Trauma and Burns Questions
Is the following statement true or false? Health care facilities are required by The Joint Commission to create a plan for emergency preparedness and to practice this plan once a year.
False; twice
A client who has AIDS is being treated in the hospital and admits to having periods of extreme anxiety. What would be the most appropriate nursing intervention? A)Teach the client guided imagery. B)Give the client more control of her antiretroviral regimen. C)Increase the client's activity level. D)Collaborate with the client's health care provider to obtain an order for hydromorphone.
A
An 83-year-old client is brought in by ambulance from a long-term care facility. The client's symptoms are weakness, lethargy, incontinence, and a change in mental status. The nurse knows that emergencies in older adults may be more difficult to manage for what reason? A)Older adults may have an altered response to treatment. B)Older adults are often reluctant to adhere to prescribed treatment. C)Older adults have difficulty giving a health history. D)Older adults often stigmatize their peers who use the ED.
A. older adults may hae altered response to treatment
A client who has been exposed to anthrax is being treated in the local hospital. The nurse should prioritize what health assessments? v A)Integumentary assessment B)Assessment for signs of hemorrhage C)Neurologic assessment D)Assessment of respiratory status
D
T or F vEstablishing an airway may be as simple as repositioning the person's head to prevent the tongue from obstructing the pharynx.
true
A hospital's emergency operations plan has been enacted following an industrial accident. While one nurse performs the initial triage, what should other emergency medical services personnel do? v A)Perform life-saving measures. B)Classify clients according to acuity. C)Provide health promotion education. D)Modify the emergency operations plan. v
A
Formulas are only a guide for burn care fluid resuscitation. How often must the patient' s response to fluid therapy (heart rate, blood pressure, and urine output) be evaluated? A. Every hour B. Every 2 hours C. Every 3 hours D. Every 4 hours
A
The ED nurse is planning the care of a client who has been admitted following a sexual assault. The nurse knows that all of the nursing interventions are aimed at what goal? A)Encouraging the client to gain a sense of control over their life B)Collecting sufficient evidence to secure a criminal conviction C)Helping the client understand that this will not happen again D)Encouraging the client to verbalize what happened during the assault
A
What is level A protective equipment? A.Self-contained breathing apparatus (SCBA) and vapor-tight chemical resistant suit, gloves, and boots B.High level of respiratory protection (SCBA) but lesser skin and eye protection; chemical-resistant suit C.Air-purified respirator, coverall with splash hood, chemical-resistant gloves and boots D.Typical work uniform
A
What is the name for the triage category in which injuries are significant and require medical care but can wait hours without threat to life or limb? A. Delayed B. Expectant C. Immediate D. Minimal
A
A group of military nurses are reviewing the care of victims of biochemical terrorist attacks. The nurses should identify what agents as having the shortest latency? v A)Viral agents B)Nerve agents C)Pulmonary agents D)Blood agents
B
A hospital nurse has experienced percutaneous exposure to an HIV-positive patient's blood as a result of a needle stick injury. The nurse has informed the supervisor and identified the client. What action should the nurse take next? A)Flush the wound site with chlorhexidine. B)Report to the emergency department or employee health department. C)Apply a hydrocolloid dressing to the wound site. D)Follow up with the nurse's primary provider.
B
A nurse has created a plan of care for an immunodeficient client, specifying that care providers take the client's pulse and respiratory rate for a full minute. What is the rationale for this aspect of care? A)Respirations affect heart rate in immunodeficient clients. B)These clients' blunted inflammatory responses can cause subtle changes in status. C)Hemodynamic instability is one of the main complications of immunodeficiency. D)Immunodeficient clients are prone to ventricular tachycardia and atrial fibrillation.
B
A nurse who is a member of the local disaster response team is learning about blast injuries. The nurse should plan for what event that occurs in the tertiary phase of the blast injury? A)Victims' pre-existing medical conditions are exacerbated. B)Victims are thrown by the pressure wave. C)Victims experience burns from the blast. D)Victims suffer injuries caused by debris or shrapnel from the blast.
B
An ED nurse is triaging clients according to a triage severity rating. When assigning clients to a triage level, the nurse will consider the clients' acuity as well as what other variable? A)The likelihood of a repeat visit to the ED in the next 7 days B)The resources that the client is likely to require C)The client's ability to participate in care D)Whether the client is known to ED staff from previous visits
B
Antiretroviral medications as post exposure prophylaxis for health care workers are started within ____ hours of exposure: a. 24 hours b. 72 hours c. 36 hours d. 12 hours
B
A client is brought to the ED by ambulance with a gunshot wound to the abdomen. The nurse knows that the most common hollow organ injured in this type of injury is what? A)Liver B)Small bowel C)Stomach D)Large bowel
B (if select all it would be B, C, D, but B is the msot)
The nurse is preparing to admit clients who have been the victim of a blast injury. The nurse should expect to treat a large number of clients who have experienced what type of injury? A)Chemical burns B)Spinal cord injury C)Meningeal tears D)Tympanic membrane rupture
D
_________________ is a clinical syndrome that is characterized by a progressive decline in cognitive, behavioral, and motor functions as a direct result of HIV infection: a. Cryptococcal meningitis b. Neuropathy c. Progressive multifocal leukoencephalopathy d. HIV encephalopathy
D
True or False Primary immune deficiency disorders result from external factors such as infection
False
T or F oAfter the airway is determined to be unobstructed the nurse must ensure that ventilation is adequate by checking for equal bilateral breath sounds
true
