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TNCC 2025 QUESTIONS AND ANSWERS 100% CORRECT, Exams of Medicine

- activation of the trauma team - assigning roles - room preparation - don PPE - ANSWERS-what key things need to be completed in order to prepare for a trauma patient? - bariatric equipment - difficult airway equipment - fluid warmer - peds equipment - ANSWERS-what are examples of equipment that may be needed in a trauma room? GENERAL IMPRESSION - rapid assessment for uncontrolled hemorrhage, signs of unresponsiveness/apnea, or anything that may necessitate C-ABC prioritization - assess for a pulse, control external hemorrhage, IV access/resuscitation, initiate RSI/CPR if needed - ANSWERS-what is the first thing done when a trauma patient arrives? circulation, airway, breathing, circulation - ANSWERS-what does C-ABC stand for? Primary Survey (ABCDE) - ANSWERS-what key assessments must be completed in order during the TNCC process

Typology: Exams

2024/2025

Available from 07/14/2025

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TNCC 2025 QUESTIONS AND
ANSWERS 100% CORRECT
- activation of the trauma team
- assigning roles
- room preparation
- don PPE - ANSWERS-what key things need to be completed in order to prepare for a
trauma patient?
- bariatric equipment
- difficult airway equipment
- fluid warmer
- peds equipment - ANSWERS-what are examples of equipment that may be needed in
a trauma room?
GENERAL IMPRESSION
- rapid assessment for uncontrolled hemorrhage, signs of unresponsiveness/apnea, or
anything that may necessitate C-ABC prioritization
- assess for a pulse, control external hemorrhage, IV access/resuscitation, initiate
RSI/CPR if needed - ANSWERS-what is the first thing done when a trauma patient
arrives?
circulation, airway, breathing, circulation - ANSWERS-what does C-ABC stand for?
Primary Survey (ABCDE) - ANSWERS-what key assessments must be completed in
order during the TNCC process?
- pain assessment/management
- inspection of posterior surfaces
- blood glucose in AMS patients
- reassessment of primary survey interventions - ANSWERS-what key assessments
must be completed at some point during the TNCC process?
A: airway and alertness
B: breathing and ventilation
C: circulation and control of hemorrhage
D: disability
E: exposure and environmental control
F: full set of vitals and family presence
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TNCC 2025 QUESTIONS AND

ANSWERS 100% CORRECT

  • activation of the trauma team
  • assigning roles
  • room preparation
  • don PPE - ANSWERS-what key things need to be completed in order to prepare for a trauma patient?
  • bariatric equipment
  • difficult airway equipment
  • fluid warmer
  • peds equipment - ANSWERS-what are examples of equipment that may be needed in a trauma room? GENERAL IMPRESSION
  • rapid assessment for uncontrolled hemorrhage, signs of unresponsiveness/apnea, or anything that may necessitate C-ABC prioritization
  • assess for a pulse, control external hemorrhage, IV access/resuscitation, initiate RSI/CPR if needed - ANSWERS-what is the first thing done when a trauma patient arrives? circulation, airway, breathing, circulation - ANSWERS-what does C-ABC stand for? Primary Survey (ABCDE) - ANSWERS-what key assessments must be completed in order during the TNCC process?
  • pain assessment/management
  • inspection of posterior surfaces
  • blood glucose in AMS patients
  • reassessment of primary survey interventions - ANSWERS-what key assessments must be completed at some point during the TNCC process? A: airway and alertness B: breathing and ventilation C: circulation and control of hemorrhage D: disability E: exposure and environmental control F: full set of vitals and family presence

G: get adjuncts and give comfort - ANSWERS-what are the components of the primary survey? AIRWAY AND ALERTNESS

  • ensure cervical spine stabilization
  • evaluate alertness/neuro status with APVU scale
  • open the airway if the patient cannot keep airway open themselves
  • assess airway patency - ANSWERS-what is completed during the A portion of the primary survey? LOOK FOR:
  • bony deformities, burns, edema, bodily fluids/secretions, foreign objects, inhalation injury, loose/missing teeth, abnormal breath sounds, tongue obstruction, vocalization/ability to speak POSSIBLE INTERVENTIONS:
  • RSI, OPA/NPA, removal of any loose teeth/foreign objects, suction airway - ANSWERS-while assessing a patient's airway, what are potential things to look for? what are some possible interventions for an airway alteration? BREATHING AND VENTILATION
  • evaluate effectiveness of breathing
  • intubation assessment, if intubated - ANSWERS-what is completed during the B portion of the primary survey? IDENTIFY/ASSESS:
  • breath sounds, respiration rate/depth/pattern, work of breathing, open wounds/deformities, skin color, subq emphysema, tracheal deviation, JVD POSSIBLE INTERVENTIONS:
  • chest tube, RSI, decompression of pneumothorax, oxygen therapy, BVM ventilation - ANSWERS-while evaluating the effectiveness of breathing, what are potential things to identify/assess? what are some possible interventions for breathing alterations?
  • attach a CO2 device, perform 5-6 breaths and assess for exhaled CO2 (color change)
  • observe for equal chest rise/fall with ventilations
  • auscultate over epigastric area for gurgling and the lungs for bilateral breath sounds
  • assess ETT position by noting number at teeth/gums and securing tube
  • STATE THE NEED TO BEGIN MECHANICAL VENTILATION OR CONTINUE BVM VENTILATION - ANSWERS-what is included in an intubation assessment? CIRCULATION AND CONTROL OF HEMORRHAGE
  • assess circulation in order to identify signs of shock - ANSWERS-what is completed during the C portion of the primary survey? IDENTIFY/ASSESS:
  • skin color, temperature, and moisture
  • palpate pulses and compare them
  • increase/decrease rate of ventilation
  • wean oxygen
  • consider hypothermia, vasoconstriction, and skin color's impact on oximetry measurement
  • capnography (especially on ventilated patients) - ANSWERS-what interventions regarding oxygenation may be performed during the G portion of the primary survey?
  • distraction
  • padding bony prominences/repositioning
  • splinting
  • ice
  • verbal reassurance - ANSWERS-what are examples of non-pharmacological pain interventions that are performed during the G portion of the primary assessment?
  • reevaluate vitals and effectiveness of interventions
  • determine the need for/prepare for transport to trauma center - ANSWERS-what should you do after completing the primary survey?
  • H: history and head/toe assessment
  • I: inspection of posterior surfaces - ANSWERS-what are the components of the secondary survey?
  • obtain pertinent history using SAMPLE, obtaining prehospital report, and reviewing medical records
  • conduct a systemic examination to identify injuries, starting from the head and moving to the toes - ANSWERS-what is completed during the H portion of the secondary survey? A TOOL USED TO OBTAIN HISTORY/STORY OF PATIENT CONDITION
  • S: signs/symptoms
  • A: allergies
  • M: meds
  • P: PMH
  • L: last oral intake
  • E: events leading to injury - ANSWERS-what is SAMPLE?
  • inspect AND palpate all areas: head, face, neck, chest, abdomen, flanks, pelvis, extremities
  • when inspecting the neck, remove c-collar if indicated
  • auscultate breath/heart/bowel sounds
  • inspect pelvis for injuries and apply gentle pressure over iliac crests if stable
  • apply gentle pressure on symphysis pubis if iliac crests are stable
  • inspect perineum
  • measure UOP; assess need for foley, external cath, etc.
  • check extremity neurovascular status - ANSWERS-when conducting the head to toe assessment during the H portion of the secondary survey, what needs to be completed?

press gently downward and medially over iliac crests - ANSWERS-when assessing the pelvis for injuries, where and which direction should pressure be applied?

  • summarize injuries identified and make sure all are verbalized, and reassess interventions
  • identify anticipated interventions based on the patient's condition - ANSWERS-what should be done after secondary survey is performed?
  • abx/other medications
  • consults
  • other imaging
  • psychosocial support/social services
  • wound care
  • law enforcement involvement/mandatory reporting - ANSWERS-what are some possible interventions that need to be completed after the primary/secondary survey are completed? the acronym for continuous reevaluation after the surveys are complete; these things must be continuously reevaluated in order to detect any changes
  • V: vitals
  • I: identified injuries and effectiveness of interventions
  • P: primary assessment
  • P: pain assessment - ANSWERS-what is VIPP? acidosis, coagulopathy, hypothermia - ANSWERS-what is the trauma triad of death?