Elevate your trauma nursing expertise with our comprehensive Trauma Nursing Core Course (TNCC) Questions and Answers Package. Designed for healthcare professionals seeking to excel in the dynamic field of trauma nursing, this package is a vital resource for TNCC certification preparation and ongoin...
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What is kinetic energy (KE)? KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental contr...
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Add to cartWhat is kinetic energy (KE)? KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental contr...
What roles are vital to a trauma team? The patient; the nurses highest priority. The team leader ---> 1. designated by title and role ---> 2. situational Core team; works interdependently to manage a trauma patient from assessment to disposition. Contingency and support services; prov...
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Add to cartWhat roles are vital to a trauma team? The patient; the nurses highest priority. The team leader ---> 1. designated by title and role ---> 2. situational Core team; works interdependently to manage a trauma patient from assessment to disposition. Contingency and support services; prov...
After report Activate trauma team Get room ready -suction -chest tube? -IV kit Don PPE Across Room Check for active hemorrhage A Alert (AVPU) Airway (with c spine) 4 -tongue -secretions -edema -snoring Intubate EtCO2 -5-6 breaths -check color Rise and Fall ...
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Add to cartAfter report Activate trauma team Get room ready -suction -chest tube? -IV kit Don PPE Across Room Check for active hemorrhage A Alert (AVPU) Airway (with c spine) 4 -tongue -secretions -edema -snoring Intubate EtCO2 -5-6 breaths -check color Rise and Fall ...
what organs tolerate pressure wave energy better? solid organs (heart, liver, spleen, kidneys, pancreas, uterus) Highest rate of TBI related hospitalizations and death occurs in... males ages 0 to 4 What organs resist shearing forces better? air filled organs (lungs, bowel) True or False? With ...
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Add to cartwhat organs tolerate pressure wave energy better? solid organs (heart, liver, spleen, kidneys, pancreas, uterus) Highest rate of TBI related hospitalizations and death occurs in... males ages 0 to 4 What organs resist shearing forces better? air filled organs (lungs, bowel) True or False? With ...
A Airway and Alertness with simultaneous cervical spinal stabilization B Breathing and Ventilation C Circulation and Control of Hemorrhage D Disability (neurologic status) E Exposure and Environmental control F Full set of Vital Signs, Family Presence, Focused adjuncts When is the KB test appr...
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Add to cartA Airway and Alertness with simultaneous cervical spinal stabilization B Breathing and Ventilation C Circulation and Control of Hemorrhage D Disability (neurologic status) E Exposure and Environmental control F Full set of Vital Signs, Family Presence, Focused adjuncts When is the KB test appr...
ICP greater than what is abnormal? >20mm CPP = ? MAP - ICP Minimum CPP? 60 ICP rises, what happens to CPP? rises Cushings = ? hypertension, bradycardia, and diminished respiratory efforts Early signs of increased ICP headache, nv, amnesia, altered loc, restlessness, drowsiness, changes in ...
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Add to cartICP greater than what is abnormal? >20mm CPP = ? MAP - ICP Minimum CPP? 60 ICP rises, what happens to CPP? rises Cushings = ? hypertension, bradycardia, and diminished respiratory efforts Early signs of increased ICP headache, nv, amnesia, altered loc, restlessness, drowsiness, changes in ...
What is the purpose of a debrief? Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height Three times How many breaths/minute do you deliver through the bag-mask device? 10-12/ min or 1 every 5-6 sec An O2 sat of __% or higher is...
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Add to cartWhat is the purpose of a debrief? Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height Three times How many breaths/minute do you deliver through the bag-mask device? 10-12/ min or 1 every 5-6 sec An O2 sat of __% or higher is...
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 ...
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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 ...
BiomechanicsIs the general study of forces & their effects KinematicsIs the study of energy transfer as it applies to ID'ing actual or potential injuries Mechanism of Injury (MOI)Is how external forces are transferred to the body, resulting in injury Newton's 1st Law of MotionA body @ rest,...
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Add to cartBiomechanicsIs the general study of forces & their effects KinematicsIs the study of energy transfer as it applies to ID'ing actual or potential injuries Mechanism of Injury (MOI)Is how external forces are transferred to the body, resulting in injury Newton's 1st Law of MotionA body @ rest,...
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 What ...
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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 What ...
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. ...
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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. ...
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following? A. Decom...
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Add to cartThe vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following? A. Decom...
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...
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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...
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. ...
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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. ...
Energy forces: Tension forces stretch by pulling at opposite ends. Example: Tensile strength describes the tissues ability to resist pulling apart when stretched. Tendons, ligaments, and muscles can tear when they are overstretched (Achilles tendon) Energy Forces: Compression Compression forc...
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Add to cartEnergy forces: Tension forces stretch by pulling at opposite ends. Example: Tensile strength describes the tissues ability to resist pulling apart when stretched. Tendons, ligaments, and muscles can tear when they are overstretched (Achilles tendon) Energy Forces: Compression Compression forc...
What is the best way to give trauma care? Use a systematic, standardized, organized approach using contributions of all members of the team. <C> ABC Step 4 in the process; before AVPU, determine if the pt has uncontrolled bleeding that needs to be addressed first! O2 sats need to be what...
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Add to cartWhat is the best way to give trauma care? Use a systematic, standardized, organized approach using contributions of all members of the team. <C> ABC Step 4 in the process; before AVPU, determine if the pt has uncontrolled bleeding that needs to be addressed first! O2 sats need to be what...
1 - Trauma Activation State need for trauma activation 2 - Is there any specific equipment that you would prepare? State need to prepare trauma room Don PPE 3 - The patient has just arrived Across the room observation. Is there any uncontrolled bleeding? If so, control bleeding & initiate IVF...
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Add to cart1 - Trauma Activation State need for trauma activation 2 - Is there any specific equipment that you would prepare? State need to prepare trauma room Don PPE 3 - The patient has just arrived Across the room observation. Is there any uncontrolled bleeding? If so, control bleeding & initiate IVF...
Compression A force that pushes on or squeezes a material. tension stress that occurs when forces act to stretch an object Shearing Danae by tearing or bending by exerting force are different parts in opposite directions at the same time Torsion Twists ends in opposite directions Bending Compr...
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Add to cartCompression A force that pushes on or squeezes a material. tension stress that occurs when forces act to stretch an object Shearing Danae by tearing or bending by exerting force are different parts in opposite directions at the same time Torsion Twists ends in opposite directions Bending Compr...
Components of SBAR and its purpose S: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose D: Describe the specific situation or behavior E: Express yo...
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Add to cartComponents of SBAR and its purpose S: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose D: Describe the specific situation or behavior E: Express yo...
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 • 5-...
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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 • 5-...
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 rest ...
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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 rest ...
What is the leading cause of preventable death after injury? Hemorrhage ABCDEFGHI Airway Breathing Circulation Disability Full set of vitals/Family Get adjuncts History/Head to Toe Inspect What is malocclusion? Misalignment of teeth when jaw is closed What is hypoxemia? Low concentration o...
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Add to cartWhat is the leading cause of preventable death after injury? Hemorrhage ABCDEFGHI Airway Breathing Circulation Disability Full set of vitals/Family Get adjuncts History/Head to Toe Inspect What is malocclusion? Misalignment of teeth when jaw is closed What is hypoxemia? Low concentration o...
Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? Airway/Intubate Lab evidence of cellular perfusion Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same sympto...
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Add to cartPrimary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? Airway/Intubate Lab evidence of cellular perfusion Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same sympto...
What does the J stand for at the end of the secondary survery? just keep evaluating - vipp What does VIPP stand for? vital signs, injuries/interventions, primary survey, pain During the head-to-toe, where would you find Grey-Turner's sign? flank During the head-to-toe, where would you find...
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Add to cartWhat does the J stand for at the end of the secondary survery? just keep evaluating - vipp What does VIPP stand for? vital signs, injuries/interventions, primary survey, pain During the head-to-toe, where would you find Grey-Turner's sign? flank During the head-to-toe, where would you find...
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....
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