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A nurse in the emergency department is caring for a client who
reports pain in her left leg following a motor-vehicle crash. The
nurse notes that her left leg has bruising, swelling, and
displacement of the bones. Which of the following actions should
the nurse take first?
Obtain an x-ray of the injured leg.
Apply ice packs to the affected area.
Check neurovascular status distal to the injury.
Elevate the affected leg on two pillows. -
correct answer ✅Check neurovascular status distal to the injury.
The nurse should apply the safety and risk reduction priority-setting
framework. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there
are several risks to client safety, the one posing the greatest threat
is the highest priority. The nurse should use Maslow's Hierarchy of
Needs, the ABC priority-setting framework, or nursing knowledge to
identify which risk poses the greatest threat to the client. The
greatest risk to this client is impaired circulation to the limb from
trauma and the resulting edema; therefore, the first action is to
check the circulation, sensation, and movement distal to the level
,ATI Comprehensive Final Exam
Questions + Verified Answers 100%
correct, Update 2026
of the injury. If the nurse notes a weak or absent pulse distal to the
injury, the limb's circulation is compromised, and immediate action
is critical.
A nurse is providing preoperative teaching for a client who will
undergo laser-assisted in situ keratomileusis (LASIK) surgery. Which
of the following information should the nurse include?
"You might need glasses after the surgery."
"You may drive home after the procedure."
"Continue to wear your contact lenses until the day of the surgery."
"Expect complete healing and clear vision in about a week." -
correct answer ✅"You might need glasses after the surgery."
LASIK is a type of refractive laser eye surgery ophthalmologists
perform to correct myopia, hyperopia, and astigmatism, which are
common causes of nearsightedness. However, overcorrection or
undercorrection of refractive errors is possible, so some clients will
need prescription eyeglasses despite having had LASIK surgery.
,ATI Comprehensive Final Exam
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correct, Update 2026
A nurse is caring for a group of clients in a long-term facility. One of
the clients is walking in the hallway and bumping into walls and
does not respond to his name. which of the following actions
should the nurse take first?
Offer the client a nutritious snack.
Accompany the client back to his room.
Reorient the client to his surroundings.
Administer a PRN antianxiety medication. -
correct answer ✅Accompany the client back to his room.
The nurse should apply the safety and risk reduction priority-setting
framework. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there
are several risks to client safety, the one posing the greatest threat
is the highest priority. The nurse should use Maslow's hierarchy of
needs, the ABC priority-setting framework, or nursing knowledge to
identify which risk poses the greatest threat to the client.
Therefore, the nurse should first escort the client back to his room
to protect him from injury due to wandering.
, ATI Comprehensive Final Exam
Questions + Verified Answers 100%
correct, Update 2026
A nurse is providing teaching to the parents of a child who has
strabismus. Which of the following instructions should the nurse
include to prevent the development of amblyopia?
Patch the unaffected eye.
Administer mydriatic eye drops daily.
Obtain prescription eyeglasses.
Administer antihistamines. -
correct answer ✅Patch the unaffected eye.
Amblyopia is a disorder of the eye in which unilateral central
blindness occurs as a result of another problem, such as strabismus.
With strabismus, muscle weakness allows one eye to wander so
that the child cannot focus on an object with both eyes at the same
time. This confusion causes the brain to ignore the signals from the
weak eye in favor of the strong one. This will result in central
blindness if the child does not receive treatment by 6 years of age.
To strengthen the weak eye muscles, the parents should patch the
unaffected eye.
Results of enzyme-linked immunosorbent assay (ELISA) testing for
an 18-month-old infant who has Pneumocystis carinii pneumonia