ATI RN
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Question 1 of 5
Which injury is the highest priority for a client entering the Emergency Department?
Correct Answer: C
Rationale: The correct answer is C, stab wound to the chest. This injury is the highest priority because it poses the greatest risk to the client's life due to potential damage to vital organs and major blood vessels. Immediate intervention is crucial to prevent severe bleeding, pneumothorax, or cardiac tamponade. Treating this injury promptly can significantly increase the client's chances of survival. The other choices are incorrect because: A: An open leg fracture, while serious, does not typically pose an immediate life-threatening risk compared to a stab wound to the chest. B: An open head injury can be severe, but not all head injuries are immediately life-threatening. D: Traumatic amputation of a thumb, while traumatic and painful, is not a priority compared to injuries that directly threaten a client's life.
Question 2 of 5
What is the first step in managing a client with an asthma attack?
Correct Answer: A
Rationale: The correct answer is A: Administer bronchodilators. The first step in managing an asthma attack is to address the underlying cause, which is airway constriction. Bronchodilators help relax the muscles around the airways, making it easier for the client to breathe. Providing oxygen therapy (B) can be helpful but addressing airway constriction is the priority. Administering analgesics (C) or pain medication (D) is not appropriate as asthma attacks are not typically associated with pain.
Question 3 of 5
A nurse is teaching a patient about managing hypertension. Which of the following dietary changes should the nurse recommend?
Correct Answer: B
Rationale: Step 1: Increasing potassium intake helps lower blood pressure by counteracting the effects of sodium. Step 2: Potassium helps relax blood vessel walls, reducing blood pressure. Step 3: Adequate potassium intake also helps the body balance fluids and maintain normal blood pressure. Summary: A - Increasing sodium intake is counterproductive for hypertension. C - Limiting caffeine helps, but not as directly as increasing potassium. D - Fruits and vegetables are important for a heart-healthy diet and should not be reduced.
Question 4 of 5
What is the appropriate response when a client asks about the safety of drinking alcohol during pregnancy?
Correct Answer: A
Rationale: The correct answer is A because the amount of alcohol that is safe during pregnancy is unknown. It is recommended to avoid alcohol completely to prevent any potential harm to the developing fetus. B is incorrect because there is no known safe level of alcohol consumption during pregnancy. C is incorrect as any amount of alcohol can potentially harm the fetus. D is incorrect as using alcohol to relax during pregnancy is not recommended due to the associated risks.
Question 5 of 5
What is the priority nursing action for a client who has sustained an electrical burn?
Correct Answer: A
Rationale: The correct answer is A: Administer pain relief. This is the priority nursing action for a client with an electrical burn because pain management is crucial in providing comfort and reducing distress. Pain relief helps the client to relax, promotes healing, and aids in overall recovery. Administering pain relief should be the first step to ensure the client's well-being. Summary: - B: Administering oxygen may be necessary for respiratory support in some cases but is not the priority over pain relief. - C: Applying sterile dressings is important for wound care but should come after addressing pain. - D: Administering beta blockers is not indicated as the priority action for an electrical burn.
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