TNCC Practice exam test 2021 Questions And Answers.

1. What is the key to a high-performance trauma team? a. Individual goals b. Use of TeamSTEPPS c. Identification of a single decision maker d. Effective communication Answer:d . Step-by-Step explanation Generally, we know that the high-performance trauma team is all about the the realm of activities that comprise a range of multidisciplinary group of individuals who are drawn from the specialties of anesthesia and the other areas of emergency medicine that are coordinated by a team in the entire actions that are performed/undertaken. So, based on the above, since it is made up of a team, then it means that the drive to the high performance will come through as a result of effectiveness that the team brings on board and harness as they undertake the processes. The effective communication is one of the key areas of inputs that the team brings forth for the simultaneous areas of assessment and the management of activities therein. Effective communication nurtures the mode that the team members ensures to the processes and the activities in the trauma team. 2. When obtaining a history for an injured patient, understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the trauma provider in: a. Evaluating and anticipating the types of injury that may be present b. Deciding whether law enforcement should be notified c. Determining needed laboratory tests d. Predicting the need for a surgical procedure 3. The major preventable cause of death in the trauma patient is: a. Airway compromise b. Ineffective ventilation c. Secondary head injury d. Uncontrolled hemorrhage Answer:d . Step-by-Step explanation hemorrhage is the abnormal flow of blood from raptured vessel. Potential causes of severe or sudden hemorrhaging include: traumatic injury from events such as car accidents, bullet wounds, impalement, falls, explosions, and crush injuries. embolism "Major trauma is a significant cause of death worldwide, leading to 5 million deaths annually. A large proportion of deaths are due to bleeding, with hemorrhage accounting for 80% of deaths in the operating theatre and 40% of all deaths from trauma within the UK." https://academic.oup.com/bjaed/article/14/6/251/247523 This means that hemorrhage is the leading cause of preventable trauma death. Yeboah, D., Mock, C., Karikari, P., Agyei-Baffour, P., Donkor, P., & Ebel, B. (2014). Minimizing preventable trauma deaths in a limited-resource setting: a test-case of a multidisciplinary panel review approach at the Komfo Anokye Teaching Hospital in Ghana. World journal of surgery, 38(7), 1707-1712. 4. The across-the-room observation step in the initial assessment provides the opportunity to: a. Assess for uncontrolled internal hemorrhage b. Accurately triage the patient c. Reprioritize circulation before airway or breathing d. Activate the trauma team Answer:b . Step-by-Step explanation Accurately triage the patient. This involves assigning the patients according to the degree of urgency who should be attended to first. 5. Which of the following accurately describes ventilation principles associated with a bag-mask device? a. Ventilate at a rate of 10 to 12 breaths/minute b. Deliver 100% oxygen c. Compress the bag-mask device completely d. Maintain the oxygen saturation level between 92% and 94%