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TNCC 9th Edition TNP Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TNCC 9th Edition TNP Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TNCC 9th Edition TNP.pdf file:///C:/Users/HP/Desktop/eewwww/TNCC%209th%20Edition%20TNCC 9TH EDITION TNP
1. What does the J stand for at the end of the secondary survery?
ANS just keep evaluating - vipp
2. What does VIPP stand for?
ANS vital signs, injuries/interventions, primary survey, pain
3. During the head-to-toe, where would you find Grey-Turner's sign?
ANS flank
4. During the head-to-toe, where would you find Cullen's sign?
ANS umbilicus
5. What is sometimes deferred at the end of the head-to-toe?
ANS inspecting pos- terior
6. Antibiotics, consults, head CT, imaging, law enforcement, mandatory report- ing,
psychosocial support, social services, splinting, tetanus, and wound care are all
interventions that you do AFTER and before WHAT?
ANS AFTER head-to-toe, BEFORE J (VIPP)
7. What three items are obtained during the pertinent history assessment?
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ANS -
Medical records, prehospital report, SAMPLE
8. What are examples of nonpharmacologic measures? (must identify at least one during
testing)
ANS Distraction, family presence, padding bony prominences, repositioning, splinting, verbal
reassurance
9. For whom is capnography highly recommended?
ANS all patients
10. In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor?
ANS EKG
11. In Step 16 of "Exposure and Environment", you must name at least one of these
interventions
ANS
blankets, room temp increase, warmed fluids, warming lights
12. At what point PRIORTO the head-to-toe is the patient inspected for obvious injuries?
ANS In Step 15 of "Exposure and Environment"
13. In Step 13 of "Disability", what is assessed if pt is altered?
ANS glucose
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14. To assess circulation, you must do these two main tasks
ANS
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
15. What do you do when alterations are identified in any of the steps in the primary
survery?
ANS intervene as appropriate and reassess
16. What three assessments must be done if the patient is intubated?
ANS 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
17. Four of these must be identified to assess breathing effectiveness
ANS
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, in-
creased work of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
18. What can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section?
ANS cardiac monitor
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19. When should 2 IV sites be established?
ANS During "Circulation" assessment
20. If the patient is intubated and you've already assessed ETT placement, what else
needs to be done with the ETT? (step 10)
ANS assess ETT position by noting the number at teeth/gums AND secure ETT
21. What should you verbalize after completing all ETT assessments?
ANS moving patient from assisted ventilation to mechanical
22. During which part of the primary survey would you anticipate the need for a chest
tube, intubation, decompression of pneumothorax, oxygen, or BVMs?
ANS "Breathing and Ventilation"
23. Four of these must be identified to assess patency and protection of
the airway
ANS
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction, burns, fluids,
foreign objects, vocalization
24. During which part of the primary survey would there be anticipation for in- tubation,
insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
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