TNCC Exam Questions And Answers
Question: What is the key to a high-performance trauma
team?
Correct answer: effective communication
Question: When obtaining a history for an injured patient,
how can understanding the kinematic concepts associated with the mechanism of injury and energy transfer assist the trauma provider?
Correct answer: evaluating and anticipating the types of
injury that may be present
Question: What is the major preventable cause of death in the
trauma patient?
Correct answer: uncontrolled hemorrhage
Question: What does across-the-room observation in the
initial assessment provide the opportunity to do?
Correct answer: reprioritize circulation before airway and
breathing
Question: Which of the following accurately describes
ventilation principles associated with a bag-mask device:
ventilate at a rate of 10 to 12 breaths/minute, or other rates?
Correct answer: ventilate at a rate of 10 to 12 breaths/minute
Question: What is the best measure of the adequacy of
cellular perfusion which helps predict the outcome of resuscitation?
Correct answer: base deficit
Question: What is a safe pharmacological alternative to
opioids for rib fracture pain management in the anticoagulated patient?
Correct answer: intercostal nerve blocks
Question: In a patient with severe traumatic brain injury, what
does hypocapnia cause?
Correct answer: cerebral vasoconstriction
Question: In a patient with a knife injury to the neck who has
an intact airway and is hemodynamically stable but complains of difficulty swallowing and speaking, what condition requires further assessment?
Correct answer: spinal cord damage
Question: What is the appropriate technique for palpating the
pelvis for stability?
Correct answer: apply gentle pressure over the iliac crests
downward and medially
Question: What must be closely observed in a patient with a
spinal cord injury at C5, and why?
Correct answer: maintain adequate respiratory status because
C3 to C5 injuries can cause loss of phrenic nerve function resulting in a paralyzed diaphragm and inability to breathe
Question: What is the first step to stop bleeding of a
penetrating injury to the lower extremity?
Correct answer: initiate direct pressure
Question: What does treatment for frostbite include?
Correct answer: administer tissue plasminogen activator
Question: In a 30-week pregnant patient with a blood pressure
of 94/62 and heart rate of 92, with a fetal heart rate of 124, is this normal and why?
Correct answer: normal vital signs in pregnancy because
resting heart rate increases by 10-20 beats in pregnancy with a small decrease in systolic BP and large decrease in diastolic BP due to peripheral resistance; normal fetal heart rate is 120 to 160
Question: If a 13-month-old involved in an MVA is
cooperative, this may be a sign of what?
Correct answer: mental status changes
Question: What is the best position for maintaining an open
airway in the bariatric patient?