Practice Test Geeks(TNCC) Trauma Nursing Core Course Certified Practice Test
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Initial Assessment Flashcards

7 cards from real TNCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Initial Assessment flashcards as text

  1. In the 'Circulation' component of the primary survey, which is the priority intervention for uncontrolled external hemorrhage?

    Answer: Direct pressure or tourniquet application

    Direct pressure or tourniquet application addresses the source of hemorrhage and takes priority over fluid replacement.

  2. A trauma patient has the following vital signs: BP 88/60, HR 130, RR 28, GCS 13. According to the Revised Trauma Score (RTS), which component carries the highest weight?

    Answer: GCS

    In the Revised Trauma Score, GCS has the highest weighted coefficient (0.9368) compared to blood pressure and respiratory rate.

  3. During the secondary survey, the nurse notes crepitus over the pelvis. This finding suggests:

    Answer: Pelvic ring disruption

    Crepitus over the pelvis during manual compression suggests a pelvic ring fracture, which can cause massive hemorrhage.

  4. Which mechanism of injury should prompt the trauma nurse to suspect a thoracic aortic injury?

    Answer: Rapid deceleration injury such as a high-speed MVA

    Rapid deceleration causes shear forces at fixed aortic attachment points, making blunt aortic injury a concern in high-speed MVAs.

  5. The 'Get Resuscitation Adjuncts' step during the primary survey includes which of the following?

    Answer: Monitoring (ECG, SpO2, ETCO2), foley catheter, and gastric tube placement

    Resuscitation adjuncts include continuous monitoring devices, urinary catheter for output measurement, and gastric decompression.

  6. A patient presents after a motor vehicle crash with absent breath sounds on the right and tracheal deviation to the left. The most likely diagnosis is:

    Answer: Tension pneumothorax

    Absent breath sounds with tracheal deviation away from the affected side indicates tension pneumothorax — a life-threatening emergency.

  7. When assessing a trauma patient's pupils during the 'D' (Disability) component, which finding is most concerning for herniation syndrome?

    Answer: Unilateral fixed and dilated pupil

    A unilateral fixed and dilated pupil indicates uncal herniation compressing cranial nerve III — a neurological emergency.