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TNCC - Trauma Nursing Core Course Exam Study Guide Solutions
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TNCC - Trauma Nursing Core Course Exam Study Guide Solutions Initial Assessment - ANSWER-1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (Primary Survey) -...

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  • November 11, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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  • tncc trauma nursing core course exam study guide

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TNCC - Trauma Nursing Core Course Exam

Study Guide Solutions


Initial Assessment - ANSWER✔✔-1. Preparation and Triage


2. Primary Survey


3. Reevaluation


4. Secondary Survey


5. Reevaluation Adjuncts


6. Reevaluation and Post Resuscitation Care


7. Definitive Care or Transport


A (Primary Survey) - ANSWER✔✔-Airway and alertness with simultaneous cervical spinal stabilization.


Alertness Assessment - ANSWER✔✔-A-Alert


V-Verbal


P-Painful


U-Unresponsive


Airway Assessment - ANSWER✔✔-Inspect: tongue obstruction, loose/missing teeth, foreign objects,

blood, vomitus, secretions, edema, burns or evidence of inhalation injury




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Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)




Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous emphysema


Airway Interventions: - ANSWER✔✔-Suction


Remove foreign body if noted


Jaw thrust maneuver (maintain cspine)


Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)


Consider definitive airway


A (AVPU) - ANSWER✔✔-Alert. Will be able to maintain airway once clear.


V (AVPU) - ANSWER✔✔-Verbal. Needs verbal stimuli to respond.


(Airway adjunct may be needed to prevent tongue obstruction)


P (AVPU) - ANSWER✔✔-Painful. Responds only to painful stimuli.


(Airway adjunct may be needed while determining need for intubation)


U (AVPU) - ANSWER✔✔-Unresponsive. Does not respond to any stimuli.


B (Primary Survey) - ANSWER✔✔-Breathing and Ventilation


Breathing and Ventilation Assessment - ANSWER✔✔-Inspect: spontaneous breathing, symmetrical rise

and fall, depth/pattern/rate of respirations, accessory muscle use, diaphragmatic breathing, skin color

(normal, pale, flushed, cyanotic), contusions/abrasions/deformities (signs of underlying injury), open

pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation injury


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Auscultate: presence, absence and equality of breath sounds at 2nd intercostal space midclavicular line

and bases at the fifth intercostal space anterior axillary line




Palpate: bony structures, possible rib fractures, SQ emphysema, soft tissue injury, JV pulsations at

suprasternal notch or supraclavicular area




Life-threatening pulmonary injuries requiring immediate intervention: open pneumothorax, tension

pneumothorax, flail chest, hemothorax.


Breathing and Ventilation Intervention - ANSWER✔✔-Breathing absent: jaw-thrust maneuver, oral

airway adjunct, assist ventilation with bag-mask device, prepare for definitive airway




Breathing present: NRB. Determine if ventilation effective: etCO2 35-45, SpO2 94% or higher. If

ineffective: assist with bag-mask and determine need for definitive airway


C (Primary Survey) - ANSWER✔✔-Circulation and Control of Hemorrhage


Circulation and Control of Hemorrhage Assessment - ANSWER✔✔-Inspect: Uncontrolled external

bleeding, skin color




Auscultate: Muffled heart sounds - may indicate pericardial tamponade




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