ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?
Correct Answer: D
Rationale: This is correct because this client has a life-threatening condition called tension pneumothorax, which requires immediate care. The hissing sound indicates air escaping from the lung, necessitating urgent intervention.
Question 2 of 5
A nurse is performing a neurological assessment for a client who has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III?
Correct Answer: B
Rationale: Instructing the client to look up and down assesses cranial nerve III (oculomotor), which controls eye movements.
Question 3 of 5
A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: This is correct because applying direct pressure over the wound is the first and most effective action to stop bleeding, compressing blood vessels to prevent further blood loss.
Question 4 of 5
A nurse in an emergency department is assessing a client who was bitten on the left leg by a poisonous snake. The client has placed elastic bandages snugly above and below the bite marks and is in no apparent distress. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing elastic bandages prevents impaired blood flow and tissue damage, while elevating the leg reduces venom absorption.
Question 5 of 5
A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?
Correct Answer: D
Rationale: This is correct because this client has a life-threatening condition called tension pneumothorax, which requires immediate care. The hissing sound indicates air escaping from the lung, necessitating urgent intervention.