EMERGENCY NURSING PRACTICE
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES TRIAGE,
TRAUMA AND DISASTER MANAGEMENT
A+ EXAM PREPARATION
Which clients have a greater risk for hypothermia or frostbite? (Select all
that apply.)
a. A young man who has just consumed six martinis
b. A young man with a body mass index (BMI) of 42
c. An older man who smokes
d. A young woman who is anorexic
e. A young man with hypertension
f. A young woman who is diabetic - CORRECT ANSWER-A, C, D, F
Which instructions should the nurse include in teaching about prevention
of lightning injuries? (Select all that apply.)
a. Stay off the telephone.
b. Seek shelter inside a building or vehicle.
c. Seek shelter under a tall tree.
d. Do not take a bath or shower.
e. Turn off the radio.
f. Remove body piercings.
,g. Put down golf clubs or gardening tools. - CORRECT ANSWER-A, B, D,
E, G
1. The nurse has been assigned the role of triage nurse after an explosion at
a local factory. What is the priority action of the nurse?
a. Calls in additional staff to assist with victims of the explosion
b. Splints fractures and dresses lacerations
c. Performs a rapid assessment of clients to determine priority of care
d. Provides psychological support to staff and family members - CORRECT
ANSWER-C
. A client who recently lost his home in a fire becomes angry and screams at
the
nurse when his dinner tray is late. What is the nurse's best response?
a. "Settle down, the dinner is still hot."
b. "I will not be caring for you again."
c. "I suggest that you get control of yourself."
d. "Let's talk about this." - CORRECT ANSWER-D
A woman comes to the clinic complaining of heart palpitations, dizziness,
and fatigue. During the assessment, she tells the nurse that her only son
was recently killed during a school shooting. What is the nurse's most
appropriate action?
a. To call for a cardiac referral
b. To listen and encourage relaxation
c. To assess for further flu symptoms
, d. To refer the client to a psychiatrist - CORRECT ANSWER-B
There has been an industrial explosion near the hospital and many victims
are
brought to the emergency room (ER) for treatment of their injuries. Which
victim will be
triaged with a red tag as emergent?
a. An older adult with a dislocated right hip and an open fracture of the
right lower leg
b. A man with a large contusion on his forehead and a bloody nose
c. A woman with a closed fracture of the right clavicle and numbness in her
right arm
d. A woman with multiple fractured ribs and shortness of breath -
CORRECT ANSWER-D
The nurse is working with a paramedic who just finished assisting at the
scene of a school shooting where several students were killed. Which
statement by the nurse would be most therapeutic?
a. "Would you like to talk about what happened?"
b. "Surely, the department will give you the day off tomorrow."
c. "At least the gunman was taken into custody."
d. "Let's just sit here for a while quietly." - CORRECT ANSWER-A
A young man comes into the foyer of the hospital and says that he has a
container of anthrax, which he opens and pours on the floor. Which is the
priority action for the nurse who first comes upon the scene?