chp 43

1. A paramedic arrives at a motor vehicle accident. What assessment is completed by the paramedic when life-threatening problems or injuries are identified and handled? A) Primary B) Secondary C) Tertiary D) ABCDE

a

15. An individual has been brought to the healthcare facility promptly after ingesting poison. Which would be the most suitable intervention? A) Perform gastric lavage. B) Give emetic medication. C) Administer sugar. D) Support the blood pressure.

a

2. The nurse is reviewing with a group of nursing students the concept of triage. What are accurate responses by the student nurses about triage? 1. Process of sorting and classifying to determine priority of needs 2. Involves determining non-life-threatening situations and assisting those clients first 3. Important to identify victims and their next of kin whenever possible 4. A disaster plan is initiated in the emergency department when a motor vehicle accident involves more than one victim. A) 1, 3 B) 1, 4 C) 2, 3 D) 3, 4

a

21. A client with a dog bite is admitted to a local healthcare facility for treatment. What immediate intervention should the nurse perform to treat the client's dog bite? A) Cleanse the wound with warm, soapy water. B) Apply direct, firm pressure at the site. C) Apply an ice pack or ice bag. D) Apply an Ace roller bandage.

a

22. The nurse is reviewing with the new nurses assigned to the emergency department the signs and symptoms of life-threatening anaphylaxis. Based on this information what is the first step in management of anaphylaxis? A) Stabilize B) Identify the toxin C) Reverse the effect of the toxin D) Eliminate the toxin

a

24. A nurse is providing first-aid care to a client who has been involved in a motor vehicle accident. The nurse checks the client for a medical identification tag. Based on this information, the nurse knows that about one-third of the tags contain which information? A) Allergies B) Diabetes C) Epilepsy D) High blood pressure

a

4. Which procedure should the nurse follow for assessing an ill or injured person in an emergency? A) ABCDE procedure B) PERRLA+C procedure C) AVPU procedure D) BCLS procedure

a

11. A nurse is caring for a client with severe hypothermia. What should the nurse do when providing care to the client during the rewarming process? A) Move the client to a cooler place. B) Provide warm fluids, if the client can swallow. C) Uncover the client's head. D) Keep the client calm.

b

16. Psychiatric emergencies affect people of all ages and can occur at any time. The nurse is educating a group of student nurses completing their psychiatric rotation on when clients should be instructed to call for medical assistance. Based on this information, the student nurses properly identified when to call for medical assistance when which factors are present in an individual? 1. Threat to harm self or others 2. Suicidal thoughts 3. Willingness to talk when a psychiatric emergency is suspected 4. History of prior suicide attempts A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

b

20. A child saved from drowning is admitted to a local healthcare facility. For which should the nurse observe as an associated injury? A) Anxiety B) Airway obstruction C) Dizziness D) Eye paralysis

b

23. A paramedic arrives at a motor vehicle accident. What assessment is completed by the paramedic when taking and recording the victim's vital signs and continues with a head-to-toe assessment? A) Primary B) Secondary C) Tertiary D) ABCDE

b

25. Which procedure should the nurse follow for assessing a client's eye in an emergency? A) ABCDE procedure B) PERRLA+C procedure C) AVPU procedure D) BCLS procedure

b

6. A nurse is caring for a client with a head injury. What sign of rising intracranial pressure should the assigned nurse monitor in such a client? A) Excessive perspiration B) Persistent vomiting C) Falling blood pressure D) Falling body temperature

b

9. A nurse in a healthcare facility is caring for a client who has a puncture wound to the chest caused by a foreign object. Which equipment should the nurse obtain? A) Thermometer B) Manual breathing bag C) Peak flow meter D) Catheter

b

10. A nurse in a local healthcare facility is caring for a client suspected of internal bleeding. Which observation in the client is most essential that the nurse report to a physician? A) Extreme hunger B) High blood pressure C) Shallow, rapid breathing D) Slow pulse

c

12. A nurse is caring for a client with severe heat cramps. What should the nurse do when providing care to the client with a heat-related illness? 1. Move the client to a cooler place. 2. Provide concentrated salt solutions, if the client can swallow. 3. Uncover the client's head. 4. Keep the client calm. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

c

13. The nurse suspects that a neighbor has had a heart attack and calls for an ambulance. Which symptoms alerted the nurse to a suspected heart attack? 1. Chest pain with radiation to the left arm 2. Rest relieves the chest pain 3. Pain radiating to the back 4. Restlessness A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

c

18. The nurse is reviewing the steps of life support in preparation for a required recertification. What step of these procedures does this nurse need to review that is considered the definitive initial treatment of victims in cardiac arrest? A) Basic life support B) Basic cardiac life support C) Automated external defibrillator D) Advanced cardiac life support

c

19. A client being cared for by a nurse in a home care setting suddenly stops breathing. What role should the nurse play in such a situation? A) Sit the client in a high Fowler's position. B) Move the client to a cooler area. C) Call 911 and begin cardiopulmonary resuscitation immediately. D) Administer small amounts of ice chips.

c

5. A nurse is caring for a client who has experienced hypovolemic shock. Which diagnostic procedure should the nurse perform to obtain additional information about the client's condition? A) Obtain pH level of urine. B) Obtain hemoglobin level. C) Obtain serum electrolyte levels. D) Obtain blood sugar level.

c

14. The nurse is reviewing an anaphylaxis simulation with a group of nursing students. The situation presented to the students is that a client has experienced a bee sting and a nurse suspects anaphylaxis. Which information by the student nurses demonstrates correct understanding of anaphylaxis? A) Anaphylaxis is a type II allergic reaction to a substance. B) In anaphylaxis, the antigen antibody reaction works to the client's benefit. C) The release of a chemical in the body, such as histamine, causes reactions that affect the respiratory system. D) Anaphylaxis is life threatening.

d

17. The nurse working in a healthcare facility when an emergency occurs must activate the agency's signal for a code. What is a common signal for cardiopulmonary emergency that a nurse would use for a client emergency of this nature? A) Code yellow B) Code red C) Code green D) Code blue

d

3. A nurse is providing first-aid care to a client who has been involved in a motor vehicle accident. The nurse assesses the client for a medical identification tag. Based on this information, the nurse knows that about two-thirds of the tags contain which information? 1. Allergies 2. Diabetes 3. Epilepsy 4. High blood pressure A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

d

7. A client with pneumothorax is admitted to a healthcare facility. What intervention should the assigned nurse perform when caring for the client with pneumothorax? A) Initiate lifesaving measures such as cardiopulmonary resuscitation (CPR). B) Check for signs of inhalation injuries. C) Place ice packs on the forehead. D) Seal wound using petroleum jelly gauze.

d

8. A client has experienced a fracture as a result of a motor vehicle accident. Which nursing intervention should the nurse perform for a client with an ulnar fracture? A) Raise the client's injured arm. B) Replace the ends of the bones in the fracture. C) Apply a roller bandage on the fracture. D) Apply ice on the injury site.

d