TRAUMA NURSING CORE COURSE TNCC 9TH EDITION STUDY QUESTIONS AND ANSWERS 2025/2026, Exams of Community Health

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TRAUMA NURSING CORE COURSE

TNCC 9TH EDITION STUDY

QUESTIONS AND ANSWERS

Whykiskalertnesskincludedkinkthekairwaykassessment?k- kCORRECTkANSWER- Includingkthiskhelpskevaluatekthekpatient'skabilityktokprotectktheirko wnkairway Whatkpneumonickiskusedktokassesskakpatientklevelkofkalertness?k- kCORRECTkANSWER-A:kAlert V:kRespondsktokverbalkstimuli P:kRespondsktokpain U:kUnresponsive WhykiskAVPUkbeneficialktokusekatkthekbeginningkofkthekinitialkpatien tkassessment?k-kCORRECTkANSWER- Willkhelpkdeterminekappropriatekairwaykintervention Inkakpatientkwhokiskunablektokopenktheirkmouthkorkunresponsive,kh owkdokwekassesskthekairway?k-kCORRECTkANSWER-Jaw- kthrustkmaneuverkiskperformedktokopenkairwaykandkmouthktokasses skforkobstruction Whatkinspectingkthekairway,kwhatkarekwekinspectingkfor?k- kCORRECTkANSWER-Vocalization TonguekObstruction Loosekorkmissingkteeth Foreignkobjects Fluidsk(blood,kvomit,ksecretions) Edema Burns/kevidencekofkinhalationkinjury

Ifkankairwaykiskpatent,kwhatkiskthekgoal?k-kCORRECTkANSWER- Focusingkeffortskatkmaintainingkandksupportingkakpatentkairway (Ptkmaykbekallowedktokassumekpositionkthatkfacilitateskbetterkairkex changeksoklongkasknokCSIkisksuspected) Cankankoropharyngealkairwaykbekusedkinksomeonekwithkakgagkrefl ex?k-kCORRECTkANSWER-No Howkdokyoukassesskbreathing?k-kCORRECTkANSWER- Exposekthekpatient'skchestkandkinspectkforkthekfollowing: Spontaneouskbreathing Symmetricalkchestkrisekandkfall Depth,kpatternkandkratekofkresps Workkofkbreathingk(accessorykmuscles,kpursedklip,kdiaphragmatic kbreathing) Skinkcolour Contusions,kabrasions,kdeformities Openkpneumothorax JVD Signskofkinhalationkinjuries Signkofkinhalationkinjuriesk-kCORRECTkANSWER- Singedknasalkhairs Carbonaceousksputum Hoarsekvoice Howktokassesskforkproperkplacementkofkakdefinitivekairwayk(3ksteps )k-kCORRECTkANSWER- 1.kAttachkCO2kdetectork(assesskforkpresencekofkCO2kafterk 5 - 6 kbreaths) 2.kAdequatekrise/fallkofkchestkwithkassistedkventilation 3.kAuscultatekforkgurglingkoverkepigastriumkandkpresencekofkbilate ralkbreathksounds.

Whakiskakresultkofkinadequatekoxygenation?k- kCORRECTkANSWER-Hypoxemia Resultingkinkanaerobickmetabolismkandkacidosis ETCO2klevelkindicatingkeffectivekventilationk- kCORRECTkANSWER- 35 - 45 kmm (Greaterkthank 50 ksignifieskdepressedkventilation Whatkiskakdefinitivekairway?k-kCORRECTkANSWER- Tubeksecurelykplacedkinkthektracheakwithkcuffkinflated. Listksomekconditionskorksituationskthatkwouldkrequirekdefinitelyksec uredkairwayk-kCORRECTkANSWER-Apnea GCSkofk 8 korkless Severekmaxillofacialkfractures Evidencekofkinhalationkinjury Laryngealkorktrachealkinjurykorkneckkhematoma Highkriskkofkaspirationkandkpatientkunablektokprotectkairway Compromisedkorkineffectivekventilation Anticipationkofkdeteriorationkofkneurologicalkstatus