TNCC practice exam questions
what is the key to high performance trauma team? - ✔✔✔effective communication
skilled communication, cooperation and coordination are the cornerstones of high-performance teams
and high-quality trauma care
when obtaining a history for an injured patient, understanding the kinematic concepts associated with
the mechanism of injury and energy transfer can initially assist the trauma provider in what? - ✔✔✔
evaluating and anticipating the types of injury that may be present
MOI and energy transfer can assist the provider in evaluating and anticipating damage
what is the major preventable cause of death in the trauma patient? - ✔✔✔uncontrolled hemorrhage
uncontrolled hemorrhage is the major cause of preventable death after injury so assessment to identify
uncontrolled hemorrhage is key to the initial assessment process
across the room observation in initial assessment provides the opportunity to do what? - ✔✔✔
reprioritise circulation before airway and breathing
across the room observation is done before the primary survey to rapidly assess the need to reprioritise
circulation before airway or breathing if there is uncontrolled external bleeding
which of the following accurately describes ventilation principles associated with a bag-mask device? -
✔✔✔ventilate at a rate of 10 to 12 breaths/minute
if ventilation is ineffective assist ventilations at 10 to 12 breaths per minute or one every 5 to 6 seconds
, what is the best measure of the adequacy of cellular perfusion which helps predict the outcome of
resuscitation? - ✔✔✔base deficit
base deficits serve as an endpoint measurement of the adequacy of cellular perfusion and when used in
conjunction with serum lactate help predict the success of the resuscitation
safe pharmacological alternative to opioids for rib fracture pain management in the anticoagulated
patient? - ✔✔✔intercostal nerve blocks
continuous intercostal nerve blocks use long acting anesthetics and can provide safe and effective pain
management for the anticoagulated patient
in a patient with severe traumatic brain injury, hypocapnia causes what? - ✔✔✔cerebral
vasoconstriction
hypocapnia or low levels of carbon dioxide will cause vasoconstriction, especially in the cerebral
vasculature
patient with a knife injury to the neck has an intact airway and is hemodynamically stable. he complains
of difficulty swallowing and speaking. further assessment is indicated next for which of the following
conditions? - ✔✔✔spinal cord damage
penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or vascular neck
structures. with an intact airway and hemodynamic stability, the other common concurrent injury is to
the spinal cord
what is the appropriate technique for palpating the pelvis for stability? - ✔✔✔apply gentle pressure
over the iliac crests downward and medially
to assess for pelvic instability, gentle pressure is applied over the iliac crests downward and medially
what is the key to high performance trauma team? - ✔✔✔effective communication
skilled communication, cooperation and coordination are the cornerstones of high-performance teams
and high-quality trauma care
when obtaining a history for an injured patient, understanding the kinematic concepts associated with
the mechanism of injury and energy transfer can initially assist the trauma provider in what? - ✔✔✔
evaluating and anticipating the types of injury that may be present
MOI and energy transfer can assist the provider in evaluating and anticipating damage
what is the major preventable cause of death in the trauma patient? - ✔✔✔uncontrolled hemorrhage
uncontrolled hemorrhage is the major cause of preventable death after injury so assessment to identify
uncontrolled hemorrhage is key to the initial assessment process
across the room observation in initial assessment provides the opportunity to do what? - ✔✔✔
reprioritise circulation before airway and breathing
across the room observation is done before the primary survey to rapidly assess the need to reprioritise
circulation before airway or breathing if there is uncontrolled external bleeding
which of the following accurately describes ventilation principles associated with a bag-mask device? -
✔✔✔ventilate at a rate of 10 to 12 breaths/minute
if ventilation is ineffective assist ventilations at 10 to 12 breaths per minute or one every 5 to 6 seconds
, what is the best measure of the adequacy of cellular perfusion which helps predict the outcome of
resuscitation? - ✔✔✔base deficit
base deficits serve as an endpoint measurement of the adequacy of cellular perfusion and when used in
conjunction with serum lactate help predict the success of the resuscitation
safe pharmacological alternative to opioids for rib fracture pain management in the anticoagulated
patient? - ✔✔✔intercostal nerve blocks
continuous intercostal nerve blocks use long acting anesthetics and can provide safe and effective pain
management for the anticoagulated patient
in a patient with severe traumatic brain injury, hypocapnia causes what? - ✔✔✔cerebral
vasoconstriction
hypocapnia or low levels of carbon dioxide will cause vasoconstriction, especially in the cerebral
vasculature
patient with a knife injury to the neck has an intact airway and is hemodynamically stable. he complains
of difficulty swallowing and speaking. further assessment is indicated next for which of the following
conditions? - ✔✔✔spinal cord damage
penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or vascular neck
structures. with an intact airway and hemodynamic stability, the other common concurrent injury is to
the spinal cord
what is the appropriate technique for palpating the pelvis for stability? - ✔✔✔apply gentle pressure
over the iliac crests downward and medially
to assess for pelvic instability, gentle pressure is applied over the iliac crests downward and medially
