TNCC Written Exam Questions and Answer | Latest Update 2024/2025

Expedite transfer to the closest trauma center ~~> 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 N...

What are the greatest risks for transport? ~~> 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...

What does the J stand for at the end of the secondary survery? ~~> just keep evaluating - vipp —What does VIPP stand for? ~~> vital signs, injuries/interventions, primary survey, pain —During the head-to-toe, where would you find Grey-Turner's sign? ~~> flank —During the hea...

1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate trauma nurse ~~&g...

You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation? A) 1000 mL/hr B) 500 mL/hr C) 250 mL/hr D) 125 mL/hr ~~> B) 500 mL/...

what is the key to high performance trauma team? ~~> effective communication 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 kinematic concep...

What is the key to a high performing trauma team? ~~> 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 kinema...

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

What are the late signs of breathing compromise? ~~> - Tracheal deviation - JVD What are signs of ineffective breathing? ~~> - AMS - Cyanosis, especially around the mouth - Asymmetric expansion of chest wall - Paradoxical movement of the chest wall during inspiration and expirat...