Trauma Nurse Core Course (TNCC) Practice Exam

When significant abdominal and pelvic injuries are noted in a primary survey, what is the priority intervention?

1. Initiate transfer to a trauma center

2. Provide report to the operating room nurse

3. Obtain imaging studies

4. Place a gastric tube

The correct answer is: Initiate transfer to a trauma center

When significant abdominal and pelvic injuries are identified during a primary survey, the priority intervention is to initiate transfer to a trauma center. This is primarily because patients with severe trauma require specialized care that is often only available at trauma centers, which are equipped with the necessary resources and expertise to manage life-threatening injuries effectively. In situations of severe abdominal and pelvic trauma, there is a high risk of internal bleeding and organ damage, which can rapidly deteriorate the patient's condition. Quick transfer to a facility that can provide definitive surgical intervention is crucial to improve outcomes. Trauma centers have specialized surgical teams ready to address complex injuries, perform life-saving procedures, and manage potential complications. Other interventions, such as imaging studies or placing a gastric tube, can be important in the management of trauma patients but are not immediate priorities when there is significant injury identified. These steps may delay vital interventions that can save the patient's life, especially if rapid surgical intervention is mandated. Additionally, providing a report to the operating room nurse might be required later in the process but does not take precedence over transferring the patient for urgent care.