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TNCC EXAMS
TNCC 2024 QUESTIONS AND ANSWERS Already Passed 100%
[Show more]TNCC 2024 QUESTIONS AND ANSWERS Already Passed 100%
[Show more]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 
Wha...
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Add to cartWhat 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 
Wha...
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of 
resuscitation? - Base deficit used in conjunction with serum lactate 
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - 
Vasoconstriction 
What results fr...
Preview 2 out of 10 pages
Add to cartWhat is the best measure of the adequacy of cellular perfusion and helps predict the outcome of 
resuscitation? - Base deficit used in conjunction with serum lactate 
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - 
Vasoconstriction 
What results fr...
Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is 
brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. 
His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Wh...
Preview 2 out of 6 pages
Add to cartExpedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is 
brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. 
His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Wh...
Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is 
brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. 
His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Wh...
Preview 2 out of 7 pages
Add to cartExpedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is 
brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. 
His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Wh...
what roles are vital to a trauma team? -The Pt, team leader, care team, support services 
(anesthesia, RT, paramedics) 
what are the characteristics of an effective team? -Dynamic, interdependent, adaptive 
What are the key foundations to successful teamwork in the care of the trauma patient? - 
Com...
Preview 2 out of 12 pages
Add to cartwhat roles are vital to a trauma team? -The Pt, team leader, care team, support services 
(anesthesia, RT, paramedics) 
what are the characteristics of an effective team? -Dynamic, interdependent, adaptive 
What are the key foundations to successful teamwork in the care of the trauma patient? - 
Com...
What do you do to prepare for the trauma after EMS report? - - activate code trauma 
- prepare team, assign roles 
- gather supplies 
- PPE 
- safety/ decontamination 
What is the first thing you do when the pt arrives? - General impression/ across the room 
assessment 
Is pt uncontrollably hemorrha...
Preview 1 out of 4 pages
Add to cartWhat do you do to prepare for the trauma after EMS report? - - activate code trauma 
- prepare team, assign roles 
- gather supplies 
- PPE 
- safety/ decontamination 
What is the first thing you do when the pt arrives? - General impression/ across the room 
assessment 
Is pt uncontrollably hemorrha...
What is the key to a high-performance trauma team? 
a. Individual goals 
b. Use of TeamSTEPPS 
c. Identification of a single decision maker 
d. Effective communication - d. Effective communication Rationale: Skilled communication, 
cooperation, and coordination are the cornerstones of high-performan...
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Add to cartWhat is the key to a high-performance trauma team? 
a. Individual goals 
b. Use of TeamSTEPPS 
c. Identification of a single decision maker 
d. Effective communication - d. Effective communication Rationale: Skilled communication, 
cooperation, and coordination are the cornerstones of high-performan...
What is the key to a high performing trauma team? - effective communication 
rationale: 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 con...
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Add to cartWhat is the key to a high performing trauma team? - effective communication 
rationale: 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 con...
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 associat...
Preview 2 out of 5 pages
Add to cartwhat 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 associat...
You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating 
TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid 
resuscitation? 
A) 1000 mL/hr 
B) 500 mL/hr 
C) 250 mL/hr 
D) 125 mL/hr - B) 500 mL/hr 
A pati...
Preview 3 out of 17 pages
Add to cartYou are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating 
TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid 
resuscitation? 
A) 1000 mL/hr 
B) 500 mL/hr 
C) 250 mL/hr 
D) 125 mL/hr - B) 500 mL/hr 
A pati...
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 - Init...
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Add to cart1. 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 - Init...
- Prehospital shock index pg. 85 
____________ ___________ Injury: shearing or tearing. Diagnosed with MRI. Widespread microscopic 
hemorrhage. - Diffuse Axonal Injury (Cannot recover from this; shearing/tearing portion DOES 
NOT heal) 
____________ ___________ Injury: shearing or tearing. Diagnosed...
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Add to cart- Prehospital shock index pg. 85 
____________ ___________ Injury: shearing or tearing. Diagnosed with MRI. Widespread microscopic 
hemorrhage. - Diffuse Axonal Injury (Cannot recover from this; shearing/tearing portion DOES 
NOT heal) 
____________ ___________ Injury: shearing or tearing. Diagnosed...
What is the key to a high performing trauma team? - Consistent communication 
(Communication, cooperation, and coordination are the foundations of successful teamwork in trauma 
care p.6) 
When obtaining a history for an injured patient, determining energy transfer through biomechanical 
data helps ...
Preview 1 out of 4 pages
Add to cartWhat is the key to a high performing trauma team? - Consistent communication 
(Communication, cooperation, and coordination are the foundations of successful teamwork in trauma 
care p.6) 
When obtaining a history for an injured patient, determining energy transfer through biomechanical 
data helps ...
What is the key to a high performing trauma team? - x 
When obtaining a history for an injured patient, determing energy transfer through biochemical data 
help the nurse to: - x 
The major preventable cause of death in the trauma patient is: - x 
The across-the-room observation step in the inital a...
Preview 2 out of 5 pages
Add to cartWhat is the key to a high performing trauma team? - x 
When obtaining a history for an injured patient, determing energy transfer through biochemical data 
help the nurse to: - x 
The major preventable cause of death in the trauma patient is: - x 
The across-the-room observation step in the inital a...
Major cause of death 1-44 - Trauma: major cause of death for people ages 1-44 years 
Epidemiology: Unintentional injury is a leading cause of death across all age groups in the US - • 
65+ falls are the leading cause of injury-related deaths 
• 25-64: poisoning is the leading cause of death 
•...
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Add to cartMajor cause of death 1-44 - Trauma: major cause of death for people ages 1-44 years 
Epidemiology: Unintentional injury is a leading cause of death across all age groups in the US - • 
65+ falls are the leading cause of injury-related deaths 
• 25-64: poisoning is the leading cause of death 
•...
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does 
not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low 
metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. 
...
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Add to cart1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does 
not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low 
metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. 
...
Biomechanics - is the general study of forces and their effects 
kinematics - the study of energy transfer as it applies to identifying actual or potential injuries 
Mechanism of Injury (MOI) - is how external forces are transferred to the body, resulting in injury 
Newton's First Law - a body at r...
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Add to cartBiomechanics - is the general study of forces and their effects 
kinematics - the study of energy transfer as it applies to identifying actual or potential injuries 
Mechanism of Injury (MOI) - is how external forces are transferred to the body, resulting in injury 
Newton's First Law - a body at r...
C What are the primary benefits of a team approach to trauma care - it provides a systemic 
approach to care and organizes care 
A In the primary survey AVPU is performed to determine if the patient can: - Protect their aiway 
B WHich may lead to unreliable pulse ox reading - carboxyhemoglobin 
A Th...
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Add to cartC What are the primary benefits of a team approach to trauma care - it provides a systemic 
approach to care and organizes care 
A In the primary survey AVPU is performed to determine if the patient can: - Protect their aiway 
B WHich may lead to unreliable pulse ox reading - carboxyhemoglobin 
A Th...
An adult pt who sustained a severe head trauma has been intubated and is being manually ventilated via 
a bag-mask device at a rate of 18 breaths/minute. The pt has received one intravenous fluid bolus of 500 
mL of warmed isotonic crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse o...
Preview 2 out of 10 pages
Add to cartAn adult pt who sustained a severe head trauma has been intubated and is being manually ventilated via 
a bag-mask device at a rate of 18 breaths/minute. The pt has received one intravenous fluid bolus of 500 
mL of warmed isotonic crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse o...
just keep evaluating - vipp - What does the J stand for at the end of the secondary survery? 
vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? 
flank - During the head-to-toe, where would you find Grey-Turner's sign? 
umbilicus - During the head-to-toe, where wo...
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Add to cartjust keep evaluating - vipp - What does the J stand for at the end of the secondary survery? 
vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? 
flank - During the head-to-toe, where would you find Grey-Turner's sign? 
umbilicus - During the head-to-toe, where wo...
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent 
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the 
ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious,...
Preview 2 out of 6 pages
Add to cartA patient fell two weeks ago, striking their head. Today, the patient presented with a persistent 
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the 
ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious,...
You are caring for a patient who was thrown from a bike and was not wearing a helmet. While 
performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the 
following is the most appropriate next step? 
A. Clean the ear with a cotton-tipped applicator. 
B. Pack the e...
Preview 2 out of 12 pages
Add to cartYou are caring for a patient who was thrown from a bike and was not wearing a helmet. While 
performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the 
following is the most appropriate next step? 
A. Clean the ear with a cotton-tipped applicator. 
B. Pack the e...
An adult patient who sustained a severe head trauma has been intubated and has been manually 
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one 
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse 
ox ...
Preview 2 out of 6 pages
Add to cartAn adult patient who sustained a severe head trauma has been intubated and has been manually 
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one 
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse 
ox ...
What are the greatest risks for transport? - Loss of airway patency, displaced obstructive tubes 
lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in 
patient status change in vital signs or level of consciousness, injury to the patient and/or tea...
Preview 2 out of 7 pages
Add to cartWhat are the greatest risks for transport? - Loss of airway patency, displaced obstructive tubes 
lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in 
patient status change in vital signs or level of consciousness, injury to the patient and/or tea...
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