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

The 'C' component of the primary survey focuses on circulation and hemorrhage control, including identifying and controlling life-threatening external bleeding and assessing for signs of shock.

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

The secondary survey is a systematic head-to-toe physical examination performed after the primary survey is complete and all immediately life-threatening conditions have been identified and treated.

Question 3

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

Accepted Answer

Tachycardia

Answer

Tachycardia is typically the earliest vital sign change in hypovolemic shock, as the heart rate increases to compensate for decreased stroke volume before blood pressure drops.

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

In the AMPLE history, 'E' stands for Events/Environment related to the injury — the mechanism of injury, protective equipment used, environmental factors, and pre-hospital treatment.

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

Unlike field triage systems, ESI does not automatically assign a level based on the ability to walk. ESI considers acuity, expected resource needs, vital signs, and clinical presentation to assign one of five levels.

TNCC - Trauma Nurse Core Curriculum Practice Test

TNCC - Trauma Nurse Core Curriculum Practice Test

TNCC Initial Assessment and Triage 2