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Exam (elaborations)

TNCC EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS

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TNCC EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS 1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care ...

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  • October 7, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TNCC
  • TNCC
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




TNCC EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS

1. Preparation and Triage


2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)


3. Reevaluation (consideration of transfer)


4. Secondary Survey (HI) with reevaluation adjuncts


5. Reevaluation and post resuscitation care


6. Definitive care of transfer to an appropriate trauma nurse - Answer✔✔-Initial Assessment


1. A- airway and Alertness with simultaneous cervical spinal stabilization


2. B- breathing and Ventilation


3. circulation and control of hemorrhage


4. D - disability (neurologic status)


5. F - full set of vitals and Family presence


6. G - Get resuscitation adjuncts


L- Lab results (arterial gases, blood type and crossmatch)


M- monitor for continuous cardiac rhythm and rate assessment


N- naso or orogastric tube consideration

Page 1/17

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02)

monitoring and capnopgraphy


H- History and head to toe assessment


I- Inspect posterior surfaces - Answer✔✔-ABCDEFGHI


Before the arrival of the pt - Answer✔✔-When should PPE be placed:


Pt is at hospital in the right amount of time, right care, right trauma facility, right resources - Answer✔✔-

Safe Care:


Uncontrolled Hemorrhage - Answer✔✔-Major cause of preventable death:


reorganize care to C-ABC - Answer✔✔-If uncontrolled hemorrhage ..


Used at the beginning of the initial assessment




1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is clear.


2. V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation to respond, an

airway adjunct may be needed to keep the tongue from obstructing the airway.


3. P responds to pain. If the pt. responds only to pain, he or she may not be able to maintain his or her

airway adjunct may need to be placed while further assessment is made to determine the need for

intubation.




Page 2/17

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct someone to chk

in the pt is pulseless while assessing if the cause of the problem is the airway. - Answer✔✔-Airway and

AVPU:


ask pt to pen his or her mouth - Answer✔✔-While assessing airway the patient is alert and responds to

verbal stimuli you should..


jaw thrust maneuver to open airway and assess for obstruction. If pt has a suspected csi, the jaw thrust

procedure should be done by two providers. One provider can maintain c-spine and the other can

perform the jaw thrust maneuver. - Answer✔✔-While assessing airway pt is unable to open mouth,

responds only to pain, or is unresponsive you should..


1. The tongue obstructing the airway


2. loose or missing teeth


3. foreign objects


4. blood, vomit, or secretions'


5. edema


6. burns or evidence of inhalation injury




Auscultiate or listen for:


1. Obstructive airway sounds such as snoring or gurgling


2. Possible occlusive maxillofacial bony deformity



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