TNCC Initial Written Assessment Questions and Answers 2024
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Course
TNCC .
Institution
TNCC .
TNCC Initial Written Assessment Questions and Answers 2024
What are the guidelines for field triage of injured patients?
Transport patients with the greatest degree of injury to highest level of care.
Examples of physiologic derangements.
GCS <13
SBP <90
RR <10 or >29
Nee...
TNCC Initial Written Assessment Questions and Answers 2024 What are the guidelines for field triage of injured patients? - answer Transport patients with the greatest degree of injury to highest level of care.
Examples of physiologic derangements. - answer GCS <13
SBP <90
RR <10 or >29
Need for ventilatory support
Examples of anatomical injuries. - answer Open or decompressed skull
Penetrating injuries to head, neck, torso, extremities proximal elbow or knee
Flail chest
Crushed, mangled, pulseless extremity
Amputation proximal wrist/ankle
Long-bone fx
Pelvic fx
Paralysis
Examples of mechanism of injury (MOI) and high-energy impact. - answer Falls >20 ft for adults
Falls >10 ft for children
MVC (roof intrusion, body ejection, passenger death)
Auto vs. ped
Motorcycle crash >20 mph Which special population group should be triaged to trauma center? - answer Age >55 with SBP <110 (might represent shock)
Elderly with ground level falls
Pediatrics
Anticoagulants & bleeding disorders
Burns
Pregnancy >20 weeks
Steps in the Trauma Nursing Process (TNP) - answer Mnemonic that helps trauma nurse assess and intervene life-threatening injuries: A-J
A Across the room assessment for uncontrolled hemorrhage
B Breathing and ventilation
C Circulation and control of hemorrhage
D Disability (neuro status)
E Exposure and environmental control
F Full set of VS; Family presence
G Get devises and Give comfort via LMNOP
H Hx and Head-to-toe assessment
I Inspect posterior surfaces
J Just keep reevaluating A-I
List resuscitation monitoring devices and support. - answer L Labs
M monitor EKG
N NGT or OGT decompression O Oxygen (SaO2) vs ventilation (ETCO2)
P Pain assessment & management
Difference between primary and secondary survey - answer Primary: A-E
Secondary: H-J
When is the appropriate time to perform secondary survey? - answer After initiating resuscitative efforts (A-E), when vital functions have stabilized, and after additional monitoring have been considered (F-G).
What are important aspects of patient history? - answer S Symptoms of illness or injury
A Allergies
M Medication used, including anticoag
P PMH, including hospitalizations and surgeries
L Last oral intake/menstruation
E Events and environmental factors related to injury
What comorbid conditions or special considerations increase the patient's risk for complications? - answer Age <55 or pediatrics
Burns
Pregnancy
Disabilities (physical, mental, emotional)
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - answer Base deficit used in conjunction with serum lactate
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