TNCC: Trauma Nursing Process Practice Exam Questions & Answers 2024
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TNCC: Trauma Nursing Process Practice Exam Questions & Answers 2024
What is the first step in the TNP?
State the need to activate the trauma team
When the instructor asks "Is there any specific equipment that you would prepare?" What is your first response?
State the need to prepare the t...
TNCC: Trauma Nursing Process Practice
Exam Questions & Answers 2024
What is the first step in the TNP? - answer State the need to activate the trauma team
When the instructor asks "Is there any specific equipment that you would prepare?" What is your first response? - answer State the need to prepare the trauma room
What are some things that you would need in order to prepare the trauma room. (4) - answer - Fluid warmer
- Pediatric equipment
- Bariatric equipment
- Difficult airway or IV equipment
When the instructor asks "Is there any specific equipment that you would prepare?" What is your second response? - answer States the need to don PPE
What do you need to consider when donning PPE? - answer Consider potential need for decontamination or other safety threats to trauma team.
When the instructor states "The patient has just arrived." What is your next step? - answer Assesses for obvious uncontrolled external hemorrhage
What do you do if uncontrolled hemorrhage is noted? - answer Start with "C" of the primary survey. This includes controlling uncontrolled bleeding and assessing circulation. If circulation is compromised, initiate IV fluid and blood replacement as indicated before returning to "A." What is included in the primary survey? - answer ABCDEFG
What does A stand for? - answer Alertness and Airway with Simultaneous Cervical Spinal Stabilization
What does B stand for? - answer Breathing and Ventilation
What does C stand for? - answer Circulation and Control of Hemorrhage
What does D stand for? - answer Disability (Neurologic Status)
What does E stand for? - answer Exposure and Environmental Control
What does F stand for? - answer Full set of vitals and Family Presence
What does G stand for? - answer Get Monitoring Devices and Give Comfort (LMNOP)
What does LMNOP stand for? - answer L= Labs (lactate, blood gases, Blood typing)
M= Monitoring devices
N= NG or OG tubes
O= O2 sat (weaning?) attach capnography if needed
P= Pain assessment
What is the first step of A?** - answer Assesses the patient's level of consciousness using AVPU.
What does AVPU stand for? - answer alert, verbal response, painful response, unresponsive What is the second step of A? - answer Check to see if there is cervical spine injury.
What do you do if there is cervical spine injury? - answer State the need for a second person to provide manual cervical spinal stabilization AND demonstrates manual opening of the airway using the jaw- thrust maneuver
What is the third step of A? What should you identify? (4)** - answer Demonstrate and describe techniques to determine the patency and protection of the airway, using inspection, auscultation, and palpation (identifies at least FOUR):
- Is the tongue obstructing?
- Are there any loose or missing teeth?
- Are there any foreign objects?
- Is there any blood, vomit, or secretions?
- Is there any edema?
- Is there any snoring, gurgling, or
stridor?
- Is there any bony deformity?
What is the first step of B? What should you identify? (4)** - answer Demonstrate and describe techniques for determining breathing effectiveness, using components of inspection, auscultation, and palpation (identifies at least FOUR):
- Is there spontaneous breathing?
- Is there symmetrical chest rise and fall?
- What are the depth, pattern, and general rate of respirations?
- Is there increased work of breathing?
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