Practice QS exam 4
Advanced Concepts
Of Medical-Surgical
Nursing (Galen
College of Nursing)
, lOMoAR cPSD| 64639315
NUR 265 Practice units 9,10 and 11
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
____ 1. An emergency room nurse is triaging victims of a multi-casualty
event. Which client should receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
____ 2. While triaging clients in a crowded emergency department, a
nurse assesses a client who presents with symptoms of tuberculosis.
Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
____ 3. A nurse is triaging clients in the emergency department (ED).
Which client should the nurse prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a
temperature of 101°
F
____ 4. Emergency medical technicians arrive at the emergency
department with an unresponsive client who has an oxygen mask in place.
Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
, lOMoAR cPSD| 64639315
c. Place the client on a cardiac monitor.
d. Assess for the best neurologic response.
____ 5. A trauma client with multiple open wounds is brought to the
emergency department in cardiac arrest. Which action should the nurse
take prior to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
____ 6. A nurse is triaging clients in the emergency department. Which
client should be considered “urgent”?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102° F
d. A 50-year-old male with new-onset confusion and slurred
speech
____ 7. An emergency department nurse is caring for a client who has
died from a suspected homicide. Which action should the nurse take?
a. Remove all tubes and wires in preparation for the medical
examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the
grieving family.
d. Communicate the client’s death to the family in a simple and
concrete manner.
____ 8. An emergency department (ED) case manager is consulted for a
client who is homeless. Which intervention should the case manager
provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired
infection.
c. Provide referrals to subsidized community-based health clinics.
, lOMoAR cPSD| 64639315
d. Offer counseling for substance abuse and mental health
disorders.
____ 9. On a hot humid day, an emergency department nurse is caring
for a client who is confused and has these vital signs: temperature 104.1° F
(40.1° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure
106/66 mm Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes.
____ 10. While at a public park, a nurse encounters a person immediately
after a bee sting. The person’s lips are swollen, and wheezes are audible.
Which action should the nurse take first?
a. Elevate the site and notify the person’s next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911.
____ 11. A client presents to the emergency department after prolonged
exposure to the cold. The client is difficult to arouse and speech is
incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client’s extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis.
____ 12. An emergency department nurse cares for a middle-aged
mountain climber who is confused and exhibits bizarre behaviors. After
administering oxygen, which priority intervention should the nurse
implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini–mental state examination.
c. Prepare the client for computed tomography of the brain.
Advanced Concepts
Of Medical-Surgical
Nursing (Galen
College of Nursing)
, lOMoAR cPSD| 64639315
NUR 265 Practice units 9,10 and 11
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
____ 1. An emergency room nurse is triaging victims of a multi-casualty
event. Which client should receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
____ 2. While triaging clients in a crowded emergency department, a
nurse assesses a client who presents with symptoms of tuberculosis.
Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
____ 3. A nurse is triaging clients in the emergency department (ED).
Which client should the nurse prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a
temperature of 101°
F
____ 4. Emergency medical technicians arrive at the emergency
department with an unresponsive client who has an oxygen mask in place.
Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
, lOMoAR cPSD| 64639315
c. Place the client on a cardiac monitor.
d. Assess for the best neurologic response.
____ 5. A trauma client with multiple open wounds is brought to the
emergency department in cardiac arrest. Which action should the nurse
take prior to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
____ 6. A nurse is triaging clients in the emergency department. Which
client should be considered “urgent”?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102° F
d. A 50-year-old male with new-onset confusion and slurred
speech
____ 7. An emergency department nurse is caring for a client who has
died from a suspected homicide. Which action should the nurse take?
a. Remove all tubes and wires in preparation for the medical
examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the
grieving family.
d. Communicate the client’s death to the family in a simple and
concrete manner.
____ 8. An emergency department (ED) case manager is consulted for a
client who is homeless. Which intervention should the case manager
provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired
infection.
c. Provide referrals to subsidized community-based health clinics.
, lOMoAR cPSD| 64639315
d. Offer counseling for substance abuse and mental health
disorders.
____ 9. On a hot humid day, an emergency department nurse is caring
for a client who is confused and has these vital signs: temperature 104.1° F
(40.1° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure
106/66 mm Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes.
____ 10. While at a public park, a nurse encounters a person immediately
after a bee sting. The person’s lips are swollen, and wheezes are audible.
Which action should the nurse take first?
a. Elevate the site and notify the person’s next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911.
____ 11. A client presents to the emergency department after prolonged
exposure to the cold. The client is difficult to arouse and speech is
incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client’s extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis.
____ 12. An emergency department nurse cares for a middle-aged
mountain climber who is confused and exhibits bizarre behaviors. After
administering oxygen, which priority intervention should the nurse
implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini–mental state examination.
c. Prepare the client for computed tomography of the brain.
