Question 1

The nurse is caring for a group of patients. Which patient should the nurse see first?

Accepted Answer

The patient who received epinephrine for an anaphylactic reaction and still has wheezing is experiencing ongoing respiratory distress, which is a life-threatening condition requiring immediate attention.

Question 2

Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives to the emergency department. ___
A) Exposure ___
B) Breathing ___
C) Disability ___
D) Airway ___
E) Circulation

Accepted Answer

D,B,E,C,A

Question 3

The health care provider (HCP) tells the nurse that a patient has blood leaking into the intrapleural space and has caused collapse of the lung. The nurse suspects which diagnosis?

Accepted Answer

The correct diagnosis is hemothorax, which occurs when blood accumulates in the pleural cavity, potentially causing lung collapse. This condition directly corresponds to the description of blood leaking into the intrapleural space.

Question 4

The nurse is performing a Glasgow coma scale (GCS) assessment for a patient with a head injury. The patient opens eyes to pain, best verbal response is incomprehensible sounds, and best motor response is withdrawal from pain. What is the patient's total GCS score? 1.15

Accepted Answer

The Glasgow Coma Scale (GCS) assesses a person's level of consciousness after a head injury. The scale is divided into three categories: eye opening (1-4), verbal response (1-5), and motor response (1-6). For this patient, eye opening to pain scores 2, incomprehensible sounds as the best verbal response scores 2, and withdrawal from pain as the best motor response scores 4. Adding these scores together (2+2+4) gives a total GCS score of 8.

Question 5

The nurse is receiving a victim of a traumatic amputation in the emergency department. What should the nurse do with the amputated limb? (Select all that apply.)

Accepted Answer

The answer of The nurse is receiving a victim of...

Question 6

The nurse is caring for a patient with hypovolemic shock with a possible cause of internal hemorrhage. Which order should the nurse prepare to implement first?

Accepted Answer

Starting a large bore IV is the first step in managing a patient with hypovolemic shock due to possible internal hemorrhage. This allows for rapid administration of fluids or blood products to restore circulating volume.

Question 7

The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?

Accepted Answer

Silver sulfadiazine cream is commonly used in the treatment of partial-thickness thermal burns due to its antimicrobial properties, which help prevent infection in the damaged skin.

Question 8

The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result would be of most concern to the nurse?

Accepted Answer

Sodium 128 mEq/L indicates hyponatremia, which is a common and concerning electrolyte imbalance in heat exhaustion due to excessive sweating and inadequate sodium intake.

Question 9

The nurse is preparing to administer 1 L of D5 normal saline to run over 4 hours with a drip set of 15 gtt/mL. Calculate the drop rate for the IV fluid. Round to the nearest whole number. Enter the numeral only.

Accepted Answer

The answer of The nurse is preparing to administer 1...

Question 10

The nurse is caring for a patient with frostbite to the foot. Which intervention should the nurse implement?

Accepted Answer

Elevating the foot at or above heart level helps reduce swelling and promotes circulation without causing further damage to the tissues, which is crucial in the management of frostbite. Rubbing the affected area, applying tight or wet dressings, and encouraging frequent ambulation could all potentially increase tissue damage and are not recommended interventions.

Question 11

The nurse is caring for a patient who experienced a near-drowning. Which factors lead to a better outcome? (Select all that apply.)

Accepted Answer

The patient was submerged for a shorter period of time, the water was clean, and the temperature was lukewarm.

Question 12

The nurse is preparing to administer morphine 6 mg IV to a patient with a gunshot wound. The available dose is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Accepted Answer

The answer of The nurse is preparing to administer morphine...

Question 13

The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse should anticipate the patient's inability to do what?

Accepted Answer

The L2 to L4 vertebrae are part of the lumbar spine, which primarily affects the lower body. Injury here would impair the ability to extend and flex the legs.

Question 14

The nurse is caring for a patient diagnosed with botulism. Which interventions should the nurse plan to implement? (Select all that apply.)

Accepted Answer

Botulism can impair the gag reflex, affect breathing leading to decreased oxygen saturation, and impact the ability to eat, necessitating parenteral nutrition. Blood products are not typically used in botulism treatment, and a lumbar puncture is not a standard diagnostic or treatment procedure for botulism.

Question 15

Which of the following is a cause of an open penetrating injury?

Accepted Answer

The answer of Which of the following is a cause...

Question 16

A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?

Accepted Answer

The answer of A patient who has ingested a corrosive...

Question 17

The nurse is working at a sporting event when a football player is injured. What action by the nurse requires correction?

Accepted Answer

Assisting the patient in sitting up slowly might require correction without first assessing the nature and extent of the injury. Moving a potentially injured athlete without proper assessment can exacerbate injuries, especially if there are spinal or serious musculoskeletal injuries.

Question 18

A patient tells the nurse she stepped on a nail when working on the yard. Which question is most important for the nurse to ask?

Accepted Answer

Tetanus is a concern with puncture wounds, especially from stepping on a nail. The nurse needs to assess the patient's risk for tetanus by knowing when their last tetanus shot was.

Question 19

The nurse in an emergency department is helping triage victims of an explosion. Rank, in order from 1 to 5, the following patients according to their need for priority treatment according to disaster response protocols and best chance of survival.
A) _____ A 15-year-old with a laceration to the foot that is bleeding slightly
B) _____ A 36-year-old who has no pulse or respirations and has an open head injury
C) _____ A 70-year-old with shortness of breath but no detectable cardiac arrhythmias
D) _____ A 5-year-old with a suspected fracture of the humerus
E) _____ A 58-year-old woman with a distended abdomen who reports severe abdominal pain

Accepted Answer

The answer of The nurse in an emergency department is...

Question 20

The nurse is teaching a group of oilfield workers about care for a snake bite. Which statement indicates an understanding of the teaching?

Accepted Answer

Cleaning the area with soap and water is a recommended first aid measure for a snake bite, as it helps to prevent infection. Elevating the extremity, applying ice, or avoiding a dressing are not recommended practices for snake bite care.

Quiz 13: Nursing Care of Patients With Emergent Conditions and Disasterbioterrorism Response

The nurse is caring for a group of patients. Which patient should the nurse see first?

Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives to the emergency department. _ A) Exposure _ B) Breathing _ C) Disability _ D) Airway ___ E) Circulation

The health care provider (HCP) tells the nurse that a patient has blood leaking into the intrapleural space and has caused collapse of the lung. The nurse suspects which diagnosis?

The nurse is performing a Glasgow coma scale (GCS) assessment for a patient with a head injury. The patient opens eyes to pain, best verbal response is incomprehensible sounds, and best motor response is withdrawal from pain. What is the patient's total GCS score? 1.15

The nurse is receiving a victim of a traumatic amputation in the emergency department. What should the nurse do with the amputated limb? (Select all that apply.)

The nurse is caring for a patient with hypovolemic shock with a possible cause of internal hemorrhage. Which order should the nurse prepare to implement first?

The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?

The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result would be of most concern to the nurse?

The nurse is preparing to administer 1 L of D5 normal saline to run over 4 hours with a drip set of 15 gtt/mL. Calculate the drop rate for the IV fluid. Round to the nearest whole number. Enter the numeral only.

The nurse is caring for a patient with frostbite to the foot. Which intervention should the nurse implement?

The nurse is caring for a patient who experienced a near-drowning. Which factors lead to a better outcome? (Select all that apply.)

The nurse is preparing to administer morphine 6 mg IV to a patient with a gunshot wound. The available dose is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse should anticipate the patient's inability to do what?

The nurse is caring for a patient diagnosed with botulism. Which interventions should the nurse plan to implement? (Select all that apply.)

Which of the following is a cause of an open penetrating injury?

A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?

The nurse is working at a sporting event when a football player is injured. What action by the nurse requires correction?

A patient tells the nurse she stepped on a nail when working on the yard. Which question is most important for the nurse to ask?

The nurse is teaching a group of oilfield workers about care for a snake bite. Which statement indicates an understanding of the teaching?

Quiz 13: Nursing Care of Patients With Emergent Conditions and Disasterbioterrorism Response

The nurse is caring for a group of patients. Which patient should the nurse see first?

Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives to the emergency department. ___ A) Exposure ___ B) Breathing ___ C) Disability ___ D) Airway ___ E) Circulation

The health care provider (HCP) tells the nurse that a patient has blood leaking into the intrapleural space and has caused collapse of the lung. The nurse suspects which diagnosis?

The nurse is performing a Glasgow coma scale (GCS) assessment for a patient with a head injury. The patient opens eyes to pain, best verbal response is incomprehensible sounds, and best motor response is withdrawal from pain. What is the patient's total GCS score? 1.15

The nurse is receiving a victim of a traumatic amputation in the emergency department. What should the nurse do with the amputated limb? (Select all that apply.)

The nurse is caring for a patient with hypovolemic shock with a possible cause of internal hemorrhage. Which order should the nurse prepare to implement first?

The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?

The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result would be of most concern to the nurse?

The nurse is preparing to administer 1 L of D5 normal saline to run over 4 hours with a drip set of 15 gtt/mL. Calculate the drop rate for the IV fluid. Round to the nearest whole number. Enter the numeral only.

The nurse is caring for a patient with frostbite to the foot. Which intervention should the nurse implement?

The nurse is caring for a patient who experienced a near-drowning. Which factors lead to a better outcome? (Select all that apply.)

The nurse is preparing to administer morphine 6 mg IV to a patient with a gunshot wound. The available dose is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse should anticipate the patient's inability to do what?

The nurse is caring for a patient diagnosed with botulism. Which interventions should the nurse plan to implement? (Select all that apply.)

Which of the following is a cause of an open penetrating injury?

A patient who has ingested a corrosive product is vomiting. For which potential complication should the nurse prepare to provide care to this client?

The nurse is working at a sporting event when a football player is injured. What action by the nurse requires correction?

A patient tells the nurse she stepped on a nail when working on the yard. Which question is most important for the nurse to ask?

The nurse is teaching a group of oilfield workers about care for a snake bite. Which statement indicates an understanding of the teaching?

Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives to the emergency department. _ A) Exposure _ B) Breathing _ C) Disability _ D) Airway ___ E) Circulation