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
The Trauma Nursing Process Model uses the mnemonic 'I PREPARE' for history gathering. What does the 'I' stand for?
Answer: Injuries sustained
In the I PREPARE mnemonic, 'I' stands for Injuries sustained — identifying the nature of wounds acquired in the traumatic event.
During secondary survey, the trauma nurse palpates the abdomen and finds involuntary guarding and rigidity. This finding most likely indicates:
Answer: Peritoneal irritation from blood or bowel contents
Involuntary guarding and rigidity are signs of peritoneal irritation, suggesting intra-abdominal hemorrhage or organ injury.
Which pediatric anatomical consideration affects airway management during the initial assessment of a child?
Answer: Children have a larger tongue relative to the airway
Children have a proportionally larger tongue and softer, more anterior airway, making obstruction and airway management more challenging.
A trauma nurse assesses a gunshot wound patient and notes the entrance wound is small and the exit wound is large. This pattern indicates:
Answer: High-velocity weapon caused cavitation and greater tissue damage
High-velocity projectiles create cavitation, resulting in a large irregular exit wound and significant internal tissue destruction.
In mass casualty triage, a patient who is breathing spontaneously only after repositioning the airway is categorized as:
Answer: Immediate (Red)
A patient requiring airway repositioning to breathe is classified as Immediate (Red) — needing life-saving intervention within minutes.
The 'F' in the SAMPLE history mnemonic stands for:
Answer: Last food or fluid intake
In SAMPLE, the 'L' stands for Last meal — important for anesthesia risk — while 'F' is not a component of the standard mnemonic.
When assessing circulation in the primary survey, which finding indicates Class III hemorrhagic shock?
Answer: 30–40% blood loss with hypotension, tachycardia, and confusion
Class III hemorrhage (30–40% blood volume loss) presents with hypotension, heart rate over 120, and altered mental status — requiring immediate intervention.