TNCC Initial Assessment 2

Question 1

During the primary survey, which component of the 'E' step in the ABCDE mnemonic is assessed?

Accepted Answer

Exposure and environmental control

Answer

The 'E' in the primary survey stands for Exposure and Environmental Control — removing clothing to expose injuries while preventing hypothermia.

Question 2

A trauma patient's GCS is assessed as: eyes open to pain (2), confused verbal response (4), withdraws to pain (4). What is the total GCS score?

Accepted Answer

10

Answer

GCS = Eye (2) + Verbal (4) + Motor (4) = 10, indicating moderate traumatic brain injury.

Question 3

Which intervention is the priority when a tension pneumothorax is identified during the primary survey?

Accepted Answer

Needle decompression at the 2nd intercostal space, midclavicular line

Answer

Tension pneumothorax is a clinical diagnosis requiring immediate needle decompression without waiting for imaging.

Question 4

The 'D' in the ABCDE primary survey specifically refers to:

Accepted Answer

Disability: neurological status

Answer

Disability in the primary survey refers to a rapid neurological assessment including GCS, pupils, and gross motor function.

Question 5

During secondary survey, a trauma patient reports pain rated 8/10. Which action is most appropriate for the trauma nurse?

Accepted Answer

Administer pain medication per protocol while continuing the assessment

Answer

Pain management should not be withheld during assessment; analgesics can be given per protocol while the secondary survey continues.

(TNCC) Trauma Nursing Core Course Certified Practice Test