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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:

Correct Answer:

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

Rationale:

✳️ This client is experiencing a life-threatening injury: a sucking chest wound, which can lead to a tension pneumothorax and rapid deterioration.

✳️ Though breathing fast (38/min), the client is unconscious, indicating impaired oxygenation or perfusion.

✳️ In triage, the highest priority goes to those who are unstable but salvageable—this client requires immediate airway management to survive.

✳️ The client in option D has no respirations and failed airway attempts, suggesting they're non-salvageable, placing them in the expectant category.

Want to practice more questions like this?

This question is from RN ATI Advanced Medsurgical Exam 4 which contains 41 questions.

More Questions from This Exam
During the primary survey of a patient with severe leg trauma, the nurse observes that the patient's left pedal and posterior tibial pulses are absent, and the entire leg is swollen. Which action will the nurse take next?

Answer Choices:

A. Send blood to the lab for a complete blood count.
B. Finish the airway, breathing, circulation, disability survey
C. Assess further for a cause of the decreased circulation,
D. Start normal saline fluid infusion with a large bore IV line.
The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?

Answer Choices:

A. Apply calamine lotion to itching areas.
B. Apply ice packs to both hands.
C. Attempt to remove the patient's stings.
D. Give diphenhydramine (Benadryl) 50 mg PO.
From Exam
RN ATI Advanced Medsurgical Exam 4

41 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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