ATI Capstone Exam 1 | Nurselytic

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ATI Capstone Exam 1 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 at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Place a black tag on the client’s upper body and attempt to help the next client in need. In this scenario, the client is apneic despite repositioning the airway and has a weak pulse. The client's condition falls under "expectant" during triage, indicated by a black tag. The nurse should prioritize helping those who have a higher chance of survival first. Placing a black tag and moving on to assist others is essential to maximize the number of lives saved in a mass casualty event. Starting CPR (choice
C) may be futile if the client is trapped under a car with severe injuries.
Choice B, repositioning the airway again, is unlikely to change the client's apneic status.
Choice D, placing a red tag, is incorrect as this tag is typically used for immediate care cases.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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