Trauma Nurse Core Course (TNCC) Practice Exam

The correct order of treatment strategies in managing trauma patients is to prioritize airway, breathing, and circulation. This approach is foundational in trauma care and is rooted in the principles of the primary survey, often referred to as the ABCs of trauma management.

The rationale behind prioritizing airway first is that a clear and patent airway is essential for adequate oxygenation and ventilation. If the airway is compromised, even the best efforts at breathing and circulation will be ineffective. Therefore, securing the airway is critical and must be the initial step.

Next, addressing breathing is vital to ensure that the patient can effectively exchange gases. Even if the airway is open, any respiratory compromise can lead to hypoxia and respiratory distress. Interventions may include providing supplemental oxygen or assisting ventilation if necessary.

Lastly, circulation is addressed. While restoring and maintaining blood circulation is crucial to perfusing vital organs, it comes after ensuring the patient can breathe. Hemorrhage control and fluid resuscitation are key components of managing circulation, but without an open airway and effective breathing, these measures would not be sufficient to support the patient.

This sequence reflects a logical and systematic approach to trauma management, aiming to stabilize the patient effectively and quickly to reduce the risk of life-threatening complications.