QUESTIONS AND WELL DETAILED VERIFIED
ANSWERS|GRADED A+|NEWEST 2026/2027
UPDATE
A 65-year-old patient arrived at the triage area with
complaints of diaphoresis, dizziness, and left-sided chest
pain. This patient should be prioritized into which category?
A
Non-urgent.
B
Urgent.
C
Emergent.
D
High urgent.
C. Emergent
Chest pain is considered an emergent priority, which is
defined as potentially life-threatening. Option B: Clients
with urgent priority need treatment within 2 hours of triage
(e.g. kidney stones). Option A: Non-urgent conditions can
wait for hours or even days. Option D: High urgent is not
commonly used; however, in 5-tier triage systems, High
urgent patients fall between emergent and urgent in terms
of the time elapsing prior to treatment.
,You respond to a call for help from the ED waiting room.
There is an elderly patient lying on the floor. List the order
for the actions that you must perform.
1. Call for help and activate the code team.
2. Instruct a nursing assistant to get the emergency cart.
3. Initiate cardiopulmonary resuscitation (CPR).
4. Perform the chin lift or jaw thrust maneuver.
5. Establish unresponsiveness.
A
5, 2, 4, 3, 1
B
1, 5, 2, 4, 3
C
1, 2, 5, 4, 3
D
5, 1, 4, 3, 2
D
5, 1, 4, 3, 2
Establish unresponsiveness first. (The patient may have
fallen and sustained a minor injury.) If the patient is
unresponsive, get help and have someone initiate the code.
Performing the chin lift or jaw thrust maneuver opens the
airway. The nurse is then responsible for starting CPR. CPR
should not be interrupted until the patient recovers or it is
determined that heroic efforts have been exhausted. A
crash cart should be at the site when the code team arrives;
however, basic CPR can be effectively performed until the
team arrives.
, You are caring for a client with a frostbite on the feet. Place
the following interventions in the correct order.
1. Immerse the feet in warm water 100° F to 105° F (40.6º C
to 46.1° C).
2. Remove the victim from the cold environment.
3. Monitor for signs of compartment syndrome.
4. Apply a loose, sterile, bulky dressing.
5. Administer a pain medication.
A
5, 2, 1, 3, 4
B
2, 5, 1, 4, 3
C
2, 1, 5, 3, 4
D
3, 2, 1, 4, 5
A
5, 2, 1, 3, 4
B
2, 5, 1, 4, 3
C
2, 1, 5, 3, 4
D
3, 2, 1, 4, 5