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TNCC Written Exam 2024 Practice Questions and Answers |100% Pass

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TNCC Written Exam 2024 Practice Questions and Answers |100% Pass What are the late signs of breathing compromise? - Answer-- Tracheal deviation - JVD What are signs of ineffective breathing? - Answer-- AMS - Cyanosis, especially around the mouth - Asymmetric expansion of chest wall - Paradox...

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  • October 7, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TNCC
  • TNCC
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




TNCC Written Exam 2024 Practice
Questions and Answers |100% Pass

What are the late signs of breathing compromise? - Answer✔✔-- Tracheal deviation


- JVD


What are signs of ineffective breathing? - Answer✔✔-- AMS


- Cyanosis, especially around the mouth


- Asymmetric expansion of chest wall


- Paradoxical movement of the chest wall during inspiration and expiration


- Use of accessory muscles or abdominal muscles or both or diaphragmatic breathing


- Sucking chest wounds


- Absent or diminished breath sounds


- Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated


- Anticipate definitive airway management to support ventilation.


Upon initial assessment, what type of oxygen should be used for a pt breathing effectively? - Answer✔✔-

A tight-fitting nonrebreather mask at 12-15 lpm.


What intervention should be done if a pt presents with effective circulation? - Answer✔✔-- Insert 2 large

caliber IV's


Page 1/47

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


- Administer warmed isotonic crystalloid solution at an appropriate rate


What are signs of ineffective circulation? - Answer✔✔-- Tachycardia


- AMS


- Uncontrolled external bleeding


- Pale, cool, moist skin


- Distended or abnormally flattened external jugular veins


- Distant heart sounds


What are the interventions for Effective/Ineffective Circulation? - Answer✔✔-- Control any uncontrolled

external bleeding by:


- Applying direct pressure over bleeding site


- Elevating bleeding extremity


- Applying pressure over arterial pressure points


- Using tourniquet (last resort).


- Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid solution


- Use warmed solution


- Use pressure bags to increase speed of IVF infusion


- Use blood administration tubing for possible administration of blood


- Use rapid infusion device based on protocol


Page 2/47

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


- Use NS 0.9% in same tubing as blood product


- IV = surgical cut-down, central line, or both.


- Blood sample to determine ABO and Rh group


- IO in sternum, legs, arms or pelvis


- Administer blood products


- PASG (without interfering with fluid resuscitation)


What are factors that contribute to ineffective ventilation? - Answer✔✔-- AMS


- LOC


- Neurologic injury


- Spinal Cord Injury


- Intracranial Injury


- Blunt trauma


- Pain caused by rib fractures


- Penetrating Trauma


- Preexisting hx of respiratory diseases


- Increased age


What medications are used during intubation? - Answer✔✔-LOAD Mnemonic:


L = Lidocaine


Page 3/47

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


O = Opioids


A = Atropine


D = Defasiculating agents


What are the Rapid Sequence Intubation Steps? - Answer✔✔-PREPARATION:


- gather equipment, staffing, etc.


PREOXYGENATION:


- Use 100% O2 (prevent risk of aspiration).


PRETREATMENT:


- Decrease S/E's of intubation


PARALYSIS WITH INDUCTION:


- Pt has LOC, then administer neuromuscular blocking agent


PROTECTION AND POSITIONING:


- Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and aspiration


PLACEMENT WITH PROOF


- Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate pt 30-60 seconds between

attempts.


- After intubation, inflate the cuff


- Confirm tube placement w/exhaled CO2 detector.



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