ATI Capstone Exam 2 Final | Nurselytic

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ATI Capstone Exam 2 Final Questions

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Question 1 of 5

A nurse is triaging victims of a multiple motor vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse of 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?

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Correct Answer: C

Rationale: The correct answer is C: Place a black tag on the client's upper body and attempt to help the next client in need. In a multiple casualty incident, the concept of triage is crucial to prioritize care. The client in this scenario is apneic despite repositioning the airway, indicating a poor prognosis. Placing a black tag signifies that the client is not breathing and has no pulse, and resources should be allocated to those with a higher chance of survival. This decision maximizes the overall number of lives saved.


Choice A is incorrect because further repositioning will not change the client's status.
Choice B is incorrect as placing a red tag is reserved for clients with immediate life-threatening injuries but still have a chance of survival.
Choice D would be inappropriate as CPR is not indicated when the client does not have a pulse.

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