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TNCC - Trauma Nursing Core Course Study Guide with Complete Solutions
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TNCC - Trauma Nursing Core Course Study Guide with Complete Solutions Initial Assessment - ️️ Correct-1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (...

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  • September 25, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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  • TNCC-Trauma Nursing Core Course

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

TNCC - Trauma Nursing Core Course
Study Guide with Complete Solutions


Initial Assessment - ✔️✔️Correct-1. Preparation and Triage


2. Primary Survey

3. Reevaluation

4. Secondary Survey

5. Reevaluation Adjuncts

6. Reevaluation and Post Resuscitation Care

7. Definitive Care or Transport

A (Primary Survey) - ✔️✔️Correct-Airway and alertness with simultaneous cervical spinal

stabilization.

Alertness Assessment - ✔️✔️Correct-A-Alert

V-Verbal

P-Painful

U-Unresponsive

Airway Assessment - ✔️✔️Correct-Inspect: tongue obstruction, loose/missing teeth,

foreign objects, blood, vomitus, secretions, edema, burns or evidence of inhalation

injury


1/16

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024



Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)



Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous

emphysema

Airway Interventions: - ✔️✔️Correct-Suction

Remove foreign body if noted

Jaw thrust maneuver (maintain cspine)

Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)

Consider definitive airway

A (AVPU) - ✔️✔️Correct-Alert. Will be able to maintain airway once clear.

V (AVPU) - ✔️✔️Correct-Verbal. Needs verbal stimuli to respond.

(Airway adjunct may be needed to prevent tongue obstruction)

P (AVPU) - ✔️✔️Correct-Painful. Responds only to painful stimuli.

(Airway adjunct may be needed while determining need for intubation)

U (AVPU) - ✔️✔️Correct-Unresponsive. Does not respond to any stimuli.

B (Primary Survey) - ✔️✔️Correct-Breathing and Ventilation

Breathing and Ventilation Assessment - ✔️✔️Correct-Inspect: spontaneous breathing,

symmetrical rise and fall, depth/pattern/rate of respirations, accessory muscle use,

diaphragmatic breathing, skin color (normal, pale, flushed, cyanotic),


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, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
contusions/abrasions/deformities (signs of underlying injury), open pneumothoraces

(sucking chest wound), JVD, tracheal position, signs of inhalation injury



Auscultate: presence, absence and equality of breath sounds at 2nd intercostal space

midclavicular line and bases at the fifth intercostal space anterior axillary line



Palpate: bony structures, possible rib fractures, SQ emphysema, soft tissue injury, JV

pulsations at suprasternal notch or supraclavicular area



Life-threatening pulmonary injuries requiring immediate intervention: open

pneumothorax, tension pneumothorax, flail chest, hemothorax.

Breathing and Ventilation Intervention - ✔️✔️Correct-Breathing absent: jaw-thrust

maneuver, oral airway adjunct, assist ventilation with bag-mask device, prepare for

definitive airway



Breathing present: NRB. Determine if ventilation effective: etCO2 35-45, SpO2 94% or

higher. If ineffective: assist with bag-mask and determine need for definitive airway

C (Primary Survey) - ✔️✔️Correct-Circulation and Control of Hemorrhage

Circulation and Control of Hemorrhage Assessment - ✔️✔️Correct-Inspect: Uncontrolled

external bleeding, skin color




3/16

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