EDAPT Trauma & Emergency Nursing Exam – Primary Survey, Triage & Priority Actions|Verified Questions provided with A+ Graded Verified Rationales Latest Updated 2026

EDAPT Trauma & Emergency Nursing Exam – Primary Survey, Triage & Priority Actions|Verified Questions provided with A+ Graded Verified Rationales Latest Updated 2026 A nurse is performing a primary survey in the emergency department (ED). What are the components of the primary survey? Select all that apply. Disability Breathing Circulation Alertness Exposure While conducting the primary survey, it may be necessary to gather additional data. Which adjunct measures should be initiated? Select all that apply. Collect blood specimens for laboratory testing. Determine pain level. Initiate continuous cardiac monitoring. Monitor oxygenation. A client presents to the emergency department with periorbital bruising and a dysconjugate gaze (failure of the eyes to turn together in the same direction). Which intervention is contraindicated? Insert a nasogastric tube. Review the four clients below and properly assign them the correct emergency service index (ESI). Client 1: 5 Client 2: 1 Client 3: 4 Client 4: 2 A client presents to the emergency department following a motor vehicle accident with a compound fracture of the left femur. During the primary survey, the nurse notes asymmetric chest wall movement and absent breath sounds on the left side. Pulse is 125, and respiratory rate is 36. What is the priority action of the nurse? Administer 100% oxygen via bag-valve-mask device. The body loses heat through four mechanisms: radiation, conduction, convection, and evaporation. Match the type of heat loss to the example. Radiation - Bed near a cold window Conduction - Cold operating room table Convection - Wind chill Evaporation - Wet clothing The nurse is caring for a client experiencing homelessness who arrives to the emergency department via ambulance with a core body temperature of 87ºF (30.5ºC). Which assessment findings should the nurse anticipate? Select all that apply. Bradypnea Shivering Kussmaul respirations Hematocrit 55% A catastrophic disaster occurred 3 miles from the hospital. As clients begin to arrive at the facility, identify which color triage tag should be placed on each. Victim is walking around with minor lacerations on the arms, hands, chest, and legs. All vital signs are normal, and the client can obey simple commands. This victim should be tagged __________. Victim is not breathing, has no radial pulse, and does not respond to simple commands. This victim should be tagged __________. Victim is unable to walk but able to obey simple commands. Respiration rate is 20, and capillary refill is 2 seconds. This victim should be tagged __________. Victim is unable to walk, unresponsive, respiration rate is 12, and pulse is weak and thready. This victim should be tagged __________. Green Black Yellow Red A ski lift collapsed in a local community 3 miles from the hospital. First responders report at least 50 victims will need medical evaluation and care. The first action of the nursing supervisor in the emergency department is to __________. The victim should be tagged __________. Emergency Severity Index is a level __________. The priority nursing action is __________. Activate the emergency response plan Red 2 Support airway and breathing The second victim of the disaster arrives to the emergency department on a backboard with cervical immobilization. The client's left leg has an obvious deformity of the tibia. A peripheral intravenous (IV) infusion is started with warmed normal saline. Vital signs 10 minutes ago were BP 89/68, HR 125, R 16/min, and T 93ºF (33.9ºC). Glasgow Coma Scale (GCS) is 10. Place the fo