RN 402 Exam 3 Practice Questions
With Complete Solutions
1. During the primary assessment of a victim of a motor vehicle collision, the
nurse determines that the patient is breathing and has an unobstructed airway.
Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patients respiratory effort.
c. Check the patients level of consciousness.
d. Examine the patient for any external bleeding. - ANSWER b. Observe the
patients respiratory effort.
2. During the primary survey of a patient with severe leg trauma, the nurse
observes that the patients left pedal pulse is absent and the leg is swollen.
Which action will the nurse take next?
a. Send blood to the lab for a complete blood count.
b. Assess further for a cause of the decreased circulation.
c. Finish the airway, breathing, circulation, disability survey.
d. Start normal saline fluid infusion with a large-bore IV line. - ANSWER d. Start
normal saline fluid infusion with a large-bore IV line.
4. A patient who is unconscious after a fall from a ladder is transported to the
emergency department by emergency medical personnel. During the primary
survey of the patient, the nurse should
a. obtain a complete set of vital signs.
b. obtain a Glasgow Coma Scale score.
c. ask about chronic medical conditions.
d. attach a cardiac electrocardiogram monitor. - ANSWER b. obtain a Glasgow
Coma Scale score.
3. After the return of spontaneous circulation following the resuscitation of a
patient who had a cardiac arrest, therapeutic hypothermia is ordered. Which
action will the nurse include in the plan of care?
a. Apply external cooling device.
b. Check mental status every 15 minutes.
c. Avoid the use of sedative medications.
d. Rewarm if temperature is <91 F (32.8 C). - ANSWER a. Apply external cooling
device.
, 5. A 19-year-old is brought to the emergency department (ED) with multiple
lacerations and tissue avulsion of the left hand. When asked about tetanus
immunization, the patient denies having any previous vaccinations. The nurse
will anticipate giving
a. tetanus immunoglobulin (TIG) only.
b. TIG and tetanus-diphtheria toxoid (Td).
c. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
d. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap). - ANSWER d.
TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).
6. A patient who has experienced blunt abdominal trauma during a motor vehicle
collision is complaining of increasing abdominal pain. The nurse will plan to
teach the patient about the purpose of
a. peritoneal lavage.
b. abdominal ultrasonography.
c. nasogastric (NG) tube placement.
d. magnetic resonance imaging (MRI). - ANSWER b. abdominal ultrasonography.
7. A patient with hypotension and an elevated temperature after working outside
on a hot day is treated in the emergency department (ED). The nurse determines
that discharge teaching has been effective when the patient makes which
statement?
a. I will take salt tablets when I work outdoors in the summer.
b. I should take acetaminophen (Tylenol) if I start to feel too warm.
c. I should drink sports drinks when working outside in hot weather.
d. I will move to a cool environment if I notice that I am feeling confused. -
ANSWER c. I should drink sports drinks when working outside in hot weather.
8. A 22-year-old patient who experienced a near drowning accident in a local
pool, but now is awake and breathing spontaneously, is admitted for
observation. Which assessment will be most important for the nurse to take
during the observation period?
a. Auscultate heart sounds.
b. Palpate peripheral pulses.
c. Auscultate breath sounds.
d. Check pupil reaction to light. - ANSWER c. Auscultate breath sounds.
9. When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse manager will plan to obtain
adequate quantities of
a. vaccine.
b. atropine.
c. antibiotics.
d. whole blood. - ANSWER a. vaccine.
With Complete Solutions
1. During the primary assessment of a victim of a motor vehicle collision, the
nurse determines that the patient is breathing and has an unobstructed airway.
Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patients respiratory effort.
c. Check the patients level of consciousness.
d. Examine the patient for any external bleeding. - ANSWER b. Observe the
patients respiratory effort.
2. During the primary survey of a patient with severe leg trauma, the nurse
observes that the patients left pedal pulse is absent and the leg is swollen.
Which action will the nurse take next?
a. Send blood to the lab for a complete blood count.
b. Assess further for a cause of the decreased circulation.
c. Finish the airway, breathing, circulation, disability survey.
d. Start normal saline fluid infusion with a large-bore IV line. - ANSWER d. Start
normal saline fluid infusion with a large-bore IV line.
4. A patient who is unconscious after a fall from a ladder is transported to the
emergency department by emergency medical personnel. During the primary
survey of the patient, the nurse should
a. obtain a complete set of vital signs.
b. obtain a Glasgow Coma Scale score.
c. ask about chronic medical conditions.
d. attach a cardiac electrocardiogram monitor. - ANSWER b. obtain a Glasgow
Coma Scale score.
3. After the return of spontaneous circulation following the resuscitation of a
patient who had a cardiac arrest, therapeutic hypothermia is ordered. Which
action will the nurse include in the plan of care?
a. Apply external cooling device.
b. Check mental status every 15 minutes.
c. Avoid the use of sedative medications.
d. Rewarm if temperature is <91 F (32.8 C). - ANSWER a. Apply external cooling
device.
, 5. A 19-year-old is brought to the emergency department (ED) with multiple
lacerations and tissue avulsion of the left hand. When asked about tetanus
immunization, the patient denies having any previous vaccinations. The nurse
will anticipate giving
a. tetanus immunoglobulin (TIG) only.
b. TIG and tetanus-diphtheria toxoid (Td).
c. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
d. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap). - ANSWER d.
TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).
6. A patient who has experienced blunt abdominal trauma during a motor vehicle
collision is complaining of increasing abdominal pain. The nurse will plan to
teach the patient about the purpose of
a. peritoneal lavage.
b. abdominal ultrasonography.
c. nasogastric (NG) tube placement.
d. magnetic resonance imaging (MRI). - ANSWER b. abdominal ultrasonography.
7. A patient with hypotension and an elevated temperature after working outside
on a hot day is treated in the emergency department (ED). The nurse determines
that discharge teaching has been effective when the patient makes which
statement?
a. I will take salt tablets when I work outdoors in the summer.
b. I should take acetaminophen (Tylenol) if I start to feel too warm.
c. I should drink sports drinks when working outside in hot weather.
d. I will move to a cool environment if I notice that I am feeling confused. -
ANSWER c. I should drink sports drinks when working outside in hot weather.
8. A 22-year-old patient who experienced a near drowning accident in a local
pool, but now is awake and breathing spontaneously, is admitted for
observation. Which assessment will be most important for the nurse to take
during the observation period?
a. Auscultate heart sounds.
b. Palpate peripheral pulses.
c. Auscultate breath sounds.
d. Check pupil reaction to light. - ANSWER c. Auscultate breath sounds.
9. When planning the response to the potential use of smallpox as an agent of
terrorism, the emergency department (ED) nurse manager will plan to obtain
adequate quantities of
a. vaccine.
b. atropine.
c. antibiotics.
d. whole blood. - ANSWER a. vaccine.
