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TNCC Test 01: Trauma Assessment and Management

TNCC Test 01: Key Themes

This exam reviews Primary Survey, Hemorrhagic Shock, and Critical Trauma Interventions.

Airway Safety: Never use a nasopharyngeal airway if you suspect a basilar skull fracture. Look for Battle sign or raccoon eyes as warnings.
Circulation: For trauma patients, balanced crystalloids like Lactated Ringer's are the preferred initial choice for fluid resuscitation.
Pediatric PAT: Use the Pediatric Assessment Triangle to quickly check appearance, breathing, and skin color before touching the patient.
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Q:1A 5-year-old patient with an isolated closed femur fracture has a hemoglobin drop of 4 g/dL. What is the most appropriate action?
Q:2The brother of a patient, who states he is a physician, asks to see the patient's chart. What is the most appropriate action?
Q:3Which clinical presentation in a patient with a head injury does NOT urgently require a brain CT scan?
Q:4A patient with multiple long bone fractures develops a petechial rash, dyspnea, and altered mental status. This clinical triad is most consistent with which complication?
Q:5In the United States, which age group is the largest consumer of prescription and nonprescription medications?
Q:6Which of the following statements about inhalation burn injury is FALSE?
Q:7Which of the following is typically NOT included in serial neurological checks for a patient following a concussion?
Q:8What ECG tracing represents the electrical depolarization and contraction of the atria?
Q:9What is the initial treatment for hyperkalemia with ECG changes, such as a widened QRS complex?
Q:10What is the most common cause of fat embolism syndrome?
Q:11Which of the following are the most appropriate clinical uses of opioids?
Q:12What is the drug of choice for the treatment of anaphylaxis?
Q:13Which of the following is NOT typically associated with an epidural hematoma (EDH)?
Q:14A patient with a tension pneumothorax has a chest tube inserted. What is the most expected finding on the chest X-ray afterward?
Q:15What type of skull injury is consistent with Battle sign?
Q:16According to ATLS, a patient who has lost 30-40% of their blood volume is in which class of hemorrhagic shock?
Q:17In which patient is the insertion of a nasopharyngeal airway contraindicated?
Q:18What is the most important aspect of clinical evaluation after a house fire?
Q:19Which fluid is the preferred initial choice for resuscitation in a hypovolemic trauma patient?
Q:20What is the first step when assessing a pediatric trauma patient using the Pediatric Assessment Triangle (PAT)?

Test 01 Study Summary

1. Shock Classes Class III hemorrhage involves 30% to 40% blood loss and usually requires blood products to stabilize.
2. Fat Embolism Watch for the triad of respiratory distress, brain changes, and a petechial rash after long bone breaks.
3. Tension Pneumothorax A chest tube should fix a shifted mediastinum by releasing trapped air and letting the heart return to the center.

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