Practice Question
A nurse is planning care for a group of clients. Which of the following clients should the nurse plan to see first?
Answer Choices:
Correct Answer:
A client who has a closed head injury and is vomiting.
Rationale:
🟠 Vomiting after a head injury is a sign of possible increased intracranial pressure (ICP) and must be addressed immediately.
🟠 Delays in intervention can lead to brain herniation or neurological deterioration.
🟠 This client requires immediate neurological assessment, including Glasgow Coma Scale monitoring.
🟠 Rapid evaluation is crucial to prevent secondary brain injury and ensure timely interventions such as neuroimaging or ICP management.
🟠 Prioritization follows the ABC and neurological priority framework, where potential life-threatening conditions are managed first.
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This question is from RN ATI Captsone Pre-Assessment-2025 which contains 85 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4