Trauma Nurse Core Course (TNCC) Practice Exam

What is the primary goal of initial fluid resuscitation in trauma patients?

1. To restore electrolyte balance

2. To improve blood pressure and perfusion

3. To reduce the risk of infection

4. To correct acid-base imbalances

The correct answer is: To improve blood pressure and perfusion

The primary goal of initial fluid resuscitation in trauma patients is to improve blood pressure and perfusion. In the context of trauma, patients often experience hemorrhagic shock due to significant blood loss, which can result in inadequate blood flow to vital organs. Administering IV fluids helps to restore intravascular volume, which is crucial for maintaining blood pressure and ensuring that oxygen and nutrients continue to reach tissues and organs. This is vital because effective perfusion prevents organ dysfunction or failure, which can be a direct consequence of inadequate blood supply. While restoring electrolyte balance, reducing infection risk, and correcting acid-base imbalances are important considerations in the overall management of trauma patients, these do not address the immediate, life-threatening problem of hypovolemia and low perfusion evident in a shock state. The focus of resuscitation efforts in trauma typically prioritizes stabilizing circulation and ensuring adequate perfusion first.