Practice Question
A nurse is caring for a client who has sustained a severe head trauma and has significant bleeding from the nose. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Establish a patent airway.
Rationale:
🔶Clients with severe head trauma are at risk for airway obstruction and hypoxia, which is life-threatening.
🔶Nosebleeds (epistaxis) with trauma may indicate basilar skull fracture, and airway compromise must be managed before bleeding control or diagnostics.
🔶The airway is always the first priority in trauma, following the ABC (Airway, Breathing, Circulation) framework.
🔶Supplemental oxygen and advanced airway interventions may be needed immediately.
🔶Prompt action prevents secondary brain injury due to hypoxemia.
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This question is from RN Comprehensive Predictor 2023 (August 2025) which contains 179 questions.
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From Exam
RN Comprehensive Predictor 2023 (August 2025)
179 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2025
- Answer Choices: 4