TNCC 9th Edition TNP Exam 75Questions and
Answers UPDATED 2024/2025 RATED A+
What does the J stand for at the end of the secondary survery? - CORRECT
ANSWERS just keep evaluating - vipp
What does VIPP stand for? - CORRECT ANSWERS vital signs,
injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign? - CORRECT
ANSWERS flank
During the head-to-toe, where would you find Cullen's sign? - CORRECT ANSWERS
umbilicus
What is sometimes deferred at the end of the head-to-toe? - CORRECT ANSWERS
inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory reporting,
psychosocial support, social services, splinting, tetanus, and wound care are all
interventions that you do AFTER and before WHAT? - CORRECT ANSWERS
AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment? -
CORRECT ANSWERS Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one
during testing) - CORRECT ANSWERS Distraction, family presence, padding
bony prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended? - CORRECT ANSWERS all
patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
CORRECT ANSWERS EKG
,TNCC 9th Edition TNP Exam 75Questions and
Answers UPDATED 2024/2025 RATED A+
In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - CORRECT ANSWERS blankets, room temp increase, warmed
fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries?
- CORRECT ANSWERS In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - CORRECT ANSWERS
glucose
To assess circulation, you must do these two main tasks: - CORRECT ANSWERS
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the steps in the primary
survery? - CORRECT ANSWERS intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? - CORRECT
ANSWERS 1. attach CO2 detector and assess for evidence of exhaled CO2; 2.
observe for rise and fall of the chest w/ assisted ventilations; 3. auscultate over
epigastrium for gurgling AND lungs for bilateral breath sounds
Four of these must be identified to assess breathing effectiveness: - CORRECT
ANSWERS Breath sounds, depth/pattern/rate, spontaneous breathing,
subcutaneous emphysema, increased work of breathing, symmetrical chest rise and
fall, tracheal deviation/JVD, open wounds/deformities, skin color
What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section? - CORRECT ANSWERS cardiac monitor
When should 2 IV sites be established? - CORRECT ANSWERS During
"Circulation" assessment
If the patient is intubated and you've already assessed ETT placement, what else
needs to be done with the ETT? (step 10) - CORRECT ANSWERS assess ETT
position by noting the number at teeth/gums AND secure ETT
, TNCC 9th Edition TNP Exam 75Questions and
Answers UPDATED 2024/2025 RATED A+
What should you verbalize after completing all ETT assessments? - CORRECT
ANSWERS moving patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need for a chest
tube, intubation, decompression of pneumothorax, oxygen, or BVMs? - CORRECT
ANSWERS "Breathing and Ventilation"
Four of these must be identified to assess patency and protection of the airway: -
CORRECT ANSWERS bony deformity, loose teeth, edema, inhalation injury,
sounds, tongue obstruction, burns, fluids, foreign objects, vocalization
During which part of the primary survey would there be anticipation for intubation,
insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning? -
CORRECT ANSWERS Assessing patency and protection of the airway, Step 7
of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
If c-spine stabilization is necessary, what need should be stated? - CORRECT
ANSWERS the need for a second person to provide manual c-spine
stabilization
An adult patient 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 patient has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mm Hg. What is the most important intervention to manage the
cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Re - CORRECT ANSWERS A.Decrease the rate of manual ventilation.
An older adult presents to the emergency department with complaints of dizziness,
headache, and nausea. The patient was involved in a motor vehicle collision 10
days ago. There was no loss of consciousness and a hematoma is noted to the