Quiz 1 Sherpath Lesson Questions

The nurse working in the emergency department understands that which of the following patients would be assigned a triage acuity level of urgent using the three-level triage system? A. 30-year-old who has a simple fracture in the radius. Vital signs are stable. B. 8-year-old who presents with inflamed, red, dry skin. The patient denies itching or pain. Vital signs are stable. C. 78-year-old who has had a cough for 2 weeks that has now become productive. The patient appears to be in respiratory distress. D. 24-year-old who has been vomiting all night and now has diarrhea. The patient reports abdominal cramping rated as 6/10. The patient denies fever or chills.

D. 24-year-old who has been vomiting all night and now has diarrhea. The patient reports abdominal cramping rated as 6/10. The patient denies fever or chills.

Which scenario describes a medical emergency? A. Small cut that might require stitches B. Fever of 100°F for 24 hours without presence of a rash C. Minor sprain injury that presents with edema and bruising D. Acute illness that poses an immediate risk to a person's life or long-term health

D. Acute illness that poses an immediate risk to a person's life or long-term health

What is the benefit of identifying the mechanism of injury (MOI) while providing trauma care? A. Describes shape and size of the wound B. Provides insight into why the injury occurred C. Outlines treatment plan options for traumatic injuries D. Helps the health care team to predict injury type and patient outcome

D. Helps the health care team to predict injury type and patient outcome

Which concept facilitates standardization of the emergency disaster response? A. Mitigation B. Internal disaster plan C. Emergency drills and training D. Hospital Incident Command System

D. Hospital Incident Command System

Which statement reflects the priority goal for the health care team caring for a patient in the emergency room setting? A. Monitoring the patient B. Promoting patient safety C. Providing patient education D. Identifying a patient in crisis

D. Identifying a patient in crisis

The nurse is providing care at a rural hospital for a patient who has a gunshot wound. The patient has been stabilized and will be transferred to a higher-level trauma center. At which level of trauma center is the nurse located? A. Level I B. Level II C. Level III D. Level IV

D. Level IV

Which statement describes how the nurse can differentiate between multi-casualty and mass casualty events? A. Multi-casualty events require collaborative resources. B. Mass casualty events are managed by local hospitals. C. Multi-casualty events are managed by state or regional resources. D. Mass casualty events exceed local hospital abilities and require outside resources.

D. Mass casualty events exceed local hospital abilities and require outside resources.

Which statement describes the difference between the emergency triage process and mass casualty triage? A. There is no difference between the two triage processes. B. The mass casualty triage system is not used in the hospital system. C. The traditional emergency triage system prioritizes patients based on color coding. D. The mass casualty triage system determines priority through a color and number tag system.

D. The mass casualty triage system determines priority through a color and number tag system.

A tornado hit a small town causing widespread property damage and personal injury, as well as power outages at the local hospital. Which statement describes this disaster event? A. Property damage is considered an external disaster. B. Damage done by the tornado reflects a technological disaster. C. The power outage at the hospital is considered an external disaster. D. This disaster event reflects both an internal and external disaster.

D. This disaster event reflects both an internal and external disaster.

Match the key personnel role with the related function for the disaster preparedness plan. 1. Assumes overall leadership for disaster plan 2. Decides acuity and resource needs of patients 3. Evaluates each patient to determine treatment priorities 4. Serves as liaison between hospital and media A. Triage officer B. Hospital incident commander C. Community relations officer D. Medical command physician

1. B 2. D 3. A 4. C

SBAR is a communication tool that interprofessional health care team members can apply when working in emergency situations. Match each letter of the SBAR mnemonic with the appropriate description. 1. Brief breakdown of problem and possible options 2. What is going on with the patient, including concise statement of problem 3. Suggested actions that might correct problem 4. Clinical context, including brief description of pertinent information A. S B. R C. B D. A

1. D 2. A 3. B 4. C

Match each principle of emergency nursing care with the appropriate description. 1. Identify and categorize patients to treat the most critical patients first 2. Identify life-threatening conditions so correct interventions can begin 3. Identify all injuries via history, head-to-toe assessment, and inspection 4. Involves ongoing monitoring and evaluation of nursing interventions 5. Make a decision regarding the next step for the patient once discharged A. Primary survey B. Patient care and evaluation C. Secondary survey D. Triage E. Disposition

1. D 2. A 3. C 4. B 5. E

Match the disaster preparedness concept with the appropriate description. 1. Minimizing the effects of disasters 2. Handling a disaster through response and rescue 3. Effectively reacting to a disaster 4. Returning to a sense of normalcy A. Response B. Preparedness C. Recovery D. Mitigation

1. D 2. B 3. A 4. C

Match the type of disaster with the appropriate description. 1. Occurs within a facility and threatens the health or safety of patients 2. Occurs outside the facility in the surrounding community 3. Event caused by nature that creates great damage or loss of life 4. Event caused by human error or malfunction A. Technological disaster B. External disaster C. Natural disaster D. Internal disaster

1. D 2. B 3. C 4. A

Match the type of environmental emergency with the appropriate description. 1. Injury resulting from direct tissue damage or the release of lethal toxins 2. Occurs when a person becomes hypoxic following immersion in a liquid 3. Localized or systemic injuries whose predisposing factors include age 4. Occurs when thermoregulatory mechanisms cannot compensate for temperature changes A. Cold-related emergency B. Heat-related emergency C. Submersion injury D. Bites and stings

1. D 2. C 3. A 4. B

Which action is useful in assisting nurses to mentally process the disaster event and develop healthy coping strategies? A. Scheduling small group debriefing sessions B. Completing administrative review of staff performance C. Conducting an assessment of system performance issues D. Providing a rest period for staff who worked extended hours

A. Scheduling small group debriefing sessions

Which statement describes why a hospital should adopt use of the Hospital Incident Command System (HICS) for disaster management? A. The HICS promotes effective communication. B. The HICS allows hospitals to develop flexible roles for the chain of command. C. The HICS focuses training opportunities on responses to nonemergency situations. D. The HICS applies disaster concepts to large hospitals with greater than 500 patient beds available.

A. The HICS promotes effective communication.

Which statement describes environments where trauma care is provided? A. Trauma is treated in locations where people live, work, and play. B. Care for trauma situations occurs predominantly at trauma centers. C. Treatment for trauma begins when the ambulance arrives at the emergency department. D. Trauma care is provided primarily at emergency departments with high level resources to serve all types of injuries.

A. Trauma is treated in locations where people live, work, and play.

Match the appropriate definition with the type of injury. Acute injury Chronic injury A. Injury involving pain B. Injury caused by repeated use or overuse C. Injury causing immobility D. Injury that occurs suddenly

Acute injury: D. Injury that occurs suddenly Chronic injury: B. Injury caused by repeated use or overuse

Which statement made by the nurse reflects the standard of practice in emergency nursing? A. "Nursing care takes priority in emergency settings." B. "A team-based approach can improve patient outcomes." C. "An individual's expertise is more important than the group's collective knowledge." D. "Collaboration among clinicians is most important in promoting quality patient care."

B. "A team-based approach can improve patient outcomes."

Which action demonstrates that the emergency room nurse understands the principles of emergency nursing? A. Immediately following triage, the nurse conducts a focused assessment on a patient. B. During the primary survey, the nurse begins by assessing airway, breathing, and circulation. C. The nurse conducts a secondary survey on a patient who presents with a non-trauma event. D. While conducting a primary survey, the nurse attempts to identify all injuries through collection of history, head-to-toe assessment, and inspection of posterior surfaces.

B. During the primary survey, the nurse begins by assessing airway, breathing, and circulation.

Which statement accurately compares an emergency department with a trauma center? A. Trauma centers treat predominantly low-risk injuries. B. Emergency departments are designed to treat less severe injuries. C. Trauma centers have fewer services available than an emergency department. D. Emergency departments and trauma centers are structured to treat the same types of injuries.

B. Emergency departments are designed to treat less severe injuries.

Which patient problems are most commonly encountered by the health care team in the emergency department? Select all that apply. A. Fever B. Headache C. Poisoning D. Chest pain E. Abdominal pain

B. Headache D. Chest pain E. Abdominal pain

Which competencies are essential for the health care team providing care in an emergency situation? Select all that apply. A. Making referrals for follow-up care B. Implementing appropriate interventions C. Recognizing patients who need rapid care D. Providing education to prevent future problems E. Providing emotional support for the patient's family members

B. Implementing appropriate interventions C. Recognizing patients who need rapid care

Which action is an example of mitigation with regard to disaster management? A. Planning rescue operations B. Implementing building codes C. Identifying financial assistance D. Developing an evacuation plan

B. Implementing building codes

Which ancillary support staff members does the emergency nurse work with to coordinate patient care? Select all that apply. A. Paramedics B. Lab technicians C. Nursing assistants D. Nurse practitioners E. Physician assistants F. Respiratory therapists

B. Lab technicians C. Nursing assistants F. Respiratory therapists

Which scenario describes the population at greatest risk for seeking emergency care related to drowning? A. Children under 6 years of age B. Males between the ages of 15 and 25 C. An elderly male patient experiencing a stroke D. Individuals who have not taken swimming lessons

B. Males between the ages of 15 and 25

Which statement correctly describes a characteristic of disasters? A. People who reside on an island are at higher risk for internal disasters. B. Regions facing political unrest are at greater risk for external disasters. C. Individuals who experience a disaster must be transported to the nearest hospital for care. D. A lowered incidence of disasters around the world means disaster care does not need to be provided at the community level.

B. Regions facing political unrest are at greater risk for external disasters.

Which statement describes the scope of emergency nursing practice? A. Focuses care on a specific population based on age B. Requires generalized and specialized skills involving all levels of the nursing process C. Takes place primarily within the setting of the hospital emergency department D. Addresses actual problems faced by patients experiencing medical emergencies but not issues that have the potential to become emergent

B. Requires generalized and specialized skills involving all levels of the nursing process

Which statements describe attributes of blunt trauma? Select all that apply. A. Creates burns on the skin B. Results from impact forces C. Caused by sharp object injury D. Occurs when projectiles pierce the skin E. Causes the majority of severe traumatic injuries

B. Results from impact forces E. Causes the majority of severe traumatic injuries

The nurse is caring for a patient whose blood pressure is elevated and uses SBAR to communicate with the physician. Which response by the nurse reflects the "background" phase of SBAR communication? A. "I believe the patient should be assessed now. Can you come to room 480?" B. "Pulse is 90, respirations are 22, and the patient is rating his pain a 7 on a 0-10 pain scale." C. "Mr. Johnson is a 63-year-old male post-op day two following surgery. He has no history of cardiac disease." D. "This is Jennifer Jones. I am calling about Mr. Johnson in room 480. I am calling because I am concerned that his blood pressure is 210/120."

C. "Mr. Johnson is a 63-year-old male post-op day two following surgery. He has no history of cardiac disease."

Which statement made by the nurse suggests further education is needed about the secondary survey used in trauma care? Select all that apply. A. "A secondary survey is conducted once immediate threats to life are addressed." B. "The goal of the secondary survey is to identify additional injuries that need to be managed." C. "The secondary survey is used to rapidly identify and effectively manage immediate threats to life." D. "The secondary survey includes identification of issues that could impact the plan of treatment." E. "The 'ABC' mnemonic is paired with an added 'D' and 'E' for the secondary survey used with trauma patients."

C. "The secondary survey is used to rapidly identify and effectively manage immediate threats to life." E. "The 'ABC' mnemonic is paired with an added 'D' and 'E' for the secondary survey used with trauma patients."

Which nursing action reflects the principle of disposition for a trauma patient? A. Conduct resuscitation efforts. B. Wear personal protective equipment. C. Arrange for transfer to a higher level of care. D. Conduct a comprehensive head-to-toe assessment.

C. Arrange for transfer to a higher level of care.

What are key features of the Uniform Emergency Volunteer Health Practitioners Act? Select all that apply. A. Creation of disaster response plan B. Determination of interstate practice issues C. Deployment of health care providers to disaster sites D. Legal provisions for nurses who adhere to scope of training E. Identification of legal scope of practice authority for health care providers

C. Deployment of health care providers to disaster sites D. Legal provisions for nurses who adhere to scope of training E. Identification of legal scope of practice authority for health care providers

Which action by emergency medical services (EMS) personnel suggests additional education is required regarding how to promote scene safety? A. Setting up in an area away from a scene involving violence B. Approaching the scene of an emergency with a high degree of suspension C. Entering an unsecured crime scene unescorted by law enforcement D. Maintaining situational awareness at the scene of a motor vehicle accident

C. Entering an unsecured crime scene unescorted by law enforcement

Which actions should the nurse take to address the "D" portion of the primary survey mnemonic "ABCDE"? Select all that apply. A. Monitor vital signs. B. Protect the cervical spine. C. Evaluate level of consciousness. D. Prepare to assist ventilation if needed. E. Assess patient using Glasgow Coma Scale. F. Remove all clothing for a complete assessment.

C. Evaluate level of consciousness. E. Assess patient using Glasgow Coma Scale.

Which statement reflects the standard of care for emergency nursing practice? A. Prevention of illness and injury B. Optimization of health and abilities C. Focus on teamwork and interprofessional collaboration D. Advocacy in the care of individuals, families, and populations

C. Focus on teamwork and interprofessional collaboration

The emergency nurse conducts a musculoskeletal assessment to collect data about the patient's mobility and any signs or symptoms of musculoskeletal injury or conditions. Which principle is the nurse implementing? A. Triage B. Primary survey C. Focused assessment D. Patient care and evaluation

C. Focused assessment

Which action by the nurse reflects a nursing function that takes place during a disaster event? A. Evaluation of outcomes B. Participation in disaster drills C. Management of staff resources D. Assistance in creation of disaster response plan

C. Management of staff resources

Which mechanisms are commonly used to communicate activation of the disaster preparedness plan? Select all that apply. A. Radio B. Media sources C. Telephone trees D. Group paging systems E. Automated alert messages

C. Telephone trees D. Group paging systems E. Automated alert messages

Which environment is at highest risk for an external disaster to occur? A. City located near an inactive volcano B. Urban area at the base of a mountain range C. Town located 2 miles from a geographic fault line D. Rural region located 500 miles off the coastal shore

C. Town located 2 miles from a geographic fault line

Match the type of injury with the appropriate description. 1. Physical trauma that results from impact, injury, or physical attack 2. Injury caused by an object piercing skin, creating an open wound 3. Injury caused by fire, radiant heat, radiation, or chemical contact A. Blunt injury B. Penetrating injury C. Thermal injury D. Chronic injury

1. A 2. B 3. C

Match the type of reason people seek emergency medical care with the relevant example. 1. Disease or illness 2. Poor stress management 3. Inability to cope with a life-changing event 4. Unstable living environment A. Psychological B. Physical C. Spiritual D. Social

1. B 2. A 3. C 4. D

Match each element of the primary survey mnemonic "ABCDE" with the appropriate description. 1. Determining whether ventilatory efforts are effective 2. Assessing adequacy of perfusion 3. Establishing a patent airway 4. Establishing a rapid baseline assessment of neurological status A. A B. B C. C D. D E. E

1. B 2. C 3. A 4. D

Match the major principles for nursing care delivered during disasters with the appropriate description. 1. Tag system based on color and number 2. Initiation of the disaster response plan 3. Deactivation of disaster response plan 4. Systematic review and analysis following an event A. Event resolution B. Mass casualty triage C. Notification and activation of disaster response plan D. Debriefing

1. B 2. C 3. A 4. D

Which statement describes the concept of scene safety in trauma situations? A. Safety is a priority issue in all settings where trauma care is provided. B. A low risk for contamination with blood and body fluids exists in trauma care. C. Emergency personnel face minimal hazards that might pose a threat to rescuers. D. Scrubs and lab jacket are appropriate attire in environments where care is provided for traumas.

A. Safety is a priority issue in all settings where trauma care is provided.

The nurse is caring for a patient with a traumatic injury resulting from penetrating trauma. Which statement made by the nurse demonstrates an understanding of this mechanism of injury? A. "Fragments of shrapnel produced the patient's penetrating trauma." B. "The blast effect from an exploding bomb caused the penetrating trauma." C. "The patient was assaulted by someone who used fists to create the penetrating trauma." D. "Rapid acceleration-deceleration from a high-speed crash caused the penetrating trauma."

A. "Fragments of shrapnel produced the patient's penetrating trauma."

A small, rural town hospital encountered a mass casualty event impacting 15 people. Which information is important to communicate when asking for assistance from the closest metropolitan hospital? Select all that apply. A. A bus accident resulted in 15 severely injured patients. B. Local resources are sufficient to handle the mass casualty event. C. Assistance from state or regional resources might be needed to provide support. D. The number of patients affected is small but overwhelming for the size of the rural hospital. E. The amount and type of resources needed are more than what the local hospital has available.

A. A bus accident resulted in 15 severely injured patients. C. Assistance from state or regional resources might be needed to provide support. D. The number of patients affected is small but overwhelming for the size of the rural hospital. E. The amount and type of resources needed are more than what the local hospital has available.

Which roles do emergency nurses fulfill? Select all that apply. A. Advocate B. Educator C. Circulator D. Researcher E. Direct patient caregiver

A. Advocate B. Educator D. Researcher E. Direct patient caregiver

Which statement reflects application of the mechanism of injury (MOI) when providing trauma care? Select all that apply. A. Assists providers to predict type of injury B. Provides insight into why the injury occurred C. Allows trauma team to forecast outcomes of patient care D. Describes chain of events leading to injury, force involved, and body parts injured E. Enhances communication between emergency medical services and trauma care team

A. Assists providers to predict type of injury C. Allows trauma team to forecast outcomes of patient care E. Enhances communication between emergency medical services and trauma care team

The nurse is providing care for a patient who was assaulted with a baseball bat resulting in physical trauma to the abdomen. Which type of injury does the patient have? A. Blunt injury B. Thermal injury C. Laceration injury D. Penetrating injury

A. Blunt injury

Which injuries are classified as unintentional injuries? Select all that apply. A. Falls B. Burns C. Assault D. Suicide E. Homicide F. Motor vehicle crashes

A. Falls B. Burns F. Motor vehicle crashes

Which statement describes trauma? Select all that apply. A. Involves injury to living tissue B. Affects everyone, regardless of race or gender C. Results in more deaths than survivors each year D. Is a primary cause of fatality for patients of all ages E. Is a secondary function of emergency department services

A. Involves injury to living tissue B. Affects everyone, regardless of race or gender D. Is a primary cause of fatality for patients of all ages

The nurse is providing care at a large teaching hospital for a patient with critical injuries resulting from a high-speed car crash. Research is routinely conducted at the hospital. At which level of trauma center is the nurse located? A. Level I B. Level II C. Level III D. Level IV

A. Level I

Which components should be included in the hospital disaster response plan? Select all that apply. A. Method for identification of patients B. Needed supplies and where to bring them C. The location where team members should report D. A personal disaster plan for health care staff members E. Team members who should be called when the disaster response plan is initiated

A. Method for identification of patients B. Needed supplies and where to bring them C. The location where team members should report E. Team members who should be called when the disaster response plan is initiated

Which patient problem do nurses most commonly encounter in the emergency department? A. Pain B. Fever C. Poisoning D. Minor injuries

A. Pain

Incarcerated patients often undergo careful scrutiny by their health care providers. Which aspect related to providing emergency care is important when considering this patient population? Select all that apply. A. Safety B. Human dignity C. Ambulatory care D. Compassionate care E. Secure environment

A. Safety B. Human dignity D. Compassionate care E. Secure environment