NURSING ATI TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITION BY LINTON LATEST 2021

NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
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N BY LINTON LATEST 2021
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Chapter:hFirsthAid,hEmergencyhCare,handhDisasterhManagementhLinton:h
Medical-SurgicalhNursing,h7thhEdition




I. Ahpatienthishpresenthwithhsignshofhseverehairwayhobstruction.hWhathtermhaccuratelyhd
escribeshthehhigh-pitchedhnoisehthehpatienthishexhibitinghwithhinhalation?
a. Stridor
b. Tachypnea
c. Wheezing
d. Rhonchi

ANS:h A
Signshofhseverehairwayhobstructionharehpoorhorhnohairhexchange,hpoorhorhnohcough,
high-
pitchedhnoisehknownhashstridorhonhinhalation,hrespiratoryhdistress,hcyanosis,hinabilityhtohspe
ak,hinabilityhtohmovehair,handhclutchinghthehneck.


DIF: CognitivehLevel:hComprehension REF:hhhp.h1246 OBJ:h 3
TOP:h AirwayhObstruction
KEY:h NursinghProcesshStep:hKnowled
gehMSC:h NCLEX:hPhysiologicalhIntegrity:hPhysiologicalhAdaptation


II. Standinghinhahfast-
foodhline,hthehpersonhinhfront,hwhilehmunchinghonhahcookie,hbeginshtohcoughhheavily,htakeshd
eephinspirations,handhwaveshhisharmsharoundhwildly.hWhathshouldhbehthehnurse’shfirsthaction?
a. Starthrescuehbreathinghashquicklyhashpossible.
b. Starthchesthcompressionshashquicklyhashpossible.
c. Performhabdominalhthrusts.
d. Dohnothinghaththishpointhashlonghashairhishexchanged.

ANS:h D
Whenhahpersonhishchokinghbuthalerthenoughhtohattempthtohcoughhandhforcehthehobstructionhuph
andhouthbyhhimself,hallowinghhimhtohdohsohalonehishbesthbecausehmorehexpellinghforcehoccurs
h thathway.hOnlyhwhenhthehpersonhshowshsignshofhnothbeinghablehtohbreathehbeyondhthehobstr

,NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
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uctionhshouldhabdominalhthrustshbehapplied.


DIF: CognitivehLevel:hApplication REF:hhhp.h1246
OBJ:h4hTOP:h ImmediatehInterventionhforhahChokinghVictim
KEY:h NursinghProcesshStep:hImplementation
MSC:h NCLEX:hPhysiologicalhIntegrity:hBasichCarehandhComfort


III. Whathishthehinitialhinterventionhforhanhunconscioushpatienthwhohishnothbreathinghaccordinght
ohone-personhCPRhprinciples,hashtaughthandhpracticedhbyhprofessionalhnurses?
a. Lifththehjawhtohclearhthehairway.
b. Callhforhassistance.
c. Starthchesthcompressions.
d. Removehpatienthclothinghtohvisualizehthehchest.

ANS:h B
Withhone-
personhCPR,hwhenhthehpatienthishunconscioushandhnothbreathing,hthehfirsththinghtohdohishtohcall
h forhhelp.

,NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
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N BY LINTON LATEST 2021
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DIF: CognitivehLevel:hComprehension REF:hhhp.h1245 OBJ:h 3h|h4
TOP:h CPRhGuidelines
KEY:hNursinghProcesshStep:hImplementat
ionhMSC:h NCLEX:hPhysiologicalhIntegrity:hBasichCarehandhComfort


IV. Whilehambulating,hahpatienthgaspshandhdropshtohthehfloorhunconscioushwithhnohpulsehorhr
espiration.hWhenhishthehnursehawarehthathbrainhcellshbeginhtohdie?
a. 1hminute
b. 2hminutes
c. 3hminutes
d. 4hminutes

ANS:h D
Withouthadequatehperfusion,hthehbrainhcellshbeginhtohdiehinh4hminutes.


DIF: CognitivehLevel:hComprehension REF:hhhp.h1245 OBJ:hhh 3
TOP:h BrainhDamage
KEY:hNursinghProcesshStep:hAssessm
enthMSC:h NCLEX:hPhysiologicalhIntegrity:hPhysiologicalhAdaptation


V. AhnursehfollowshthehprotocolhofhSAMPLEhwhenhspeakinghtohahvictimhofhahfallhinhthehp
arkinghlothofhthehhospital.hWhathdoeshthehPhstandhfor?
a. Pillshtakenhtoday
b. Personalhphysician
c. Pasthillnesses
d. Preferencehforhemergencyhtransportation

ANS:h C
ThehacronymhSAMPLEhthathguideshthehvictimhinterviewhmeanshallergies,hmedications,hpasthi
llnesshorhpregnancy,hlasthfoodhandhdrink,handheventshrelatedhtohinjury.


DIF: CognitivehLevel:hKnowledge REF:hhhp.h1244 OBJ:hhh 3
TOP:h SAMPLEhProtocol
KEY:hNursinghProcesshStep:hImplementat
ionhMSC:h NCLEX:hPhysiologicalhIntegrity:hBasichCarehandhComfort

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VI. Whathinstructionshshouldhthehnursehprovidehforhimmediatehtreatmenthforhepistaxis?
a. “Standhstill,hleanhyourhheadhbackhsohthaththehbloodhwon’thgethallhoverheverything,ha
ndhpinchhyourhnosehshuthforhathleasth10hminutes.”
b. “Standhstill,hleanhyourhheadhforward,handhpinchhyourhnosehtightlyhforhathleasth10h
minutes.”
c. “Sithdownhonhahsolidhsurface,hleanhyourhheadhforwardhtohleththehbloodhrunhout,handht
henhpinchhyourhnosehclosedhforhathleasth30hminutes.”
d. “Sithdownhonhahsolidhsurface,hleanhyourhheadhforwardhsohyouhdon’thchokehonhthehb
lood,handhpinchhyourhnosehshuthforhathleasth10hminutes.”

ANS:h D
Bloodhfromhahnosebleedhinhthehanteriorhportionhofhthehnasalhcavityhwillhusuallyhstophwithhp
inchhpressurehwithinh10hminutes.hBloodhfromhahnosebleedhshouldhnothbehswallowed.


DIF: CognitivehLevel:hApplication REF:hhhp.h1247 OBJ:h 4
TOP:h FirsthAidhforhahNosebleed
KEY:hNursinghProcesshStep:hImplementat
ionhMSC:h NCLEX:hPhysiologicalhIntegrity:hBasichCarehandhComfort