TNCC EXAM
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 - correct answer//Initial
Assessment
1. A- airway and Alertness with simultaneous cervical spinal stabilization
2. B- breathing and Ventilation
3. circulation and control of hemorrhage
4. D - disability (neurologic status)
5. F - full set of vitals and Family presence
6. G - Get resuscitation adjuncts
L- Lab results (arterial gases, blood type and crossmatch)
M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration
O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide
(ETC02) monitoring and capnopgraphy
H- History and head to toe assessment
I- Inspect posterior surfaces - correct answer//ABCDEFGHI
Before the arrival of the pt - correct answer//When should PPE be placed:
Pt is at hospital in the right amount of time, right care, right trauma facility, right
resources - correct answer//Safe Care:
Uncontrolled Hemorrhage - correct answer//Major cause of preventable death:
reorganize care to C-ABC - correct answer//If uncontrolled hemorrhage ..
Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is
clear.
2. V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation
to respond, an airway adjunct may be needed to keep the tongue from obstructing the
airway.
3. P responds to pain. If the pt. responds only to pain, he or she may not be able to
maintain his or her airway adjunct may need to be placed while further assessment is
made to determine the need for intubation.
