Trauma Nurse Core Course (TNCC) Practice Exam

A 56-year-old male involved in a MVC shows signs of hypotension and tachycardia. What is the priority intervention?

1. Expedite transport to the CT scanner

2. Prepare the patient for spinal radiographs

3. Expedite transfer to the closest trauma center

4. Notify the patient's family

The correct answer is: Expedite transfer to the closest trauma center

The priority intervention in this scenario is to expedite transfer to the closest trauma center. In cases of motor vehicle collisions (MVC) where a patient exhibits hypotension and tachycardia, these symptoms often indicate potential hemorrhagic shock or other life-threatening conditions that require immediate medical intervention beyond what can be provided in a preliminary care setting. Transferring to a trauma center allows for advanced surgical interventions, blood transfusions, and specialized care that are essential for stabilizing the patient and addressing any critical injuries sustained in the MVC. Time is of the essence in trauma care; immediate access to a trauma team equipped to manage severe injuries can significantly improve outcomes and survival rates. In contrast, other options may not address the underlying life-threatening issues as effectively or could delay necessary care. For example, transporting to a CT scanner or preparing for spinal radiographs are important diagnostic steps but can wait if the patient is in a critical state requiring urgent surgical intervention. Notifying the family, while also important, is secondary to ensuring the patient receives prompt and appropriate medical treatment.