NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
Chapter: First Aid, Emergency Care, and Disaster ManagementLinton:
u u u u u u u u u
Medical-Surgical Nursing, 7th Edition u u u
I. A patient is present with signs of severe airway obstruction. What term accuratelyde
u u u u u u u u u u u u u
scribes the high-pitched noise the patient is exhibiting with inhalation?
u u u u u u u u u
a. Stridor
b. Tachypnea
c. Wheezing
d. Rhonchi
ANS: A u
Signs of severe airway obstruction are poor or no air exchange, poor or no cough,
u u u u u u u u u u u u u u
high-
pitched noise known as stridor on inhalation, respiratory distress, cyanosis, inabilityto spea
u u u u u u u u u u u u
k, inability to move air, and clutching the neck.
u u u u u u u u
DIF: Cognitive Level: Comprehension REF: p. 1246 u u uuu u OBJ: 3 u
TOP: Airway Obstruction
u u
KEY: Nursing Process Step: Knowled
u u u u
geMSC: NCLEX: Physiological Integrity: Physiological Adaptation
u u u u u u
II. Standing in a fast- u u u
food line, the person in front, while munching on a cookie, begins to cough heavily, takes dee
u u u u u u u u u u u u u u u u
p inspirations, and waves his arms around wildly. What should bethe nurse’s first action?
u u u u u u u u u u u u u u
a. Start rescue breathing as quickly as possible.
u u u u u u
b. Start chest compressions as quickly as possible.
u u u u u u
c. Perform abdominal thrusts. u u
d. Do nothing at this point as long as air is exchanged.
u u u u u u u u u u
ANS: D u
When a person is choking but alert enough to attempt to cough and force the obstructionup a
u u u u u u u u u u u u u u u u u
nd out by himself, allowing him to do so alone is best because more expelling forceoccurs th
u u u u u u u u u u u u u u u u u
at way. Only when the person shows signs of not being able to breathe beyond the obstructio
u u u u u u u u u u u u u u u u
,NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
n should abdominal thrusts be applied.
u u u u u
DIF: Cognitive Level: Application u u REF: p. 1246 uuu u
OBJ: 4TOP: Immediate Intervention for a Choking Victim
u u u u u u u u
KEY: Nursing Process Step: Implementation
u u u u
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u
III. What is the initial intervention for an unconscious patient who is not breathing accordingto
u u u u u u u u u u u u u u u
one-person CPR principles, as taught and practiced by professional nurses?
u u u u u u u u u
a. Lift the jaw to clear the airway.
u u u u u u
b. Call for assistance. u u
c. Start chest compressions. u u
d. Remove patient clothing to visualize the chest.
u u u u u u
ANS: B u
With one-u
person CPR, when the patient is unconscious and not breathing, the first thing todo is to call f
u u u u u u u u u u u u u u u u u u
or help.
u
,NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
DIF: Cognitive Level: Comprehension REF: p. 1245 u u uuu u OBJ: 3 | 4
u u u
TOP: CPR Guidelines u u
KEY: Nursing Process Step: Implementati
u u u u
onMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u u
IV. While ambulating, a patient gasps and drops to the floor unconscious with no pulse orres
u u u u u u u u u u u u u u u
piration. When is the nurse aware that brain cells begin to die?
u u u u u u u u u u u
a. 1 minute u
b. 2 minutes u
c. 3 minutes u
d. 4 minutes u
ANS: D u
Without adequate perfusion, the brain cells begin to die in 4 minutes.
u u u u u u u u u u u
DIF: Cognitive Level: Comprehension REF: p. 1245 u u uuu u OBJ: 3 uuu
TOP: Brain Damage u u
KEY: Nursing Process Step: Assessm
u u u u
entMSC: NCLEX: Physiological Integrity: Physiological Adaptation
u u u u u u
V. A nurse follows the protocol of SAMPLE when speaking to a victim of a fall in thepar
u u u u u u u u u u u u u u u u u
king lot of the hospital. What does the P stand for?
u u u u u u u u u u
a. Pills taken today u u
b. Personal physician u
c. Past illnesses u
d. Preference for emergency transportation u u u
ANS: C u
The acronym SAMPLE that guides the victim interview means allergies, medications, pastill
u u u u u u u u u u u u
ness or pregnancy, last food and drink, and events related to injury.
u u u u u u u u u u u
DIF: Cognitive Level: Knowledge u u REF: p. 1244 uuu u OBJ: 3 uuu
TOP: SAMPLE Protocol u u
KEY: Nursing Process Step: Implementati
u u u u
onMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u u
, NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
VI. What instructions should the nurse provide for immediate treatment for epistaxis?
u u u u u u u u u u
a. “Stand still, lean your head back so that the blood won’t get all over everything,an
u u u u u u u u u u u u u u u
d pinch your nose shut for at least 10 minutes.”
u u u u u u u u u
b. “Stand still, lean your head forward, and pinch your nose tightly for at least 10mi
u u u u u u u u u u u u u u u
nutes.”
c. “Sit down on a solid surface, lean your head forward to let the blood run out, andthe
u u u u u u u u u u u u u u u u u
n pinch your nose closed for at least 30 minutes.”
u u u u u u u u u
d. “Sit down on a solid surface, lean your head forward so you don’t choke on thebl
u u u u u u u u u u u u u u u u
ood, and pinch your nose shut for at least 10 minutes.”
u u u u u u u u u u
ANS: D u
Blood from a nosebleed in the anterior portion of the nasal cavity will usually stop withpin
u u u u u u u u u u u u u u u u
ch pressure within 10 minutes. Blood from a nosebleed should not be swallowed.
u u u u u u u u u u u u
DIF: Cognitive Level: Application u u REF: p. 1247 uuu u OBJ: 4 u
TOP: First Aid for a Nosebleed
u u u u u
KEY: Nursing Process Step: Implementati
u u u u
onMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u u
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
Chapter: First Aid, Emergency Care, and Disaster ManagementLinton:
u u u u u u u u u
Medical-Surgical Nursing, 7th Edition u u u
I. A patient is present with signs of severe airway obstruction. What term accuratelyde
u u u u u u u u u u u u u
scribes the high-pitched noise the patient is exhibiting with inhalation?
u u u u u u u u u
a. Stridor
b. Tachypnea
c. Wheezing
d. Rhonchi
ANS: A u
Signs of severe airway obstruction are poor or no air exchange, poor or no cough,
u u u u u u u u u u u u u u
high-
pitched noise known as stridor on inhalation, respiratory distress, cyanosis, inabilityto spea
u u u u u u u u u u u u
k, inability to move air, and clutching the neck.
u u u u u u u u
DIF: Cognitive Level: Comprehension REF: p. 1246 u u uuu u OBJ: 3 u
TOP: Airway Obstruction
u u
KEY: Nursing Process Step: Knowled
u u u u
geMSC: NCLEX: Physiological Integrity: Physiological Adaptation
u u u u u u
II. Standing in a fast- u u u
food line, the person in front, while munching on a cookie, begins to cough heavily, takes dee
u u u u u u u u u u u u u u u u
p inspirations, and waves his arms around wildly. What should bethe nurse’s first action?
u u u u u u u u u u u u u u
a. Start rescue breathing as quickly as possible.
u u u u u u
b. Start chest compressions as quickly as possible.
u u u u u u
c. Perform abdominal thrusts. u u
d. Do nothing at this point as long as air is exchanged.
u u u u u u u u u u
ANS: D u
When a person is choking but alert enough to attempt to cough and force the obstructionup a
u u u u u u u u u u u u u u u u u
nd out by himself, allowing him to do so alone is best because more expelling forceoccurs th
u u u u u u u u u u u u u u u u u
at way. Only when the person shows signs of not being able to breathe beyond the obstructio
u u u u u u u u u u u u u u u u
,NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
n should abdominal thrusts be applied.
u u u u u
DIF: Cognitive Level: Application u u REF: p. 1246 uuu u
OBJ: 4TOP: Immediate Intervention for a Choking Victim
u u u u u u u u
KEY: Nursing Process Step: Implementation
u u u u
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u
III. What is the initial intervention for an unconscious patient who is not breathing accordingto
u u u u u u u u u u u u u u u
one-person CPR principles, as taught and practiced by professional nurses?
u u u u u u u u u
a. Lift the jaw to clear the airway.
u u u u u u
b. Call for assistance. u u
c. Start chest compressions. u u
d. Remove patient clothing to visualize the chest.
u u u u u u
ANS: B u
With one-u
person CPR, when the patient is unconscious and not breathing, the first thing todo is to call f
u u u u u u u u u u u u u u u u u u
or help.
u
,NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
DIF: Cognitive Level: Comprehension REF: p. 1245 u u uuu u OBJ: 3 | 4
u u u
TOP: CPR Guidelines u u
KEY: Nursing Process Step: Implementati
u u u u
onMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u u
IV. While ambulating, a patient gasps and drops to the floor unconscious with no pulse orres
u u u u u u u u u u u u u u u
piration. When is the nurse aware that brain cells begin to die?
u u u u u u u u u u u
a. 1 minute u
b. 2 minutes u
c. 3 minutes u
d. 4 minutes u
ANS: D u
Without adequate perfusion, the brain cells begin to die in 4 minutes.
u u u u u u u u u u u
DIF: Cognitive Level: Comprehension REF: p. 1245 u u uuu u OBJ: 3 uuu
TOP: Brain Damage u u
KEY: Nursing Process Step: Assessm
u u u u
entMSC: NCLEX: Physiological Integrity: Physiological Adaptation
u u u u u u
V. A nurse follows the protocol of SAMPLE when speaking to a victim of a fall in thepar
u u u u u u u u u u u u u u u u u
king lot of the hospital. What does the P stand for?
u u u u u u u u u u
a. Pills taken today u u
b. Personal physician u
c. Past illnesses u
d. Preference for emergency transportation u u u
ANS: C u
The acronym SAMPLE that guides the victim interview means allergies, medications, pastill
u u u u u u u u u u u u
ness or pregnancy, last food and drink, and events related to injury.
u u u u u u u u u u u
DIF: Cognitive Level: Knowledge u u REF: p. 1244 uuu u OBJ: 3 uuu
TOP: SAMPLE Protocol u u
KEY: Nursing Process Step: Implementati
u u u u
onMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u u
, NURSING ATI: TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITIO
u u u u u u u u u
N BY LINTON LATEST 2021 u u u u
VI. What instructions should the nurse provide for immediate treatment for epistaxis?
u u u u u u u u u u
a. “Stand still, lean your head back so that the blood won’t get all over everything,an
u u u u u u u u u u u u u u u
d pinch your nose shut for at least 10 minutes.”
u u u u u u u u u
b. “Stand still, lean your head forward, and pinch your nose tightly for at least 10mi
u u u u u u u u u u u u u u u
nutes.”
c. “Sit down on a solid surface, lean your head forward to let the blood run out, andthe
u u u u u u u u u u u u u u u u u
n pinch your nose closed for at least 30 minutes.”
u u u u u u u u u
d. “Sit down on a solid surface, lean your head forward so you don’t choke on thebl
u u u u u u u u u u u u u u u u
ood, and pinch your nose shut for at least 10 minutes.”
u u u u u u u u u u
ANS: D u
Blood from a nosebleed in the anterior portion of the nasal cavity will usually stop withpin
u u u u u u u u u u u u u u u u
ch pressure within 10 minutes. Blood from a nosebleed should not be swallowed.
u u u u u u u u u u u u
DIF: Cognitive Level: Application u u REF: p. 1247 uuu u OBJ: 4 u
TOP: First Aid for a Nosebleed
u u u u u
KEY: Nursing Process Step: Implementati
u u u u
onMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
u u u u u u u u
