TNCC 9TH EDITION TNP EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS(DETAILED ANSWERS)
ALREADY GRADED A+ 100% GUARANTEED TO PASS
CONCEPTS!!!
-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 ANSWER-AFTER
head-to-toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history assessment? -
CORRECT ANSWER-Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at least one
during testing) - CORRECT ANSWER-Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
-For whom is capnography highly recommended? - CORRECT ANSWER-all
patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - CORRECT ANSWER-EKG
,-In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - CORRECT ANSWER-blankets, room temp increase, warmed
fluids, warming lights
-To assess circulation, you must do these two main tasks: - CORRECT ANSWER-
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 ANSWER-intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - CORRECT
ANSWER-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
ANSWER-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 does the J stand for at the end of the secondary survery? - CORRECT
ANSWER-just keep evaluating - vipp
—What does VIPP stand for? - CORRECT ANSWER-vital signs,
injuries/interventions, primary survey, pain
,—During the head-to-toe, where would you find Grey-Turner's sign? - CORRECT
ANSWER-flank
—During the head-to-toe, where would you find Cullen's sign? - CORRECT
ANSWER-umbilicus
-What is sometimes deferred at the end of the head-to-toe? - CORRECT
ANSWER-inspecting posterior
-What can be applied in step 12 of "Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section? - CORRECT ANSWER-cardiac
monitor
-When should 2 IV sites be established? - CORRECT ANSWER-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 ANSWER-assess ETT
position by noting the number at teeth/gums AND secure ETT
-What should you verbalize after completing all ETT assessments? - CORRECT
ANSWER-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 ANSWER-"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the airway: -
CORRECT ANSWER-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 ANSWER-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
ANSWER-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? - CORRECT ANSWER-A.Decrease the rate of
manual ventilation.
AND CORRECT VERIFIED ANSWERS(DETAILED ANSWERS)
ALREADY GRADED A+ 100% GUARANTEED TO PASS
CONCEPTS!!!
-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 ANSWER-AFTER
head-to-toe, BEFORE J (VIPP)
-What three items are obtained during the pertinent history assessment? -
CORRECT ANSWER-Medical records, prehospital report, SAMPLE
-What are examples of nonpharmacologic measures? (must identify at least one
during testing) - CORRECT ANSWER-Distraction, family presence, padding bony
prominences, repositioning, splinting, verbal reassurance
-For whom is capnography highly recommended? - CORRECT ANSWER-all
patients
-In step M of "Get Adjuncts", what else might be indicated besides cardiac
monitor? - CORRECT ANSWER-EKG
,-In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - CORRECT ANSWER-blankets, room temp increase, warmed
fluids, warming lights
-To assess circulation, you must do these two main tasks: - CORRECT ANSWER-
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 ANSWER-intervene as appropriate and reassess
-What three assessments must be done if the patient is intubated? - CORRECT
ANSWER-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
ANSWER-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 does the J stand for at the end of the secondary survery? - CORRECT
ANSWER-just keep evaluating - vipp
—What does VIPP stand for? - CORRECT ANSWER-vital signs,
injuries/interventions, primary survey, pain
,—During the head-to-toe, where would you find Grey-Turner's sign? - CORRECT
ANSWER-flank
—During the head-to-toe, where would you find Cullen's sign? - CORRECT
ANSWER-umbilicus
-What is sometimes deferred at the end of the head-to-toe? - CORRECT
ANSWER-inspecting posterior
-What can be applied in step 12 of "Circulation and Control of Hemorrhage" for
which credit is given in the LMNOP section? - CORRECT ANSWER-cardiac
monitor
-When should 2 IV sites be established? - CORRECT ANSWER-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 ANSWER-assess ETT
position by noting the number at teeth/gums AND secure ETT
-What should you verbalize after completing all ETT assessments? - CORRECT
ANSWER-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 ANSWER-"Breathing and Ventilation"
-Four of these must be identified to assess patency and protection of the airway: -
CORRECT ANSWER-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 ANSWER-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
ANSWER-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? - CORRECT ANSWER-A.Decrease the rate of
manual ventilation.
