EMERGENCY NURSING ATI EXAM 2025
QUESTIONS AND ANSWERS
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 - ANS 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. - ANS 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.
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, C. Apply warm blankets.
D. Use a rapid rewarming water of 40º to 42º C (104º to 108º F).
E. Infuse warmed IV fluids. - ANS 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 - ANS 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?
A. Perform defibrillation.
B. Prepare for transcutaneous pacing.
C. Administer IV epinephrine.
D. Elevate the client's lower extremities. - ANS C: Administering epinephrine during asystole
is an appropriate action by the nurse because it increases heart rate, improves
A nurse is preparing to administer packed RBCs to a client who has a Hgb of 8 g/dL. Which of
the following actions should the nurse plan to take during the first 15 min of the transfusion?
A. Obtain consent from the client for the transfusion.
B. Assess for an acute hemolytic reaction.
C. Explain the transfusion procedure to the client.
D. Obtain blood culture specimens to send to the lab. - ANS B: Assess for an acute hemolytic
reaction during the first 15 min of the transfusion. This form of a reaction can occur following
the transfusion of as little as 10 mL of blood product.
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QUESTIONS AND ANSWERS
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 - ANS 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. - ANS 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.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, C. Apply warm blankets.
D. Use a rapid rewarming water of 40º to 42º C (104º to 108º F).
E. Infuse warmed IV fluids. - ANS 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 - ANS 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?
A. Perform defibrillation.
B. Prepare for transcutaneous pacing.
C. Administer IV epinephrine.
D. Elevate the client's lower extremities. - ANS C: Administering epinephrine during asystole
is an appropriate action by the nurse because it increases heart rate, improves
A nurse is preparing to administer packed RBCs to a client who has a Hgb of 8 g/dL. Which of
the following actions should the nurse plan to take during the first 15 min of the transfusion?
A. Obtain consent from the client for the transfusion.
B. Assess for an acute hemolytic reaction.
C. Explain the transfusion procedure to the client.
D. Obtain blood culture specimens to send to the lab. - ANS B: Assess for an acute hemolytic
reaction during the first 15 min of the transfusion. This form of a reaction can occur following
the transfusion of as little as 10 mL of blood product.
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