TNCC (TNCC)

TNCC Notes for Written Exam, TNCC Prep, TNCC test prepA 415 Questions with 100% Correct Answers

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? correct answerBase deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? correct answerVasoconstriction What results from tissue hypo perfusion and oxygen deficit? correct answerMetabolic acidosis What type of shock results in generalized vasodilation? correct answerNeurogenic shock Spinal cor...

Caregivers carry in a 2-year-old into the emergency department who fell out of a second-story window. The patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? a. Padding the upper back while stabilizing the cervical spine b. Applying a tight-fitting nonrebreather mask with an attached reservoir c. Establishing an IV and administering a 20 mL/kg bolus d. Preparing for drug-assisted intubation 50. Which of...

Initial Assessment ● Preparation and Triage ○ Use universal precautions and don PPE ○ Consider any possible patient exposure to hazardous material that puts the trauma team at risk ○ Safe practice, safe care ○ Ensure resuscitation equipment is readily available ● Across the room observation to identify any uncontrolled external hemorrhage ○ Need to reprioritize to Circulation and Control of Hemorrhage ○ Uncontrolled hemorrhage is the major cause of preventable death in tr...

Initial Assessment ● Preparation and Triage ○ Use universal precautions and don PPE ○ Consider any possible patient exposure to hazardous material that puts the trauma team at risk ○ Safe practice, safe care ○ Ensure resuscitation equipment is readily available ● Across the room observation to identify any uncontrolled external hemorrhage ○ Need to reprioritize to Circulation and Control of Hemorrhage ○ Uncontrolled hemorrhage is the major cause of preventable death in tr...

What roles are vital to a trauma team? -The patient -The team leader -Core team -Contigency and support services What are the characteristics of an effective team? - Clear roles and responsibilities - Shared mental model - Optimize resources - Strong team leadership - Engage in regular discipline of feedback - Strong sense of collective trust and confidence - Create mechanisms to cooperate and coordinate - Manage and optimize performance outcomes -Interdependent and adaptive What ...

What is kinematics? correct answerA branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? correct answerA body at rest will remain at rest. A body in motion will remain in motion until acted on by an outside force. What is the Law of Conservation of Energy? correct answerEnergy can neither be created nor destroyed. It is only changed from one form to another. What is Newton's Sec...

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c correct answera) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin i...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - answerAirway/Intubate Lab evidence of cellular perfusion - answerBase Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - answerBiologic Suspected shock type with a spinal cord injury - answerDistributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils...

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 - ANSWER-Initial Assessment