Questions 35

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ATI nur330 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take.

Correct Answer: C,D,E,B,A

Rationale: The ABCDE framework prioritizes airway (jaw-thrust), breathing (ventilatory assessment), circulation (IV access), disability (Glasgow Coma Scale), and exposure (remove clothing).

Question 2 of 5

A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?

Correct Answer: A

Rationale: Oxygen therapy optimizes oxygen delivery to ischemic myocardial tissue, critical in the acute phase of MI. IV insertion, ECG, and blood samples are secondary.

Question 3 of 5

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: A non-contrast CT scan is critical to assess for internal injuries like brain hemorrhage after a traumatic fall. History, catheter insertion, and pain management are secondary.

Question 4 of 5

A nurse is caring for a client who has a seizure disorder. Which of the following actions should the nurse take?

Correct Answer: A,C,E

Rationale: Supplemental oxygen addresses hypoxia, turning the client to the side prevents aspiration, and timing the seizure guides treatment. Inserting a tongue depressor can cause injury, and restraining may harm the client.

Question 5 of 5

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?

Correct Answer: C

Rationale: Troponin is a heart muscle protein released into the bloodstream during myocardial injury, making it a specific marker for myocardial infarction. It is not a lipid, enzyme, or oxygen transporter.

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