TNCC NOTES FOR WRITTEN EXAM LATEST 2025|TEST
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With any eye injury, what should the evaluation and ongoing assessments be? - ans-
Reassessing visual acuity at reasonable intervals
Why does herniation occur? What are the symptoms? - ansBecause of uncontrolled
increases in ICP.
Where do you listen to auscultate breath sounds? - ansAuscultate the lungs bilaterally
at the second intercostal space midclavicular line and at the fifth intercostal space at the
anterior axillary line.
What she be done after the Secondary Assessment? - ansReassess:
What medications are used during intubation? - ansLOAD Mnemonic:
What is vascular response? - ansAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is the second thing assessed under the Secondary Assessment? - ansGIVE
COMFORT MEASURES
What is the planning and implementation for thoracic injury? - ansp. 142
What is the Mnemonic for the Secondary Assessment? - ansF = Full set of VS/Focused
adjuncts (includes cardiac monitor, urinary catheter, and gastric tube)/Family presence
What is the Mnemonic for the Initial Assessment? - ansA = Airway with simultaneous
cervical spine protection
What is the Law of Conservation of Energy? - ansEnergy can neither be created nor
destroyed. It is only changed from one form to another.
What is the first thing assessed under the Secondary Assessment? - ansFULL SET VS
/ FOCUSED ADJUNCTS / FAMILY PRESENCE
What is the DOPE mnemonic? - ansD - Displaced tube
What is Surgical Cricothyrotomy? - ansMaking an incision in cricothyroid membrane and
placing a cuffed endo or trach tube into trachea. This is indicated when other methods
of airway management have failed and pt cannot be adequately ventilated and
oxygenated.
What is renal response? - ansRenal ischemia activates release of renin.
What is Newton's Second Law? - ansForce equals mass multiplied by acceleration of
deceleration.
What is Newton's First Law? - ansA body at rest will remain at rest. A body in motion will
remain in motion until acted on by an outside force.
What is Needle Cricothyrotomy - ansPercutaneous transtracheal ventilation.
(temporary)
What is LeFort III fracture and its S/S? - ansComplete craniofacial separation involving
maxilla, zygoma and bones of cranial base. This fx is frequently associated w/leakage
of CSF and fx mandible.
What is LeFort II fracture and its S/S? - ansPyramidal maxillary fx=middle facial area.
Apex of fx transverses bridge of nose. Two lateral fx's of pyramid extend through the
lacrimal bone of the face and ethmoid bone of skull into the median portion of both
orbits. Base of the fx extends above level of the upper teeth into maxilla. CSF leak is
possible.
