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TNCC Exam Questions and Answers with Complete Solutions, Exams of Nursing

A set of questions and answers related to the tncc (trauma nursing core course) exam. It covers various aspects of trauma care, including airway management, breathing assessment, circulation control, and neurologic status. Useful for students preparing for the tncc exam, but it lacks detailed explanations and may not be sufficient for a comprehensive understanding of the subject.

Typology: Exams

2024/2025

Available from 02/04/2025

NurseIntel.
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TNCC I!lEXAM I!lQUESTIONS I!lAND I!l
ANSWERS I!lWITH I!lCOMPLETE I!lSOLUTION
I!l
I!l
1.6Preparation6and6Triage I!l
2.6Primary6Survery6(ABCDE)6with6resuscitation6adjuncts6(F,G) I!l
3.6Reevaluation6(consideration6of6transfer) I!l
4.6Secondary6Survey6(HI)6with6reevaluation6adjuncts I!l
5.6Reevaluation6and6post6resuscitation6care I!l
6.6Definitive6care6of6transfer6to6an6appropriate6trauma6nurse6-6Initial6Assessment I!l
I!l
1.6A-6airway6and6Alertness6with6simultaneous6cervical6spinal6stabilization I!l
2.6B-6breathing6and6Ventilation6 I!l
3.6circulation6and6control6of6hemorrhage I!l
4.6D6-6disability6(neurologic6status) I!l
5.6F6-6full6set6of6vitals6and6Family6presence I!l
6.6G6-6Get6resuscitation6adjuncts I!l
6L-6Lab6results6(arterial6gases,6blood6type6and6crossmatch) I!l
6M-6monitor6for6continuous6cardiac6rhythm6and6rate6assessment I!l
6N-6naso6or6orogastric6tube6consideration I!l
6O-
6oxygenation6and6ventilation6analysis:6Pulse6oxygemetry6and6endtidal6caron6dioxide6(ET
C02)6monitoring6and6capnopgraphy I!l
6H-6History6and6head6to6toe6assessment I!l
6I-6Inspect6posterior6surfaces6-6ABCDEFGHI I!l
I!l
Before6the6arrival6of6the6pt6-6When6should6PPE6be6placed: I!l
I!l
Pt6is6at6hospital6in6the6right6amount6of6time,6right6care,6right6trauma6facility,6right6resource
s6-6Safe6Care:
I!l
I!l
Uncontrolled6Hemorrhage6-6Major6cause6of6preventable6death: I!l
I!l
reorganize6care6to6C-ABC6-6If6uncontrolled6hemorrhage6.. I!l
I!l
Used6at6the6beginning6of6the6initial6assessment I!l
I!l
1.6A6Alert.6If6the6pt6is6alert6he6or6she6will6be6able6to6maintain6his6or6her6airway6once6it6is6cl
ear.
I!l
2.6V6responds6to6verbal6stimuli6responds6to6pain.6If6the6patient6needs6verbal6stimulation6t
I!lo6respond,6an6airway6adjunct6may6be6needed6to6keep6the6tongue6from6obstructing6the6ai
I!lrway.6 I!l
3.6P6responds6to6pain.6If6the6pt.6responds6only6to6pain,6he6or6she6may6not6be6able6to6mai
I!lntain6his6or6her6airway6adjunct6may6need6to6be6placed6while6further6assessment6is6made
6to6determine6the6need6for6intubation.6 I!l
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TNCCI!lEXAMI!lQUESTIONSI!lANDI!l

ANSWERSI!lWITHI!lCOMPLETEI!lSOLUTION

I!l I!l

  1. 6 Preparation 6 and 6 Triage I!l
  2. 6 Primary 6 Survery 6 (ABCDE) 6 with 6 resuscitation 6 adjuncts 6 (F,G) I!l
  3. 6 Reevaluation 6 (consideration 6 of 6 transfer) I!l
  4. 6 Secondary 6 Survey 6 (HI) 6 with 6 reevaluation 6 adjuncts I!l
  5. 6 Reevaluation 6 and 6 post 6 resuscitation 6 care I!l
  6. 6 Definitive 6 care 6 of 6 transfer 6 to 6 an 6 appropriate 6 trauma 6 nurse 6 - 6 Initial 6 Assessment I!l I!l
  7. 6 A- 6 airway 6 and 6 Alertness 6 with 6 simultaneous 6 cervical 6 spinal 6 stabilization I!l
  8. 6 B- 6 breathing 6 and 6 Ventilation 6 I!l
  9. 6 circulation 6 and 6 control 6 of 6 hemorrhage I!l
  10. 6 D 6 - 6 disability 6 (neurologic 6 status) I!l
  11. 6 F 6 - 6 full 6 set 6 of 6 vitals 6 and 6 Family 6 presence I!l
  12. 6 G 6 - 6 Get 6 resuscitation 6 adjuncts I!l 6 L- 6 Lab 6 results 6 (arterial 6 gases, 6 blood 6 type 6 and 6 crossmatch) I!l 6 M- 6 monitor 6 for 6 continuous 6 cardiac 6 rhythm 6 and 6 rate 6 assessment I!l 6 N- 6 naso 6 or 6 orogastric 6 tube 6 consideration I!l 6 O- 6 oxygenation 6 and 6 ventilation 6 analysis: 6 Pulse 6 oxygemetry 6 and 6 endtidal 6 caron 6 dioxide 6 (ET C02) 6 monitoring 6 and 6 capnopgraphy I!l 6 H- 6 History 6 and 6 head 6 to 6 toe 6 assessment I!l 6 I- 6 Inspect 6 posterior 6 surfaces 6 - 6 ABCDEFGHI I!l I!l Before 6 the 6 arrival 6 of 6 the 6 pt 6 - 6 When 6 should 6 PPE 6 be 6 placed: I!l I!l Pt 6 is 6 at 6 hospital 6 in 6 the 6 right 6 amount 6 of 6 time, 6 right 6 care, 6 right 6 trauma 6 facility, 6 right 6 resource s 6 - 6 Safe 6 Care: I!l I!l Uncontrolled I!l 6 Hemorrhage 6 - 6 Major 6 cause 6 of 6 preventable 6 death: I!l reorganize I!l 6 care 6 to 6 C-ABC 6 - 6 If 6 uncontrolled 6 hemorrhage 6 .. I!l Used 6 at 6 the 6 beginning 6 of 6 the 6 initial 6 assessment I!l I!l
    1. 6 A 6 Alert. 6 If 6 the 6 pt 6 is 6 alert 6 he 6 or 6 she 6 will 6 be 6 able 6 to 6 maintain 6 his 6 or 6 her 6 airway 6 once 6 it 6 is 6 cl ear. I!l
  13. 6 V 6 responds 6 to 6 verbal 6 stimuli 6 responds 6 to 6 pain. 6 If 6 the 6 patient 6 needs 6 verbal 6 stimulation 6 t I!lo 6 respond, 6 an 6 airway 6 adjunct 6 may 6 be 6 needed 6 to 6 keep 6 the 6 tongue 6 from 6 obstructing 6 the 6 ai I!lrway. 6 I!l
  14. 6 P 6 responds 6 to 6 pain. 6 If 6 the 6 pt. 6 responds 6 only 6 to 6 pain, 6 he 6 or 6 she 6 may 6 not 6 be 6 able 6 to 6 mai I!lntain 6 his 6 or 6 her 6 airway 6 adjunct 6 may 6 need 6 to 6 be 6 placed 6 while 6 further 6 assessment 6 is 6 made 6 to 6 determine 6 the 6 need 6 for 6 intubation. 6 I!l
  1. 6 U 6 Unresponsive. 6 If 6 the 6 pt. 6 is 6 unresponsive, 6 announce 6 it 6 loudly 6 to 6 the 6 team 6 and 6 direct 6 s I!lomeone 6 to 6 chk 6 in 6 the 6 pt 6 is 6 pulseless 6 while 6 assessing 6 if 6 the 6 cause 6 of 6 the 6 problem 6 is 6 the 6 a i I!lrway. 6 - 6 Airway 6 and 6 AVPU: I!l I!l ask 6 pt 6 to 6 pen 6 his 6 or 6 her 6 mouth 6 - 6 While 6 assessing 6 airway 6 the 6 patient 6 is 6 alert 6 and 6 responds 6 to 6 verbal 6 stimuli 6 you 6 should.. I!l 6 I!l I!l Auscultiate 6 or 6 listen 6 for: I!l
  2. 6 Obstructive 6 airway 6 sounds 6 such 6 as 6 snoring 6 or 6 gurgling I!l
  3. 6 Possible 6 occlusive 6 maxillofacial 6 bony 6 deformity I!l
  4. I!l 6 Subcutaneous 6 emphysema 6 - 6 Inspect 6 the 6 mouth 6 for: I!l
    1. 6 Check 6 the 6 presence 6 of 6 adequate 6 rise 6 and 6 fall 6 of 6 the 6 chest 6 with 6 assisted 6 ventilatio n
    2. 6 Absence 6 of 6 gurgling 6 on 6 auscultation 6 over 6 the 6 epigastrium 6 I!l
    3. 6 Bilateral 6 breath 6 sounds 6 present 6 on 6 auscultation 6 I!l
    4. 6 Presence 6 of 6 carbon 6 dioxide 6 (CO2) 6 verified 6 by 6 a 6 CO2 6 device 6 or 6 monitor 6 - 6 If 6 the 6 pt 6 has 6 a 6 definitive 6 airway 6 in 6 what 6 should 6 you 6 do? I!l I!l
  5. 6 Suction 6 the 6 airway I!l 2, 6 Use 6 care 6 to 6 avoid 6 stimulating 6 the 6 gag 6 reflex I!l
  6. 6 If 6 the 6 airway 6 is 6 obstructed 6 by 6 blood 6 or 6 vomitus 6 secretions, 6 use 6 a 6 rigid 6 suction 6 device I!l If 6 foreign 6 body 6 is 6 noted, 6 remove 6 it 6 carefully 6 with 6 forceps 6 or 6 another 6 appropriate 6 method 6 - 6 If 6 Airway 6 is 6 not 6 patent I!l I!l
    1. 6 Apnea I!l jaw 6 thrust 6 maneuver 6 to 6 open 6 airway 6 and 6 assess 6 for 6 obstruction. 6 If 6 pt 6 has 6 a 6 suspected 6 cs i, 6 the 6 jaw 6 thrust 6 procedure 6 should 6 be 6 done 6 by 6 two 6 providers. 6 One 6 provider 6 can 6 maintain c-spine 6 and 6 the 6 other 6 can 6 perform 6 the 6 jaw 6 thrust 6 maneuver. 6 - 6 While 6 assessing 6 airway 6 pt 6 is 6 unable 6 to 6 open 6 mouth, 6 responds 6 only 6 to 6 pain, 6 or 6 is 6 unresp onsive 6 you 6 should.. I!l
    2. 6 The 6 tongue 6 obstructing 6 the 6 airway I!l
    3. 6 loose 6 or 6 missing 6 teet h I!l
    4. 6 foreign 6 objects I!l
    5. 6 blood, 6 vomit, 6 or 6 secretions ' I!l
    6. 6 edema I!l
    7. 6 burns 6 or 6 evidence 6 of 6 inhalation 6 injury

Skin 6 temp: 6 cool, 6 diaphoretic, 6 or 6 warm 6 and 6 dry 6 - 6 C I!l I!l apply I!l 6 direct 6 pressure 6 to 6 bleeding I!l elevate 6 extremity I!l I!l apply 6 pressure 6 over 6 arterial 6 sites I!l I!l Consider I!l 6 a 6 pelvic 6 binder 6 for 6 pelvic 6 fractures I!l consider 6 a 6 tourniquet I!l I!l cannulate 6 two 6 veins 6 with 6 large 6 caliber 6 IV 6 - 6 if 6 unable 6 to 6 gain 6 assess 6 consider 6 IO 6 6 a. 6 obtain 6 labs, 6 type 6 and 6 cross I!lI!l 6 b. 6 infuse 6 warm 6 isotonic 6 fluids 6 c. 6 consider 6 balanced 6 resuscitation 6 I!l 6 d. 6 use 6 rapid 6 infusion 6 device 6 - 6 C 6 Interventions: I!l I!l Disability I!l 6 - 6 Neurologic 6 Status 6 I!l I!l

  1. 6 Get 6 a 6 CT 6 I!l
  2. 6 Consider 6 ABG 6 's 6 if 6 decreased 6 LO C I!l 3.I!l 6 Consider 6 glucose 6 check 6 - 6 D 6 Interventions Exposure 6 and 6 Environmental 6 Control I!l I!l Remove I!l 6 all 6 clothes 6 and 6 assess 6 for 6 any 6 obvious 6 injuries 6 and 6 uncontrolled 6 bleeding 6 - 6 E I!l IF I!l 6 clothing 6 is 6 needed 6 for 6 evidence 6 preserve 6 in 6 paper 6 bag. I!l Maintain 6 body 6 temp 6 - 6 cover 6 the 6 pt, 6 turn 6 up 6 heat 6 in 6 room, 6 administer 6 warm 6 fluids 6 - 6 E 6 Interventions: I!l I!l Full I!l 6 set 6 of 6 vitals 6 and 6 family 6 presence 6 - 6 F I!l Get 6 Resuscitation 6 Adjuncts I!l 6 L 6 - 6 Labs 6 (maybe 6 a 6 lactic 6 acid), 6 a 6 b 6 g 6 's, 6 blood 6 type I!l M 6 - 6 monitors 6 I!l N 6 - 6 naso 6 or 6 oro 6 gastric 6 tubes I!l O 6 Oxygen 6 and 6 ETC02 6 monitors I!l P 6 - 6 pain 6 assessment 6 and 6 management 6 - 6 G I!l I!l Reevaluation I!l 6 and 6 Consider 6 the 6 need 6 to 6 Transfer 6 - 6 Final 6 step 6 in 6 primary 6 survey I!l H,I 6 - 6 Secondary 6 Survery I!l I!l History 6 and 6 Head 6 to 6 toe 6 I!l MIST 6 - 6 prehospital 6 report I!l MOI I!l
  3. 6 Assess 6 pupils 6 for 6 equality, 6 shape, 6 and 6 reactivity 6 (PERRL) I!l
  4. 6 Assess 6 GCS 6 (eye 6 opening, 6 verbal 6 response, 6 and 6 motor 6 response) 6 - 6 D

Injuries 6 sustained I!l SI!l 6 s/s 6 in 6 the 6 field I!lT 6 treatment 6 in 6 the 6 field if 6 patients 6 family 6 present 6 get 6 a 6 better 6 hx 6 on 6 them 6 - 6 H I!l I!l Sample 6 is 6 part 6 of 6 history I!l S 6 symptoms 6 associated 6 with 6 injury I!l A 6 allergies 6 and 6 tetanus 6 status I!l M 6 meds 6 currently 6 on 6 including 6 anticoagulant 6 therapy I!l P 6 past 6 medical 6 hx I!l L 6 last 6 oral 6 intake I!l E I!l 6 Events 6 and 6 environment 6 factors 6 related 6 to 6 the 6 injury 6 - 6 SAMPLE I!l inspect I!l 6 for 6 lacs, 6 abrasions, 6 asymmetry 6 of 6 facial 6 expressions I!l palate 6 for 6 depressions 6 and 6 tenderness I!l I!l look I!l 6 at 6 ears 6 for 6 drainage 6 - 6 Head 6 to 6 toe 6 assessment: 6 Head 6 and 6 face I!l immobilize 6 cervical 6 spine, 6 tenderness, 6 tracheal 6 deviation 6 - 6 Head 6 to 6 toe 6 assessment: 6 Neck 6 and 6 cervical 6 spine I!l I!l inspect, I!l 6 auscultate, 6 palpate I!l any I!l 6 spontaneous 6 breathing, 6 rate, 6 depth, 6 and 6 degree 6 of 6 effort, 6 use 6 of 6 accessory 6 muscles 6 I!l lacs, I!l 6 contusions, 6 I!l auscilate 6 lung 6 sounds 6 and 6 heart 6 sounds 6 - 6 Head 6 to 6 toe 6 assessment: 6 Chest I!l I!l don't 6 forget 6 flanks!!! I!l I!l inspect I!l 6 of 6 lacs, 6 puncture 6 wounds, 6 contusions, 6 I!l auscultate 6 then 6 palpate: 6 I!l I!l bowel 6 sounds? 6 I!l I!l any 6 rigidity, 6 guarding? 6 begin 6 with 6 light 6 palpation 6 start 6 to 6 palpate 6 with 6 side 6 that 6 does 6 not 6 h urt 6 I!l I!l maybe I!l 6 do 6 a 6 fast 6 scan? 6 - 6 Head 6 to 6 toe 6 assessment: 6 Abdomen I!l any 6 lacs? 6 deformities? 6 blood 6 at 6 the 6 urtheral 6 meatus I!l I!l palpate 6 pelvis 6 with 6 high 6 pressure 6 over 6 the 6 iliac 6 wings 6 downward 6 and 6 medially 6 - 6 Head 6 to 6 toe 6 assessment: 6 pelvis 6 and 6 perineum I!l I!l any 6 deformities? 6 bleeding? 6 contusions, 6 lacs? 6 skin 6 temp?? 6 place 6 splints 6 on 6 deformities, 6 pulses 6 - 6 Head 6 to 6 toe 6 assessment: 6 Extremities I!l I!l inspect 6 posterior 6 surfaces 6 I!l I!l blogroll I!l 6 with 6 at 6 least 636 people. 6 maintain 6 c 6 spine I!l take 6 out 6 backboard 6 I!l I!l I!l Rectal I!l 6 tone 6 per 6 MD 6 - 6 I I!l labs, 6 wound 6 care, 6 tetanus, 6 administer 6 meds, 6 prepare 6 for 6 transfer 6 - 6 Secondary 6 Reval 6 Adjuncts I!l I!l

. I!l 6 I!l Goal: 6 Volume 6 replacement 6 and 6 vasoconstriction 6 - 6 Distributive 6 Shock I!l I!l A I!l 6 breath 6 every 656 to 666 seconds: 610 - 126 ventilations 6 per 6 minute 6 - 6 Bag 6 mask 6 ventilation I!l Stroke 6 Volume 6 X 6 HR 6 - 6 Cardiac 6 Output 6 = I!l I!l t 6 I!l activation: 6 consist 6 of 6 carotid 6 and 6 aortic 6 bodies. 6 ... 6 detect 6 changes 6 in 6 blood 6 oxygen 6 and 6 C I!lo2 6 and 6 pH. 6 When 6 Co2 6 rises 6 or 6 oxygen 6 level 6 of 6 pH 6 falls 6 these 6 receptors 6 are 6 activated 6 an I!ld 6 information 6 is 6 relayed 6 to 6 the 6 CNS 6 and 6 the 6 cardiorespiratory 6 centers 6 in 6 the 6 medulla 6 , 6 w I!lhich 6 increases 6 respiratory 6 rage 6 and 6 depth 6 and 6 BP 6 - 6 Chemoreceptors: I!l I!l 506 to 61506 - 6 MAP 6 Range I!l I!l the 6 decrease 6 coagulopathy 6 .. 6 you 6 will 6 you 6 bleed 6 more 6 - 6 The 6 colder 6 you 6 are 6 the 6 more 6 acidic 6 you 6 are.. I!l I!l in 6 massive 6 transfusion 6 protocol... 6 responsible 6 for 6 dissolving 6 clots 6 - 6 TXA I!l I!l stabilized 6 vital 6 signs, 6 improved 6 mental 6 status, 6 improved 6 urine 6 output 6 - 6 What 6 are 6 indicators 6 of 6 increased 6 perfusion? I!l I!l 6 - 6 Prehospital 6 shock 6 index 6 pg. 685 I!l I!l Flail 6 chest 6 - 6 Paradoxical 6 chest 6 wall 6 movement I!l I!l can 6 be 6 caused 6 by 6 blunt 6 trauma. 6 air 6 escapes 6 from 6 injured 6 lung 6 to 6 pleural 6 space 6 and 6 nega tive 6 intrapleural 6 pressure 6 is 6 lost 6 causing 6 partial 6 or 6 collapsed 6 lung 6 - 6 Simple 6 Pneumothorax I!l I!l

  1. 6 Dyspnea I!l
  2. 6 Tachycardia I!l
  3. 6 Decreased 6 or 6 absent 6 breath 6 sounds 6 on 6 the 6 injured 6 side I!l
  4. 6 CP 6 - 6 Simple 6 Pneumo 6 assessment: I!l I!l Tx 6 is 6 based 6 on 6 size, 6 presence 6 of 6 sx, 6 and 6 stability. 6 For 6 those 6 are 6 aysmpomatic 6 and 6 stabl e. 6 Observation 6 with 6 or 6 without 6 oxygen. 6 Larger 6 pneumo 6 who 6 are 6 unstable 6 or 6 likely 6 to 6 dete I!lriorate 6 a 6 chest 6 tube 6 is 6 placed. 6 - 6 Simple 6 pneumo 6 interventions: I!l I!l can 6 result 6 from 6 penetrating 6 wound 6 through 6 chest 6 wall 6 causing 6 air 6 to 6 be 6 trapped 6 in 6 to 6 the 6 intrapleural 6 place. 6 Might 6 hear 6 "sucking" I!l I!l .. 6 activation: 6 .... 6 are 6 found 6 in 6 the 6 carotid 6 sinus 6 and 6 along 6 the 6 aortic 6 arch, 6 are 6 sensitive 6 to 6 he 6 degree 6 of 6 stretch 6 in 6 the 6 arterial 6 wall. 6 When 6 the 6 receptors 6 sense 6 a 6 decrease 6 in 6 stretch , 6 they 6 stimulate 6 the 6 sympathetic 6 nervous 6 system 6 to 6 release 6 Epi, 6 norepi, 6 causing 6 stimulati on 6 of 6 cardiac 6 activity 6 and 6 constriction 6 of 6 blood 6 vessels, 6 which 6 causes 6 a 6 rise 6 in 6 heart 6 rate and 6 diastolic 6 blood 6 pressure 6 - 6 Baroreceptors: I!l

Tx: 6 nonporous 6 dressing 6 tapes 6 on 636 sided, 6 then 6 Chest 6 tube 6 and 6 would 6 closure 6 surgical 6 r e pair. 6 - 6 Open 6 Pneumo: I!l I!l Air 6 cannot 6 escape 6 intrapleural 6 space.. 6 can 6 begin 6 to 6 compress 6 heart. 6 pt 6 will 6 have 6 sever 6 r esp 6 distress, 6 hypotension, 6 JVD. 6 - 6 Tension 6 pneumo I!l I!l A 6146 gauge 6 needle 6 that 6 is 6 inserted 6 into 6 the 6 2nd 6 intercostal 6 space 6 in 6 the 6 midclavicular 6 lin I!le 6 on 6 the 6 affected 6 side 6 over 6 the 6 top 6 of 6 the 6 rib 6 to 6 avoid 6 neuromuscular 6 bundle 6 that 6 runs 6 un I!lder I!l 6 the 6 rib. 6 I!l Prepare 6 for 6 chest 6 tube 6 placement. 6 - 6 Tension 6 pneumo 6 intervention I!l I!l Caused 6 by 6 blood 6 in 6 the 6 intrapleural 6 space/ 6 May 6 also 6 occur 6 from 6 lac 6 to 6 live 6 or 6 spleen 6 com bined 6 with 6 injury 6 to 6 the 6 diaphragm. 6 I!l I!l Ensure 6 two 6 large 6 bore 6 IVS 6 are 6 placed. 6 I!l I!l Prepare 6 for 6 thoracentesis 6 and 6 chest 6 tube 6 insertion. 6 If 6 open 6 thoracotomy 6 is 6 done 6 chest 6 t u be 6 is 6 deferred. 6 - 6 Hemothorax: I!l I!l I!l Needle I!l 6 pericardiocentesis, 6 but 6 it 6 is 6 a 6 temp 6 solution. 6 Requires 6 surgical 6 evaluation. I!l (Ultrasound 6 guided) 6 - 6 Cardiac 6 Tamponade 6 Intervention: I!l I!l Aortic I!l 6 Dissection 6 - 6 Unequal 6 extremity 6 pulse 6 strength 6 possibility 6 of.. I!l

  1. 6 pain 6 - 6 hallmark 6 sign, 6 early 6 sign 6 I!l
  2. 6 pressure 6 - 6 early 6 sign I!l 3.I!l 6 pallor, 6 pules, 6 paresthesia, 6 paralysis 6 - 6 late 6 sign 6 - 6 Six 6 P's 6 of 6 compartment 6 syndrome: Pediatric 6 Assessment 6 Triangle I!l
  3. 6 General 6 appearance 6 - 6 muscle 6 tone, 6 interactiveness, 6 consoloability, 6 poor 6 or 6 gaze, 6 speech 6 or 6 cry I!l
  4. 6 Work 6 of 6 breathing 6 - 6 inadequate 6 or 6 excessive, 6 accessory 6 muscle 6 use, 6 retractions, 6 tripod 6 position, 6 abnormal 6 I!lupper 6 airway 6 sounds I!l
  5. 6 Circulation 6 of 6 the 6 skin 6 - 6 color, 6 mottling 6 or 6 central 6 or 6 peripheral 6 cyanosis, 6 diaphoresis 6 - (^6) I!lPAT I!l
  6. 6 Hypotensio n I!l
  7. 6 JVD I!l
  8. 6 Muffled 6 heart 6 sounds 6 - 6 Becks 6 Triad: