TNCC 9TH EDITION TNP EXAM
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+ 2024-2025
justYkeepYevaluatingY-YvippY-YcorrectYanswer-
WhatYdoesYtheYJYstandYforYatYtheYendYofYtheYsecondaryYsurvery?
vitalYsigns,Yinjuries/interventions,YprimaryYsurvey,YpainY-YcorrectYanswer-WhatYdoesYVIPPYstandYfor?
flankY-YcorrectYanswer-DuringYtheYhead-to-toe,YwhereYwouldYyouYfindYGrey-Turner'sYsign?
umbilicusY-YcorrectYanswer-DuringYtheYhead-to-toe,YwhereYwouldYyouYfindYCullen'sYsign?
inspectingYposteriorY-YcorrectYanswer-WhatYisYsometimesYdeferredYatYtheYendYofYtheYhead-to-toe?
AFTERYhead-to-toe,YBEFOREYJY(VIPP)Y-YcorrectYanswer-
Antibiotics,Yconsults,YheadYCT,Yimaging,YlawYenforcement,YmandatoryYreporting,YpsychosocialYsupport,Ysoc
ialYservices,Ysplinting,Ytetanus,YandYwoundYcareYareYallYinterventionsYthatYyouYdoYAFTERYandYbeforeYWHAT
?
MedicalYrecords,YprehospitalYreport,YSAMPLEY-YcorrectYanswer-
WhatYthreeYitemsYareYobtainedYduringYtheYpertinentYhistoryYassessment?
Distraction,YfamilyYpresence,YpaddingYbonyYprominences,Yrepositioning,Ysplinting,YverbalYreassuranceY-
YcorrectYanswer-
WhatYareYexamplesYofYnonpharmacologicYmeasures?Y(mustYidentifyYatYleastYoneYduringYtesting)
allYpatientsY-YcorrectYanswer-ForYwhomYisYcapnographyYhighlyYrecommended?
EKGY-YcorrectYanswer-InYstepYMYofY"GetYAdjuncts",YwhatYelseYmightYbeYindicatedYbesidesYcardiacYmonitor?
,blankets,YroomYtempYincrease,YwarmedYfluids,YwarmingYlightsY-YcorrectYanswer-
InYStepY16YofY"ExposureYandYEnvironment",YyouYmustYnameYatYleastYoneYofYtheseYinterventions:
InYStepY15YofY"ExposureYandYEnvironment"Y-YcorrectYanswer-AtYwhatYpointYPRIORYTOYtheYhead-to-
toeYisYtheYpatientYinspectedYforYobviousYinjuries?
glucoseY-YcorrectYanswer-InYStepY13YofY"Disability",YwhatYisYassessedYifYptYisYaltered?
1.YinspectYANDYpalpateYskinYcolor,Ytemp,YmoistureYandY2.YpalpateYaYpulseY-YcorrectYanswer-
ToYassessYcirculation,YyouYmustYdoYtheseYtwoYmainYtasks:
interveneYasYappropriateYandYreassessY-YcorrectYanswer-
WhatYdoYyouYdoYwhenYalterationsYareYidentifiedYinYanyYofYtheYstepsYinYtheYprimaryYsurvery?
1.YattachYCO2YdetectorYandYassessYforYevidenceYofYexhaledYCO2;Y2.YobserveYforYriseYandYfallYofYtheYchestYw/
YassistedYventilations;Y3.YauscultateYoverYepigastriumYforYgurglingYANDYlungsYforYbilateralYbreathYsoundsY-
YcorrectYanswer-WhatYthreeYassessmentsYmustYbeYdoneYifYtheYpatientYisYintubated?
BreathYsounds,Ydepth/pattern/rate,YspontaneousYbreathing,YsubcutaneousYemphysema,YincreasedYworkY
ofYbreathing,YsymmetricalYchestYriseYandYfall,YtrachealYdeviation/JVD,YopenYwounds/deformities,YskinYcolo
rY-YcorrectYanswer-FourYofYtheseYmustYbeYidentifiedYtoYassessYbreathingYeffectiveness:
cardiacYmonitorY-YcorrectYanswer-
WhatYcanYbeYappliedYinYstepY12YofY"CirculationYandYControlYofYHemorrhage"YforYwhichYcreditYisYgivenYinYth
eYLMNOPYsection?
DuringY"Circulation"YassessmentY-YcorrectYanswer-WhenYshouldY2YIVYsitesYbeYestablished?
assessYETTYpositionYbyYnotingYtheYnumberYatYteeth/gumsYANDYsecureYETTY-YcorrectYanswer-
IfYtheYpatientYisYintubatedYandYyou'veYalreadyYassessedYETTYplacement,YwhatYelseYneedsYtoYbeYdoneYwithYt
heYETT?Y(stepY10)
, movingYpatientYfromYassistedYventilationYtoYmechanicalY-YcorrectYanswer-
WhatYshouldYyouYverbalizeYafterYcompletingYallYETTYassessments?
"BreathingYandYVentilation"Y-YcorrectYanswer-
DuringYwhichYpartYofYtheYprimaryYsurveyYwouldYyouYanticipateYtheYneedYforYaYchestYtube,Yintubation,Ydeco
mpressionYofYpneumothorax,Yoxygen,YorYBVMs?
bonyYdeformity,YlooseYteeth,Yedema,YinhalationYinjury,Ysounds,YtongueYobstruction,Yburns,Yfluids,YforeignY
objects,YvocalizationY-YcorrectYanswer-
FourYofYtheseYmustYbeYidentifiedYtoYassessYpatencyYandYprotectionYofYtheYairway:
AssessingYpatencyYandYprotectionYofYtheYairway,YStepY7YofY
"AlertnessYandYAirwayYwithYSimultaneousYCervicalYSpinalYStabilization"Y-YcorrectYanswer-
DuringYwhichYpartYofYtheYprimaryYsurveyYwouldYthereYbeYanticipationYforYintubation,YinsertionYofYOPA/NPA
,YremovalYofYanyYlooseYteethYorYforeignYobjects,YorYsuctioning?
theYneedYforYaYsecondYpersonYtoYprovideYmanualYc-spineYstabilizationY-YcorrectYanswer-IfYc-
spineYstabilizationYisYnecessary,YwhatYneedYshouldYbeYstated?
A.DecreaseYtheYrateYofYmanualYventilation.Y-YcorrectYanswer-
AnYadultYpatientYwhoYsustainedYaYsevereYheadYtraumaYhasYbeenYintubatedYandYisYbeingYmanuallyYventilate
dYviaYaYbag-
maskYdeviceYatYaYrateYofY18Ybreaths/minute.YTheYpatientYhasYreceivedYoneYintravenousYfluidYbolusYofY500Y
mLYofYwarmedYisotonicYcrystalloidYsolution.YTheYPaCO2YisY30YmmYHgY(4.0YkPa),YandYtheYpulseYoximetryYisY9
2%.YBPYisY142/70YmmYHg.YWhatYisYtheYmostYimportantYinterventionYtoYmanageYtheYcerebralYbloodYflow?
A.DecreaseYtheYrateYofYmanualYventilation.
B.InitiateYanotherYfluidYbolus.
C.RecheckYendotrachealYtubeYplacement.
D.IncreaseYtheYamountYofYoxygenYdelivered.
post-concussiveYsyndromeY-YcorrectYanswer-
AnYolderYadultYpresentsYtoYtheYemergencyYdepartmentYwithYcomplaintsYofYdizziness,Yheadache,YandYnause
a.YTheYpatientYwasYinvolvedYinYaYmotorYvehicleYcollisionY10YdaysYago.YThereYwasYnoYlossYofYconsciousnessYa
ndYaYhematomaYisYnotedYtoYtheYforehead.YTheYpatientYisYcurrentlyYonYanticoagulantYtherapy.YWhatYisYmost
YlikelyYtheYcauseYofYtheirYsymptoms?