NURS 404 EXAM 1 PRACTICE QUESTIONS WITH
VERIFIED ANSWERS
A patient with extensive electrical burn injuries is admitted to the emergency
department.
Which of these health care provider orders should the nurse implement first? - Answers
- Place on cardiac monitor
A nurse assesses a patient's peripheral IV site, and notices edema and tenderness
above
the site. What action will the nurse take next? - Answers - Stop the infusion of
intravenous fluids
During the early emergent phase of burns, the nurse will anticipate giving opioid
analgesics by the IV route so that: - Answers - The medications will be rapidly effective
The emergency department team is performing cardiopulmonary resuscitation on a
patient when the patient's spouse arrives at the emergency department. Which action
would the nurse take first? - Answers - Ask the spouse if he wishes to be present during
the resuscitation
A nurse in an emergency department is assessing a client who was bitten on the left leg
by a poisonous snake. The client has placed elastic bandages snuggly above and
below
the bite marks and is in no apparent distress. Which of the following actions should the
nurse take? - Answers - Obtain a prescription for the appropriate anti-venom
A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr.
The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual
IV
infusion to deliver how many gtt/min? Round. - Answers - 45
A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on
the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how
many gtt/min? Round. - Answers - 100
A nurse is preparing to administer 0.9% sodium chloride NSS 3000 mL to infuse over 24
hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the
manual IV infusions to deliver how many gtt/mL? (Round to the nearest whole number) -
Answers - 21
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1 L to infuse
at
, 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion
to deliver how many gtt/min? Round. - Answers - 2
The nurse is caring for a burn client would monitor the client's stools for occult blood as
assessment for development of: - Answers - Stress ulcer
A nurse in an emergency department is preparing to care for a client who is being
brought
in with multiple system trauma following a motor vehicle crash. Which of the following
should the nurse identify as the priority focus of care? - Answers - Airway protection
A nurse is helping to triage a group of clients at a mass casualty incident who were
involved in an explosion at a local factory. Which of the following clients should the
nurse tag to be the priority for care? - Answers - A client who has a piece of wood
punctured into the chest wall and has an audible hissing sound from the would site
A newly hired nurse found a 10 year old patient unresponsive. The nurse asked her
preceptor what's the best way to check for a pulse? Based on AHA guidelines, the
preceptor
responded accurately that for patients of this age, the most appropriate location to
check
for a pulse is: - Answers - Carotid
A nurse is triaging clients following a mass casualty event. Which of the following clients
should the nurse assess first? - Answers - Client who has severe respiratory stridor and
a deviated trachea
A nurse is caring for patients in a busy emergency department. What actions should the
nurse take to ensure patient and staff safety? SATA. - Answers - Use two identifiers
before each intervention and before med administration
Attempt de-escalation strategies for patients who demonstrate aggressive behavior
Search the belongings of patients with altered mental status to gain essential medical
information
A hospital prepares for a mass casualty event. Which functions are correctly paired with
personnel roll? SATA. - Answers - Hospital incident commander assumes overall
leadership for implementing the emergency plan
Triage officer rapidly evaluates each patient to determine priorities for treatment
The nurse would explain to a client that when a major burn occurs, the body's initial
systemic responses include: - Answers - Increased capillary permeability, decreased
cardiac output, and oliguria
A 53 year old woman collapses while gardening. She is unresponsive, is not breathing
and
VERIFIED ANSWERS
A patient with extensive electrical burn injuries is admitted to the emergency
department.
Which of these health care provider orders should the nurse implement first? - Answers
- Place on cardiac monitor
A nurse assesses a patient's peripheral IV site, and notices edema and tenderness
above
the site. What action will the nurse take next? - Answers - Stop the infusion of
intravenous fluids
During the early emergent phase of burns, the nurse will anticipate giving opioid
analgesics by the IV route so that: - Answers - The medications will be rapidly effective
The emergency department team is performing cardiopulmonary resuscitation on a
patient when the patient's spouse arrives at the emergency department. Which action
would the nurse take first? - Answers - Ask the spouse if he wishes to be present during
the resuscitation
A nurse in an emergency department is assessing a client who was bitten on the left leg
by a poisonous snake. The client has placed elastic bandages snuggly above and
below
the bite marks and is in no apparent distress. Which of the following actions should the
nurse take? - Answers - Obtain a prescription for the appropriate anti-venom
A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr.
The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual
IV
infusion to deliver how many gtt/min? Round. - Answers - 45
A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on
the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how
many gtt/min? Round. - Answers - 100
A nurse is preparing to administer 0.9% sodium chloride NSS 3000 mL to infuse over 24
hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the
manual IV infusions to deliver how many gtt/mL? (Round to the nearest whole number) -
Answers - 21
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1 L to infuse
at
, 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion
to deliver how many gtt/min? Round. - Answers - 2
The nurse is caring for a burn client would monitor the client's stools for occult blood as
assessment for development of: - Answers - Stress ulcer
A nurse in an emergency department is preparing to care for a client who is being
brought
in with multiple system trauma following a motor vehicle crash. Which of the following
should the nurse identify as the priority focus of care? - Answers - Airway protection
A nurse is helping to triage a group of clients at a mass casualty incident who were
involved in an explosion at a local factory. Which of the following clients should the
nurse tag to be the priority for care? - Answers - A client who has a piece of wood
punctured into the chest wall and has an audible hissing sound from the would site
A newly hired nurse found a 10 year old patient unresponsive. The nurse asked her
preceptor what's the best way to check for a pulse? Based on AHA guidelines, the
preceptor
responded accurately that for patients of this age, the most appropriate location to
check
for a pulse is: - Answers - Carotid
A nurse is triaging clients following a mass casualty event. Which of the following clients
should the nurse assess first? - Answers - Client who has severe respiratory stridor and
a deviated trachea
A nurse is caring for patients in a busy emergency department. What actions should the
nurse take to ensure patient and staff safety? SATA. - Answers - Use two identifiers
before each intervention and before med administration
Attempt de-escalation strategies for patients who demonstrate aggressive behavior
Search the belongings of patients with altered mental status to gain essential medical
information
A hospital prepares for a mass casualty event. Which functions are correctly paired with
personnel roll? SATA. - Answers - Hospital incident commander assumes overall
leadership for implementing the emergency plan
Triage officer rapidly evaluates each patient to determine priorities for treatment
The nurse would explain to a client that when a major burn occurs, the body's initial
systemic responses include: - Answers - Increased capillary permeability, decreased
cardiac output, and oliguria
A 53 year old woman collapses while gardening. She is unresponsive, is not breathing
and
