Material
An emergency department nurse is preparing to transfer a client to the trauma intensive care
unit. Which information is important for the nurse to include in the nurse-to-nurse hand-off
report? (select all that apply) - ANS✔✔ mechanism of injury, isolation precautions, diagnostic
test results
A patient admitted for abdominal pain and is listed as "urgent" should be seen within what time
frame? - ANS✔✔ 30 min
The nurse is caring for four clients in an emergency department. Which client should be
provided with immediate care based on priority? - ANS✔✔ bronchiolitis
What is the correct order of steps involved in secondary survey? - ANS✔✔ VITALS, COMFORT
MEASURES, PATIENT HISTORY, HEAD TO TOE ASSESSMENT
After assessing a client's reports, the nurse confirms that the client has moderate hypothermia.
What should be the nurse's immediate intervention? Select all that apply. - ANS✔✔ 02, SUPINE,
HEATING BLANKETS
Which nursing actions are appropriate during the primary survey of the emergency assessment
process? Select all that apply. - ANS✔✔ IMMOBILIZE, PREPARE FOR CHEST TUBE, DIRECT
PRESSURE
The body temperature of a heat stroke client is above 104° F (40° C). What is the priority order
the nurse would use for cooling the client so that breathing and circulation are not impaired? -
ANS✔✔ REMOVE CLOTHES, ICE PACKS, COLD WATER, FAN