TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP, Exams of Nursing

Download TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP and more Exams Nursing in PDF only on Docsity! TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS 1. Preparation and Triage 2. Primary Survey (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 TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS 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. 4. U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct someone to chk in the pt is pulseless while assessing if the cause of the problem is the airway. - correct answer ✅Airway and AVPU: TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS Breathing: To assess breathing expose the chest: 1. Inspect for a. spontaneous breathing b. symmetrical rise and fall c. depth, pattern, and rate of respiration d. signs of difficulty breathing such as accessory muscle use e. skin color (normal, pale, flushed, cyanotic) f. contusions, abrasions, deformities (flail chest) g. open pneumothoraces (sucking chest wounds) h. JVD i. signs of inhalation injury (singed nasal hairs, carbonaceous sputum) - correct answer ✅B tracheal deviation and jvd - correct answer ✅Late signs of tension pneumo: 1. equal breath sounds bilaterally at the second intercostal space midclavicular line and the bases for fifth intercostal space at the axillary line - correct answer ✅Auscultate the chest for: 1. bony fractures and possible rib fractures, which may impact ventilation 2. palpate for crepitus 3. subcutaneous emphysema which may be a sign for a pneumothorax TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS 4. soft tissue injury - correct answer ✅Palpate the chest for 1. open the airway, use jaw thrust 2. insert an oral airway 3. assist ventilations with a bag mask 4. prepare for definitive airway - correct answer ✅If breathing is absent.. trauma its need early supplemental oxygen, start with 15 mL O2 and titrate oxygen delivery. - correct answer ✅Oxygen on trauma patients Circulation and Control of Hemorrhage Inspect first for any uncontrolled bleeding Skin color palpate for central pulses - carotid and femoral - rate, rhythm, and strength Skin temp: cool, diaphoretic, or warm and dry - correct answer ✅C apply direct pressure to bleeding elevate extremity TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS apply pressure over arterial sites Consider a pelvic binder for pelvic fractures consider a tourniquet cannulate two veins with large caliber IV - if unable to gain assess consider IO a. obtain labs, type and cross b. infuse warm isotonic fluids c. consider balanced resuscitation d. use rapid infusion device - correct answer ✅C Interventions: Disability - Neurologic Status 1. Assess pupils for equality, shape, and reactivity (PERRL) 2. Assess GCS (eye opening, verbal response, and motor response) - correct answer ✅D 1. Get a CT 2. Consider ABG 's if decreased LOC 3. Consider glucose check - correct answer ✅D Interventions TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS look at ears for drainage - correct answer ✅Head to toe assessment: Head and face immobilize cervical spine, tenderness, tracheal deviation - correct answer ✅Head to toe assessment: Neck and cervical spine inspect, auscultate, palpate any spontaneous breathing, rate, depth, and degree of effort, use of accessory muscles lacs, contusions, auscilate lung sounds and heart sounds - correct answer ✅Head to toe assessment: Chest don't forget flanks!!! inspect of lacs, puncture wounds, contusions, auscultate then palpate: bowel sounds? TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS any rigidity, guarding? begin with light palpation start to palpate with side that does not hurt maybe do a fast scan? - correct answer ✅Head to toe assessment: Abdomen any lacs? deformities? blood at the urtheral meatus palpate pelvis with high pressure over the iliac wings downward and medially - correct answer ✅Head to toe assessment: pelvis and perineum any deformities? bleeding? contusions, lacs? skin temp?? place splints on deformities, pulses - correct answer ✅Head to toe assessment: Extremities inspect posterior surfaces blogroll with at least 3 people. maintain c spine take out backboard TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS Rectal tone per MD - correct answer ✅I labs, wound care, tetanus, administer meds, prepare for transfer - correct answer ✅Secondary Reval Adjuncts Vital signs Interventions Primary survey Pain - correct answer ✅Post resuscitation care parameters that are continuously evaluated: Capnography monitors numeric value, as well as continuous waveform, indicating real-time measurement and trending over time. - correct answer ✅Quantitative: Colorimetric CO2 detectors provide info about the presence or absence of CO2. A chemically treated indicator strip changes color revealing the presence or absence of exhaled CO2 - correct answer ✅Qualitative D displaced tube O obstructed or kinked P pneumothorax E equipment failure , such as becoming detached from the equipment or loss of capnopgrahy - correct answer ✅DOPE TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS activity and constriction of blood vessels, which causes a rise in heart rate and diastolic blood pressure - correct answer ✅Baroreceptors: activation: consist of carotid and aortic bodies. ... detect changes in blood oxygen and Co2 and pH. When Co2 rises or oxygen level of pH falls these receptors are activated and information is relayed to the CNS and the cardiorespiratory centers in the medulla , which increases respiratory rage and depth and BP - correct answer ✅Chemoreceptors: 50 to 150 - correct answer ✅MAP Range the decrease coagulopathy .. you will you bleed more - correct answer ✅The colder you are the more acidic you are.. in massive transfusion protocol... responsible for dissolving clots - correct answer ✅TXA stabilized vital signs, improved mental status, improved urine output - correct answer ✅What are indicators of increased perfusion? - correct answer ✅Prehospital shock index pg. 85 Flail chest - correct answer ✅Paradoxical chest wall movement TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS can be caused by blunt trauma. air escapes from injured lung to pleural space and negative intrapleural pressure is lost causing partial or collapsed lung - correct answer ✅Simple Pneumothorax 1. Dyspnea 2. Tachycardia 3. Decreased or absent breath sounds on the injured side 4. CP - correct answer ✅Simple Pneumo assessment: Tx is based on size, presence of sx, and stability. For those are aysmpomatic and stable. Observation with or without oxygen. Larger pneumo who are unstable or likely to deteriorate a chest tube is placed. - correct answer ✅Simple pneumo interventions: can result from penetrating wound through chest wall causing air to be trapped in to the intrapleural place. Might hear "sucking" Tx: nonporous dressing tapes on 3 sided, then Chest tube and would closure surgical repair. - correct answer ✅Open Pneumo: Air cannot escape intrapleural space.. can begin to compress heart. pt will have sever resp distress, hypotension, JVD. - correct answer ✅Tension pneumo TNCC EXAM STUDY GUIDE QUESTIONS AND ANSWERS LATEST UPDATE 2022/2023 BEST EXAM SOLUTION TOP RANKED A+ FOR SUCCESS A 14 gauge needle that is inserted into the 2nd intercostal space in the midclavicular line on the affected side over the top of the rib to avoid neuromuscular bundle that runs under the rib. Prepare for chest tube placement. - correct answer ✅Tension pneumo intervention Caused by blood in the intrapleural space/ May also occur from lac to live or spleen combined with injury to the diaphragm. Ensure two large bore IVS are placed. Prepare for thoracentesis and chest tube insertion. If open thoracotomy is done chest tube is deferred. - correct answer ✅Hemothorax: 1. Hypotension 2. JVD 3. Muffled heart sounds - correct answer ✅Becks Triad: Needle pericardiocentesis, but it is a temp solution. Requires surgical evaluation. (Ultrasound guided) - correct answer ✅Cardiac Tamponade Intervention: