ELSEVIER ADAPTIVE QUIZZING UPDATED
COMPLETE QUESTIONS AND ANSWERS
PREMIUM LEARNING COMPANION
●● Which personnel can determine priorities for treatment in an
emergency response plan?
Answer: Answer: Triage Office
Rationale: The triage officer determines the priorities for treatment in an
emergency preparedness and emergency response plan. The public
information officer serves as a liaison between the health care facility
and the media. The medical command physician decides the number,
acuity, and resource needs of clients. The hospital incident commander
assumes overall leadership for implementing the emergency plan.
●● Which medication is unsafe to administer as an intravenous (IV)
bolus?
Answer: Answer: Potassium chloride
Rationale: Potassium chloride given as an IV bolus can cause cardiac
arrest. It must be diluted and infused slowly through an IV infusion
pump. Saline flush, naloxone, and adenosine are appropriate to be given
as an IV bolus undiluted.Test-Taking Tip: Become familiar with reading
questions on a computer screen. Familiarity reduces anxiety and
decreases errors.
, ●● A 2-year-old toddler is to have intravenous (IV) antibiotic therapy.
Which action will the nurse take to prevent the child from pulling out the
IV line?
Answer: Answer: Cover the IV site with a protective device
Rationale: Restraints are a last resort; they cause more anxiety and
agitation as the child attempts to get free. Verbal instructions are not
sufficient for a 2-year-old child. Securing the IV site and putting
protection around it decreases the likelihood that the IV line will be
pulled out. Although the family should be involved in care, the staff, not
the family, is responsible for preventing the child from pulling out the IV
line.
●● A client who takes four 325-mg tablets of buffered aspirin four times
a day for severe arthritis complains of dizziness and ringing in the ears.
Which complication would the nurse conclude that the client probably is
experiencing?
Answer: Answer: Salicylate toxicity
Rationale: Aspirin is a salicylate; excessive aspirin ingestion can
influence the vestibulocochlear nerve (cranial nerve VIII), causing
tinnitus and dizziness. The client is experiencing symptoms of toxicity,
not an allergic response. Withdrawal symptoms occur when a medication
is no longer being administered. Tolerance describes a condition in
which additional medication is needed to achieve an effect; it is not
associated with the development of new symptoms.
COMPLETE QUESTIONS AND ANSWERS
PREMIUM LEARNING COMPANION
●● Which personnel can determine priorities for treatment in an
emergency response plan?
Answer: Answer: Triage Office
Rationale: The triage officer determines the priorities for treatment in an
emergency preparedness and emergency response plan. The public
information officer serves as a liaison between the health care facility
and the media. The medical command physician decides the number,
acuity, and resource needs of clients. The hospital incident commander
assumes overall leadership for implementing the emergency plan.
●● Which medication is unsafe to administer as an intravenous (IV)
bolus?
Answer: Answer: Potassium chloride
Rationale: Potassium chloride given as an IV bolus can cause cardiac
arrest. It must be diluted and infused slowly through an IV infusion
pump. Saline flush, naloxone, and adenosine are appropriate to be given
as an IV bolus undiluted.Test-Taking Tip: Become familiar with reading
questions on a computer screen. Familiarity reduces anxiety and
decreases errors.
, ●● A 2-year-old toddler is to have intravenous (IV) antibiotic therapy.
Which action will the nurse take to prevent the child from pulling out the
IV line?
Answer: Answer: Cover the IV site with a protective device
Rationale: Restraints are a last resort; they cause more anxiety and
agitation as the child attempts to get free. Verbal instructions are not
sufficient for a 2-year-old child. Securing the IV site and putting
protection around it decreases the likelihood that the IV line will be
pulled out. Although the family should be involved in care, the staff, not
the family, is responsible for preventing the child from pulling out the IV
line.
●● A client who takes four 325-mg tablets of buffered aspirin four times
a day for severe arthritis complains of dizziness and ringing in the ears.
Which complication would the nurse conclude that the client probably is
experiencing?
Answer: Answer: Salicylate toxicity
Rationale: Aspirin is a salicylate; excessive aspirin ingestion can
influence the vestibulocochlear nerve (cranial nerve VIII), causing
tinnitus and dizziness. The client is experiencing symptoms of toxicity,
not an allergic response. Withdrawal symptoms occur when a medication
is no longer being administered. Tolerance describes a condition in
which additional medication is needed to achieve an effect; it is not
associated with the development of new symptoms.
