-to-toe? - CORRECT ANSWERS-
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? - CORRECT ANSWERS-AFTER
head-to-toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history assessment? - CORRECT
ANSWERS-Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at least one during
testing) - CORRECT ANSWERS-Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
, -For whom is capnography highly recommended? - CORRECT ANSWERS-all patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
CORRECT ANSWERS-EKG
-In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - CORRECT ANSWERS-blankets, room temp increase, warmed fluids,
warming lights
-To assess circulation, you must do these two main tasks: - CORRECT ANSWERS-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? - CORRECT ANSWERS-intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - CORRECT
ANSWERS-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: - CORRECT
ANSWERS-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? - CORRECT ANSWERS-cardiac monitor
-When should 2 IV sites be established? - CORRECT ANSWERS-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) - CORRECT ANSWERS-assess ETT position
by noting the number at teeth/gums AND secure ETT
-What should you verbalize after completing all ETT assessments? - CORRECT
ANSWERS-moving patient from assisted ventilation to mechanical
-During which part of the primary survey would you anticipate the need for a chest tube,
intubation, decompression of pneumothorax, oxygen, or BVMs? - CORRECT
ANSWERS-"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the airway: -
CORRECT ANSWERS-bony deformity, loose teeth, edema, inhalation injury, sounds,
tongue obstruction, burns, fluids, foreign objects, vocalization
