TNCC Initial Assessment and Triage 2

Question 1

During the primary survey, which life-threatening condition should be identified and treated during the 'C' (Circulation) assessment?

Accepted Answer

Uncontrolled external hemorrhage

Answer

Tension pneumothorax

Answer

Cervical spine instability

Answer

Altered level of consciousness

Question 2

The secondary survey in trauma assessment is best described as:

Accepted Answer

A head-to-toe physical examination performed after life threats are addressed

Answer

A rapid 60-second assessment of airway, breathing, and circulation

Answer

The initial triage assessment performed at the scene

Answer

A reassessment performed only if the patient's condition deteriorates

Question 3

Which vital sign change is the EARLIEST indicator of hypovolemic shock in an adult trauma patient?

Accepted Answer

Tachycardia

Answer

Hypotension (systolic BP < 90 mmHg)

Answer

Decreased urine output

Answer

Widened pulse pressure

Question 4

A trauma patient arrives with injuries from a motorcycle collision. Using the AMPLE history mnemonic, the 'E' represents:

Accepted Answer

Events and environment related to the injury

Answer

Emergency contacts

Answer

Examination findings

Answer

Expected outcome

Question 5

Which triage category is assigned to a walking trauma patient in the Emergency Severity Index (ESI)?

Accepted Answer

It depends on vital signs, mechanism of injury, and resource needs

Answer

ESI Level 1 — Resuscitation

Answer

ESI Level 2 — Emergent

Answer

ESI Level 3 — Urgent

Question 6

During trauma triage, the nurse identifies a patient with a penetrating abdominal wound, blood pressure 88/50, and heart rate 128. The correct triage decision is:

Accepted Answer

Activate the trauma team for immediate resuscitation

Answer

Send to radiology for CT scan

Answer

Assign to a lower-acuity treatment area for monitoring

Answer

Obtain laboratory studies and reassess in 15 minutes