EMERGENCY NURSING ATI QUESTIONS
WITH VERIFIED ANSWERS | GRADED
A+|| LATEST UPDATE 2026
A nurse on a medical-surgical unit is caring for a group of clients. The nurse should
notify the rapid response team for which of the following clients?
A. Client who has a pressure injury of the right heel whose blood glucose is 300 mg/dL
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area following a cardiac
catheterization
D. Client who has dark red coloration of left toes and absent pedal pulse -
CORRECTANSWER B: The nurse should identify that the client is at risk for respiratory
arrest due to a possible embolism. The nurse should call the rapid response team
because the manifestations can indicate the beginning of a rapid decline in the client's
condition
A nurse is caring for a client who has ingested a toxic agent. Which of the following
actions should the nurse plan to take? (Select all that apply.)
A. Induce vomiting.
B. Instill activated charcoal.
C. Perform a gastric lavage with aspiration.
D. Administer syrup of ipecac.
E. Infuse IV fluids. -CORRECTANSWER BCE
, A nurse in the emergency department is caring for a client who fell through the ice on a
pond and is unresponsive and breathing slowly. Which of the following actions should
the nurse take? (Select all that apply.)
A. Remove wet clothing.
B. Maintain normal room temperature.
C. Apply warm blankets.
D. Use a rapid rewarming water of 40º to 42º C (104º to 108º F).
E. Infuse warmed IV fluids. -CORRECTANSWER ACDE
A nurse in the emergency department is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and slumped to the ground."
Which of the following techniques should the nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head -CORRECTANSWER A: The nurse should open the client's
airway by the head-tilt, chin-lift because the client is unresponsive without suspicion of
trauma.
A nurse is reviewing the common emergency management protocol for clients who
have asystole. Which of the following actions should the nurse plan to take during this
cardiac emergency?
WITH VERIFIED ANSWERS | GRADED
A+|| LATEST UPDATE 2026
A nurse on a medical-surgical unit is caring for a group of clients. The nurse should
notify the rapid response team for which of the following clients?
A. Client who has a pressure injury of the right heel whose blood glucose is 300 mg/dL
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area following a cardiac
catheterization
D. Client who has dark red coloration of left toes and absent pedal pulse -
CORRECTANSWER B: The nurse should identify that the client is at risk for respiratory
arrest due to a possible embolism. The nurse should call the rapid response team
because the manifestations can indicate the beginning of a rapid decline in the client's
condition
A nurse is caring for a client who has ingested a toxic agent. Which of the following
actions should the nurse plan to take? (Select all that apply.)
A. Induce vomiting.
B. Instill activated charcoal.
C. Perform a gastric lavage with aspiration.
D. Administer syrup of ipecac.
E. Infuse IV fluids. -CORRECTANSWER BCE
, A nurse in the emergency department is caring for a client who fell through the ice on a
pond and is unresponsive and breathing slowly. Which of the following actions should
the nurse take? (Select all that apply.)
A. Remove wet clothing.
B. Maintain normal room temperature.
C. Apply warm blankets.
D. Use a rapid rewarming water of 40º to 42º C (104º to 108º F).
E. Infuse warmed IV fluids. -CORRECTANSWER ACDE
A nurse in the emergency department is assessing a client who is unresponsive. The
client's partner states, "He was pulling weeds in the yard and slumped to the ground."
Which of the following techniques should the nurse use to open the client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head -CORRECTANSWER A: The nurse should open the client's
airway by the head-tilt, chin-lift because the client is unresponsive without suspicion of
trauma.
A nurse is reviewing the common emergency management protocol for clients who
have asystole. Which of the following actions should the nurse plan to take during this
cardiac emergency?
