1. What are the greatest risks for transport? - ✔✔Loss of airway patency, displaced obstructive
tubes lines or catheters, dislodge splinting
... [Show More] devices, need to replace or reinforce dressings,
deterioration in patient status change in vital signs or level of consciousness, injury to the
patient and/or team members
2. According to newtons law which of these two force is greater: size or force? - ✔✔Neither. For
each force there is an equal and opposite reaction.
3. What is the relationship between mass and velocity to kinetic energy? - ✔✔Kinetic energy is
equal to 1/2 the mass multiplied the square of its velocity therefore when mass is doubled so is
the net energy, however, when velocity is doubled energy is quadrupled.
4. What is tension? - ✔✔stretching force by pulling at opposite ends
5. What is compression? - ✔✔Crushing by squeezing together
6. What is bending? - ✔✔Loading about an axis. Bending causes compression on the side the
person is bending toward intention to the opposite side
7. What is shearing? - ✔✔Damage by tearing or bending by exerting faucet different parts in
opposite directions at the same time.
8. What is torsion? - ✔✔Torsion forces twist ends in opposite directions.
9. What is combined loading? - ✔✔Any combination of tension compression torsion bending
and/or shear.
10. What are the four types of trauma related injuries? - ✔✔Blunt, penetrating, thermal, or blast.
TNCC 8TH EDITION QUESTIONS AND ANSWERS
52 CORRECTLY ANSWERED QUESTIONS
11. What are contributing factors to injuries related to blunt traumas? - ✔✔The point of impact on
the patient's body, the type of surface that is hit, the tissues ability to resist (bone versus soft
tissue, air-filled versus solid organs), and the trajectory of force.
12. What are the seven patterns of pathway injuries related to motor vehicle accidents? - ✔✔Up
and over, down and under, lateral, rotational, rear, roll over, and ejection.
13. Differentiate between the three impacts of motor vehicle impact sequence. - ✔✔The first
impact occurs when the vehicle collided with another object. The second impact occurs after the
initial impact when the occupant continues to move in the original direction of travel until they
collide with the interior of the vehicle or meet resistance. The third impact occurs when internal
structures collide within the body cavity.
14. What are the three factors that contribute to the damage caused by penetrating trauma's? -
✔✔The point of impact, the velocity and speed of impact, and the proximity to the object.
15. What causes the primary effects of blast traumas? - ✔✔The direct blast effects. Types of injuries
include last long, tympanic membrane rupture and middle ear damage, abdominal hemorrhage
and perforation, global rupture, mild Trumatic brain injury.
16. What causes the secondary effects of blast traumas? - ✔✔Projectiles propelled by the
explosion. Injuries include penetrating or blunt injuries or I penetration.
17. What causes the tertiary effects of blast traumas? - ✔✔Results from individuals being thrown by
the blast wind. Injuries include hole or partial body translocation from being thrown against a
hard service: blunt or penetrating trauma's, fractures, traumatic amputations.
18. What causes quarternary effects of blast traumas? - ✔✔All explosion related injuries, illnesses,
or diseases not due to the first three mechanisms. Injuries include external and internal burns,
crush injuries, closed and open brain injuries, asthmatic or breathing problems from dust smoke
or toxic fumes, angina, or hyper glycemia and hypertension.
19. What causes quinary effects of blasts traumas? - ✔✔Those associated with exposure to
hazardous materials from radioactive, biologic, or chemical components of a blast. Injuries
include a variety of health effects depending on agent.
20. What are the three processes that transfer oxygen from the air to the lungs and blood stream -
✔✔Ventilation: the active mechanical movement of air into and out of the lungs; diffusion: the
passive movement of gases from an area of higher concentration to an area of lower
concentration; and perfusion: the movement of blood to and from the lungs as a delivery
medium of oxygen to the entire body.
21. When would you use a nasopharyngeal airway versus an oral pharyngeal airway? -
✔✔Nasopharyngeal airways is contraindicated in patients with facial trauma or a suspected
basilar skull fracture. Oral pharyngeal airways is used in unresponsive patients unable to
maintain their airway, without a gag reflex as a temporary measure to facilitate ventilation with
a bag mask device or spontaneous ventilation until the patient can be intubated.
22. Describe the measurement of an NPA - ✔✔Measure from the tip of the patient's nose to the tip
of the patients earlobe.
23. Measurement of an OPA - ✔✔Place the proximal end or flange of the airway adjunct at the
corner of the mouth to the tip of the mandibular angle.
24. True or false: NPAs and OPAs are definitive airways. - ✔✔False. When placing one of these? One
should consider the potential need for a definitive airway.
25. Name the three ways to confirm ETT placement - ✔✔Placement of a CO2 monitoring device,
Assessing for equal chest rise and fall, and listening at the epigastrium and four lung fields for
equal breath sounds.
26. When capnography measurement reads greater than 45MMHG, the nurse should consider
increasing or decreasing the ventilation rate? - ✔✔Increasing the ventilation rate. Doing so
would allow the patient to blow off retained CO2.
27. When capnography measurement reads less than 35MMHG, the nurse should consider
increasing or decreasing the ventilation rate? - ✔✔Decreasing the ventilation rate. By doing so,
the nurse allows the patient to retain CO2. [Show Less]