TNCC Exam Bundle

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - ANSWER-a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determin...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - ANSWER-endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? - ANSWER-subdural hematoma A pati...

What are the greatest risks for transport? - ANSWER-Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/o...

The major cause of preventable death after injury - ANSWER-Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - ANSWER-Base deficit Examples of primary blast injuries - ANSWER-Blast lung, ruptured tympanic membrane, ...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - ANSWER-Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - ANSWER-Vasoconstriction ...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all ha...

TNP Trauma Nursing Process - ANSWER-Rienforces a systemic and standardized approach to trauma nursing care and skills using an intergeated approach to trauma teamwork, communication and collabration Trauma - ANSWER-Leading cause of death ages 1-44 approx one person every 3 min brief - ANSWER-P...

What is the key to a high performing trauma team? - ANSWER-effective communication rationale: skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care When obtaining a history for an injured patient, understanding the kine...

Expedite transfer to the closest trauma center - ANSWER-A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mas...

All of these are considered a critical communication point in trauma care EXCEPT which of the following? - ANSWER-Defusings A defusing is part of critical incident stress management but is not considered a critical communication point in trauma care. .During the primary survey of an unconscious p...

What is kinematics? - ANSWER-A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? - ANSWER-A body at rest will remain at rest. A body in motion will remain in motion until acted on by...

Expedite transfer to the closest trauma center - ANSWER-A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patien...

What is the key to a high-performance trauma team? a. Individual goals b. Use of TeamSTEPPS c. Identification of a single decision maker d. Effective communication - ANSWER-d. Effective communication Rationale: Skilled communication, cooperation, and coordination are the cornerstones of high-...

What is the Trauma Assessment Mnemonic? - ANSWER-A = Airway with simultaneous cervical spine stabilization/immobilization B = Breathing C = Circulation D = Disability (neurologic status) E = Expose patient/Environmental Control F = Full set of VS/Focused Adjuncts/Facilitate Family Presence G =...