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TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED
QUESTIONS AND ANSWERS GRADED A+ 2025.
1. What should you ask yourself after completing all of your interventions and
reassessments?: Does this patient need to be transferred to another hospital, to
surgery, or to critical care?
2. What happens prior to patient arrival? 1-3: 1. Activate trauma team
2. Prepare trauma room
3. Don PPE
3. What happens following patient arrival but before a decision to intubate has
been made? 4-8
may change based on C-ABC: 4. Assess for obvious uncontrolled external hem-
orrhage or unresponsiveness/apnea and the need to reprioritize to C-ABC
5**. Assess level of consciousness using AVPU
6. Open the airway
7**. Assess the patency and protection of the airway
8**. Assess breathing effectiveness
4. Continue the TNP assuming the patient was intubated. 9-11: 9**. If intubated,
assess endotracheal tube placement
10. If intubated, assess ETT position and securement
11. If intubated, state the need to begin mechanical ventilation or continue assisted
ventilation
5. Continue the TNP following assessments of ETT. 12-15
**12, 13, and 15 are double-starred: 12**. Assess circulation
13**. Assess neurologic status using GCS
14. Assess pupils
15**. Remove all clothing AND inspect for obvious abnormalities or injuries
6. Continue the TNP following assessments of circulation, neuro status, and
removal of clothing to inspect for injury. 16-18: 16. Provide warmth
17. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
18. Facilitate family presence
7. Continue the TNP using the LMNOP mnemonic. 19-23: 19. L - trauma panel
labs
20. M - monitor (Cardiac, consider EKG)
21. N - consider need for NG/OG
22. O - assess O2 and end-tidal capnography
