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:
🔴 Airway patency is always the priority in trauma (ABC framework).
🔴 Nasal bleeding can obstruct the airway and compromise breathing.
🔴 Clients with head trauma are at risk for brain hypoxia, worsening neurological injury if not managed.
🔴 Airway management must be secured before diagnostics like CT scans.
🔴 Applying pressure could be contraindicated if there’s a basilar skull fracture.
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This question is from RN Comprehensive Predictor 2023 (September 2025) which contains 167 questions.
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From Exam
RN Comprehensive Predictor 2023 (September 2025)
167 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