TNCC Practice Exam 2025 – Complete Guide for Trauma Nurse Core Course Prep

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What immediate intervention should be performed for a patient with suspected spinal injury?

Assess airway and apply a cervical collar

In the context of a suspected spinal injury, the immediate intervention should prioritize spinal protection and airway management. Applying a cervical collar is essential to immobilize the cervical spine and prevent further injury, as any movement of the spine can exacerbate damage to the spinal cord and surrounding structures. Assessing the airway is imperative, given that a compromised airway can lead to rapid deterioration in a patient’s condition.

The application of a cervical collar stabilizes the patient's neck and maintains alignment of the cervical spine, which is crucial for preventing neurologic deficits that can occur with further movement. This dual focus on airway safety and spinal immobilization makes it a critical priority in the immediate management of suspected spinal injuries.

Other interventions, such as administering IV fluids or providing pain medication, can be important in later stages or if warranted by the patient's condition, but they do not address the immediate need to secure the airway and stabilize the spine. Checking for current medications, while potentially relevant for ongoing management, does not contribute to the urgent need for spinal and airway protection in the initial assessment and treatment phase.

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Administer IV fluids immediately

Provide pain medication

Check for current medications

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