Trauma Nurse Core Course (TNCC) Practice Exam 2025 - Free Practice Questions and Study Guide

In the context of managing significant abdominal and pelvic injuries during a primary survey, the priority intervention is to initiate transfer to a trauma center. This decision is rooted in the understanding that abdominal and pelvic injuries can lead to life-threatening complications, including hemorrhagic shock, which necessitate advanced surgical intervention that may not be available at the initial facility.

In trauma care, time is an essential factor. Rapidly transferring the patient to a facility equipped with trauma surgeons and appropriate resources is crucial for survival and the best possible outcomes. Trauma centers have specialized teams trained in managing complex injuries, and early intervention can significantly reduce morbidity and mortality rates.

While other options, such as imaging studies, gastric tube placement, or providing report to the operating room, are important aspects of trauma care, they may delay definitive treatment. Imaging studies can help in assessing the extent of injuries but require time, which could be detrimental in critical cases. Placing a gastric tube is often necessary for managing gastrointestinal issues but does not address the urgent need for surgical evaluation. Providing a report to the operating room nurse is a component of the workflow for surgical intervention but could delay transport.

Ultimately, addressing life-threatening injuries through effective and timely transfer to a specialized facility is the most critical step when facing significant abdominal