Trauma Certified Registered Nurse (TCRN) Practice Exam

In cases of penetrating trauma accompanied by hemorrhagic shock, the foremost priority is fluid resuscitation. This is critical because the immediate goal is to restore circulating blood volume and improve perfusion to vital organs. Hemorrhagic shock indicates significant blood loss, which can lead to a decreased blood pressure and inadequate oxygenation of tissues. Administering fluids promptly helps to stabilize the patient's hemodynamic status, allowing the body to compensate for the loss of blood and maintain organ function.

Once fluid resuscitation is initiated, other interventions such as blood transfusion and immediate surgery can follow based on the patient's specific needs. While pain management is an important aspect of overall patient care, it does not take precedence over addressing the life-threatening condition of hemorrhagic shock. Therefore, prioritizing fluid resuscitation aligns with the critical protocols in trauma management aimed at stabilizing patients quickly.