Practice Question

A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?

Answer Choices:

A. A conscious adult client who reports shortness of breath; has a respiratory rate of 24/min, and capillary refill of

B. A conscious adult client who has a dislocated right shoulder, respiratory rate of 18/min, and capillary refill of

C. An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of ✓ Correct Answer

D. An unconscious adult client who has no respirations, capillary refill is 2 seconds and paramedics have already tried to reposition airway without results.

Correct Answer:

An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of

Rationale:

This is a life-threatening condition (tension pneumothorax or open chest injury). The client is breathing but needs immediate intervention (e.g., sealing the wound).

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This question is from ATI Advanced Med Surg Exam IV which contains 40 questions.

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A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

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ATI Advanced Med Surg Exam IV

40 Questions

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MED-SURG
Answer Choices: 4

A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

A nurse is caring for an older adult client who has a WBC count of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take?

A nurse is caring for a client who has had an open radical prostatectomy. Stimulus 1

The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

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ATI Advanced Med Surg Exam IV

Question Details

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