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TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED QUESTIONS AND ANSWERS WELL ILLUSTRATED., Exercises of Advanced Education

TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED QUESTIONS AND ANSWERS WELL ILLUSTRATED.TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED QUESTIONS AND ANSWERS WELL ILLUSTRATED.TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED QUESTIONS AND ANSWERS WELL ILLUSTRATED.TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED QUESTIONS AND ANSWERS WELL ILLUSTRATED.

Typology: Exercises

2024/2025

Available from 07/06/2025

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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
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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
  3. Prepare trauma room
  4. Don PPE
  5. 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
  7. Continue the TNP assuming the patient was intubated. 9 - 11: 9**. If intubated, assess endotracheal tube placement
  8. If intubated, assess ETT position and securement
  9. If intubated, state the need to begin mechanical ventilation or continue assisted ventilation
  10. 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
  11. Assess pupils 15**. Remove all clothing AND inspect for obvious abnormalities or injuries
  12. Continue the TNP following assessments of circulation, neuro status, and removal of clothing to inspect for injury. 16 - 18: 16. Provide warmth
  13. Obtain a full set of vital signs and weight in kilograms (if not determined earlier)
  14. Facilitate family presence
  15. Continue the TNP using the LMNOP mnemonic. 19 - 23: 19. L - trauma panel labs
  16. M - monitor (Cardiac, consider EKG)
  17. N - consider need for NG/OG
  18. O - assess O2 and end-tidal capnography

2 / 23**. P - assess pain using appropriate pain scale

  1. Continue TNP after LMNOP (so after pain has been assessed). 24 - 26: 24. Non-pharmacological comfort measures
  2. Consider analgesic med order
  3. Obtain pertinent history

4 f/f

  1. Afterfidentifyingfpotentialfinterventions/diagnosticsfandfcompletingfyourfa ssessmentsfandfinterventions,fyoufshouldfaskfyourselffwhat?:f "Whatffindingsfwillf youfcontinueftofreevaluatefwhilefthefpatientfisfinfyourfcare?" "Justfkeepfre-evaluating"
  2. JustfKeepfReevaluating.f 45 - 48:f 45.fReevaluatefvitalfsigns
  3. Reevaluatefallfidentifiedfinjuriesfandfeffectivenessfoffinterventions
  4. Reevaluatefprimaryfsurvey
  5. Reevaluatefpain
  6. Whatfdofyoufaskfyourselffafterfre-evaluationsfarefdone?f 49 - 50:f 49.f"Whatfisfthefdefinitivefcarefforfthisfpatient?" 50.fConsiderfneedfforftransferftofaftraumafcenterforfadmission
  7. Afterfallfoffthefassessments,finterventions,freassessments,fetc.farefdone,fw hatfisftheflastfthingftofask?:f "Isftherefanythingfyoufwouldflikeftofaddfatfthisftime?"
  8. WhenfconsideringfGUfandfhowftofmonitorfurinaryfoutput::f - fAssessfforfcontraindicationsfforfanfindwellingfurinaryfcatheter
  • Externalfcatheter
  • Weighingfdiapersf(pediatricsfandfadults)
  1. Howfdofyouffirstfassessfforfpelvicfinstability?fThenfwhatfdofyoufdo?:f Applyfge ntlefpressurefoverfiliacfcrestsfdownwardfandfmedially.fIffiliacfcrestsfarefstable,fthenfap plyfgentlefpressurefonfthefsymphysisfpubis.
  2. T/F:fItfisfappropriateftofconsiderftransferftofafhigherflevelfoffcarefbeforeforfdu ringfthefA-E.:f True.fConsiderfthisfthroughout.
  3. Whatfisfafsystematicfprocessftofguidefyourfcarefofftraumafpatients?:f trau- fmafnursingfprocess
  4. Whatfdoesfitfmeanftofhavefdouble- starredfcriteria?:f ItfmeansfthatfthisfcriteriafMUSTfbefdonefinforder.
  5. Forfdouble-starredfcriteria,f andf mustfbefcompletedfpriorftofmovingftofthefnextfstep.:f assessments,finterventio ns
  6. Double-starredfcriteriafincludeflettersf - .:f A-E
  7. Whatfdoesfitfmeanftofhavefsingle- starredfcriteria?:f Thisfmeansfthefcriteriafneedsftofbefdone,fbutfthefsequencefisfnotfc ritical.
  8. ****Afstandsfforf andf .:f** alertness,fairway
  9. ****Bfstandsfforf andf .:f** breathing,fventilation
  10. ****Cfstandsfforf .:f** circulation
  11. ****Dfstandsfforf .:f** disability
  12. ****Efstandsfforf .:f** exposure
  13. Whatfarefthef 4 fpotentialfsingle-starredfcriteria?:f -

5 f/f freassessmentfoffprimaryfsurveyfinterventions

7 f/f

  1. T/F:fDuringfthefgeneralfimpression,fyoufcanfperformfthefassessmentfandfin terventionsfsimultaneouslyfwhenfmultiplefteamfmembersfarefpresent.:f True.
  2. T/F:fDuringfthefgeneralfimpression,fassessmentsfandfinterventionsfiden- ftifyflife-threateningfconditions,fandfyoufshouldfprioritizeftheflife-savingfin- fterventions.fOrderfoffstepfcompletionfisfnotfimportant.:f False.fOrderfoffstepfco mpletionfisfoffcriticalfimportance.
  3. Whatfisftheffirstfdouble- starredfassessment?fWhatfstepfisfit?:f AlertnessfandfAVPUfareftheffirstfdouble- starredfassessments.fItfisfstepf5**.
  4. Whatfshouldfyoufaskfyourselffwhenfassessingfforfalertness,favpu?:f Isfthefpa tientfAlert,fdoftheyfrequirefafVerbalforfPainfulfstimulusftofrespond,forfareftheyfUnrespo nsive?
  5. T/F:fIffthefpatientfwasfdeemedfunresponsivefinfstepf4,fyoufdofnotfneedftofas sessflevelfoffalertness,favpu.:f True Generalfimpressionfisfstepf4,fandfiffyoufalreadyfknowfthefpatientfisfunresponsive,ftheyfw on'tfbefalertforfresponsive.
  6. Whatf 2 fthingsfmustfyoufdofwhenfopeningfthefairwayfiffc- spinefinjuryfisfsuspected?:f 1.fYoufneedftofhavefafsecondfpersonfprovidefmanualfce rvicalfspinalfstabilization 2.fYoufmustfdemonstratefmanualfopeningfoffthefairwayfusingfthefjaw-thrustfmaneu-fver
  7. Whenfassessingfforfalertnessfandfairway,fyoufmustfsimultaneously .:f continuefcervicalfspinalfstabilization
  8. T/F:fEvenfiffthefpatientfisfalertfandfcanfcooperate,fyoufmustfdemonstratefm anualfopeningfoffthefairwayfusingfthefjaw-thrustfmaneuver.:f False. Whenfthefpatientfisfalertfandfcanfcooperate,fitfisfacceptableftofaskfthefpatientftofopenfthe irfmouthftofassessfthefairway.
  9. Givefatfleastf 4 fexamplesfoffthingsftofinquirefaboutfwhenfassessingfthefpate ncyfandfprotectionfoffthefairway::f Acceptablefthingsftofaskfaboutfduringfthisfstepfincl udefassessmentsffor:
  • Bonyfdeformity
  • Burns
  • Edema
  • Fluidsf(blood,fvomit,forfsecretions)
  • Foreignfobjects
  • Inhalationfinjuryf(burns,fsoot)
  • Looseforfmissingfteeth
  • Soundsf(snoring,fgurgling,forfstridor)
  • Tonguefobstruction
  • Vocalization

8 f/f

  1. Whenfalterationsfarefidentifiedfduringfthefassessmentfoffairwayfpatencyfan dfprotection,fyoufmustf asfappropriatefandfrememberftof .:f intervene,freassess
  2. Whatfarefsomefinterventionsfthatfmayfbefappropriatefwhenfalterationsfinfai rwayfpatencyfandfprotectionfarefnoted?:f - fAnticipatefthefneedfforfintubation
  • Insertfanforalforfnasopharyngealfairway
  • Removefanyfloosefteethforfforeignfobjects
  • Suctionfthefairway
  1. Givefatfleastf 4 fexamplesfoffthingsftofinquirefaboutfwhenfassessingfbreath- fingfefficacy::f - fBreathfsounds
  • Depth,fpattern,fandfgeneralfratefoffrespirations
  • Increasedfworkfoffbreathing
  • Openfwoundsforfdeformities
  • Skinfcolor
  • Spontaneousfbreathing
  • Subcutaneousfemphysema
  • Symmetricalfchestfrisefandffall
  • Trachealfdeviationforfjugularfvenousfdistention
  1. Whatfarefsomefinterventionsfthatfmayfbefappropriatefwhenfalterationsfinfbr eathingfefficacyfarefnoted?:f - fAnticipatefneedfforfafchestftube
  • Anticipatefneedfforfdrug-assistedfintubation
  • Anticipatefneedfforfdecompressionfoffpneumothorax
  • Anticipatefneedfforfoxygen
  • Providefbag-maskfventilations
  1. Whatf 3 fthingsfmustfbefdonefiffthefpatientfisfintubated?:f - fAttachfafCO2fdetectorfdevice.fAfterf 5 ftof 6 fbreaths,fassessesfforfevidencefoffexhaledfCO 2.f(EtCO2)
  • Simultaneouslyfobservefforfrisefandffallfoffthefchestfwithfassistedfventilations
  • AuscultatefoverfthefepigastriumfforfgurglingfANDflungsfforfbilateralfbreathfsounds
  1. AfterfhowfmanyfbreathsfdofyoufassessfforfthefevidencefoffexhaledfCO2?- :f Afterf 5 ftof 6 fbreaths.
  2. Iffintubated,fyoufmustfassessfwhichf 2 fthings?:f 1.fAssessfETTfpositionfbyfnot ingfthefnumberfatfthefteethforfgums 2.fAssessfhowfthefETTfisfsecured
  3. HowfdofyoufassessfETTfposition?:f byfnotingfthefnumberfatfthefteethforfgums
  4. WhatfarefsomefwaysfanfETTfmayfbefsecured?:f Screwfclamp:fSecuresfthefET Tftofthefholderfwithoutfblockingftheftube Hook-and-loopfstrapfsystem:fSecuresfthefETTftofthefholderfwithoutfblockingftheftube

10 f/f

  1. T/F:fWhenfnewlyfidentifiedflife-threateningfalterationsfarefidentified,finter- fvenefasfappropriatefandfreassess.:f True.fAlwaysfintervenefandfreassess.
  2. T/F:fDelayfremovalfofftransportfdevicefwhenfpossible.:f False.fIffaftransportfde vicefisfinfplace,fitfmayfbefremovedfasfsoonfasfpossible.
  3. Ifftherefarefnofcontraindications,fthefpatientfmayfbefturnedftofquicklyfas sessfthef. Thisfisfdeferredfuntilfafterfthefhead-to- toefandfimagingfiffneededftofevaluatefspinalfandfpelvicfstability.:f posterior
  4. Youfmustfprovidefwarmthfbyfidentifyingfatfleastfonefofftheffollowing::f - fBlankets
  • Increasefroomftemperature
  • Warmedffluids
  • Warmingflights
  1. LfinfLMNOP:f Labs Mayfincludefbutfnotflimitedftoftheffollowing: Bloodfgases Bloodfcross/typefandfscreenf CoagulationfstudiesfComplet efbloodfcountfLactate MetabolicfpanelfPr egnancyfToxicolog yfscreen
  2. MfinfLMNOP:f monitorfcardiacfstatusfandfconsiderfEKG
  • alsofsetfBPftofrecyclefasfindicated
  1. OfinfLMNOP:f oxygenfandfEtCO
  2. PfinfLMNOP:f assessfpain
  3. IffalterationsfinfoxygenationforfEtCO2farefnoted,finterventionsfmayfincludefb utfarefnotflimitedftoftheffollowing::f - fIncreaseforfdecreasefratefoffassistedfventilation
  • Weanfoxygenf(considerfparametersfotherfthanfoximetryfdueftofhypothermia,fva soconstriction,fandfskinfcolor'sfimpactfonfpulsefoximetryfmeasurements)
  1. Whenfisfcapnographyfhighlyfrecommended?fWhenfisfcapnographyfvital?- :f recommendedfforfallfpatients,fvitalfforfsedatedforfventilatedfpatients
  2. Youfmustfidentifyfatfleastfonefofftheffollowingfnon-pharmacologicalfcom- ffortfmeasures::f - fDistraction
  • Familyfpresence

11 f/f

  • Placesfpaddingfoverfbonyfprominences
  • Repositioning
  • Splinting
  • Verbalfreassurance
  1. Whatfshouldfbefconsideredfwhenfapplyingficeftofpatientsfforfcomfort?:f- f Applyingficeftofswollenfareasfmayfbefappropriatefbutfconsiderfhypothermiafriskfforfma jorftraumafandfveryfsmallfpediatricfpatients.
  2. Whatfshouldfbefconsideredfwhenfprovidingfwarmth?:f Warmthfmayfbefap- fpropriate,fbutfconsiderfburnfrisk.
  3. Identifyfatfleastfonefofftheffollowingfwhenfobtainingfpertinentfhistory::f - fMedicalfrecords/documents
  • Prehospitalfreport
  • SAMPLE