©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM
TNCC 9th Edition TNP Practice Questions and
Answers (Success)
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 head-to-toe, where would you find Cullen's sign? - ✔️✔️umbilicus
What is sometimes deferred at the end of the head-to-toe? - ✔️✔️inspecting posterior
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? - ✔️✔️AFTER head-to-toe, BEFORE
J (VIPP)
What three items are obtained during the pertinent history assessment? - ✔️✔️Medical
records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at least one during
testing) - ✔️✔️Distraction, family presence, padding bony prominences, repositioning,
splinting, verbal reassurance
For whom is capnography highly recommended? - ✔️✔️all patients
In step M of "Get Adjuncts", what else might be indicated besides cardiac monitor? -
✔️✔️EKG
In Step 16 of "Exposure and Environment", you must name at least one of these
interventions: - ✔️✔️blankets, room temp increase, warmed fluids, warming lights
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM
At what point PRIOR TO the head-to-toe is the patient inspected for obvious injuries? -
✔️✔️In Step 15 of "Exposure and Environment"
In Step 13 of "Disability", what is assessed if pt is altered? - ✔️✔️glucose
To assess circulation, you must do these two main tasks: - ✔️✔️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? - ✔️✔️intervene as appropriate and reassess
What three assessments must be done if the patient is intubated? - ✔️✔️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: - ✔️✔️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 can be applied in step 12 of "Circulation and Control of Hemorrhage" for which
credit is given in the LMNOP section? - ✔️✔️cardiac monitor
When should 2 IV sites be established? - ✔️✔️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) - ✔️✔️assess ETT position by noting the number at
teeth/gums AND secure ETT
What should you verbalize after completing all ETT assessments? - ✔️✔️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? - ✔️✔️"Breathing and
Ventilation"
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM
Four of these must be identified to assess patency and protection of the airway: -
✔️✔️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? -
✔️✔️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? - ✔️✔️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?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Re - ✔️✔️A.Decrease the rate of manual ventilation.
An older adult presents to the emergency department with complaints of dizziness,
headache, and nausea. The patient was involved in a motor vehicle collision 10 days
ago. There was no loss of consciousness and a hematoma is noted to the forehead.
The patient is currently on anticoagulant therapy. What is most likely the cause of their
symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
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