NURS 370 - MIDTERM Exam Questions with Correct Answers
(Grade A+)
Question 1: In ABCDE what is included in A (airway)? (select all that apply) a. voice b. RR c. breath
sounds d. pulse oximetry e. chest wall movement
Answer: a, c
Question 2: In ABCDE what is included in B (breathing)? (select all that apply) a. RR b. chest wall
movements c. voice d. chest percussion e. lung auscultation f. sputum examination g. pulse oximetry h.
breath sounds
Answer: a, b, d, e, g
Question 3: What is included in circulation (C) of ABCDE? (select all that apply) a. skin colour b.
sweating c. cap refill time d. pulse rate e. heart auscultation f. fluid balance g. blood pressure h. ECG
monitoring
Answer: a, b, c, d, e, g, h
Question 4: What is included in disability (D) of ABCDE? (select all that apply) a. LOC (GCS) b. limb
movements c. pupillary light reflex d. temperature e. blood glucose
Answer: a, b, c, e
Question 5: What is included in exposure (E) of ABCDE? (select all that apply) a. expose skin b.
temperature c. blood glucose d. skin reactions e. needle marks
Answer: a, b, d, e
Question 6: A mass casualty event has occurred in your local region of residency. An explosion
occurred at a football game where hundreds of individuals were injured. A half an hour after the
explosion, two passenger trains collided resulting in more injuries. You have been called in to work via
the emergency call tree. Once at work, you were assigned to one of the 4 triage tents in the parking lot
of the hospital. Note that you have limited resources and limited operation rooms. Place the following
patients in order of importance using the color- coded mass causality system. 1. 24 year old female,
with a forehead laceration from flying debris. She had no loss of consciousness. 2. 38 year old male,
with crushing injuries to bilateral legs, HR 112, Resp 22, BP 90/50. 3. 65 year old female patient with
palpitations. Heart rate is 125 bpm. Patient is not diaphoretic and not short of breath Resp 16. 4. 18
Page 1
, Question 6 (continued):
year old female with bila
Answer: 2, 3, 1, 4
Question 7: A 4-year-old is brought to Emergency by his parents, who report he swallowed a small toy.
What symptom suggests complete airway obstruction by a foreign body? A. Gagging B. Coughing C.
Inability to speak D. Rapid respirations
Answer: c
Question 8: The adult client is newly admitted to the ward following surgery. Which assessment
finding should be the RN's priority? A. The surgical site dressing has a scant amount of bright red
blood. B. The client is sleeping but easily arouses when touched. C. The client's respirations are 6 to 8
breaths per minute. D. The client's blood pressure is 100/68 mm Hg.
Answer: c
Question 9: The nurse is caring for a client who had a total hip replacement four days ago. Which
assessment requires the nurse's immediate attention? A. "I have bad pain in my lower leg" B. "I just
can't 'catch my breath'" C. "I have to use the bedpan to pee at least every hour." D. "The pain
medication is not working today."
Answer: b
Question 10: There has been a train derailment and four people are injured. Which patient should the
RN see first? A. Client who is 20 years of age who has unequal pupils and is tachypneic B. Client who is
80 years old complaining of a "racing heart" and has a laceration on his arm C. Client who is 10 years
old with a swollen wrist D. Client who is 25 years old with an open chest wall wound
Answer: d
Question 11: The client just returned to the nursing unit following surgery. Which observation by the
RN requires the most immediate intervention? A. The client is sleepy B. The client coughed up blood-
tinged sputum C. Oxygen saturation level is 82% D. Jackson-Pratt wound drain is half full
Answer: c
Question 12: Operational health literacy
Answer: Ability to utilize tools, procedures, techniques for handline language proficiently. Reading,
writing, speaking, and numeracy skills.
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(Grade A+)
Question 1: In ABCDE what is included in A (airway)? (select all that apply) a. voice b. RR c. breath
sounds d. pulse oximetry e. chest wall movement
Answer: a, c
Question 2: In ABCDE what is included in B (breathing)? (select all that apply) a. RR b. chest wall
movements c. voice d. chest percussion e. lung auscultation f. sputum examination g. pulse oximetry h.
breath sounds
Answer: a, b, d, e, g
Question 3: What is included in circulation (C) of ABCDE? (select all that apply) a. skin colour b.
sweating c. cap refill time d. pulse rate e. heart auscultation f. fluid balance g. blood pressure h. ECG
monitoring
Answer: a, b, c, d, e, g, h
Question 4: What is included in disability (D) of ABCDE? (select all that apply) a. LOC (GCS) b. limb
movements c. pupillary light reflex d. temperature e. blood glucose
Answer: a, b, c, e
Question 5: What is included in exposure (E) of ABCDE? (select all that apply) a. expose skin b.
temperature c. blood glucose d. skin reactions e. needle marks
Answer: a, b, d, e
Question 6: A mass casualty event has occurred in your local region of residency. An explosion
occurred at a football game where hundreds of individuals were injured. A half an hour after the
explosion, two passenger trains collided resulting in more injuries. You have been called in to work via
the emergency call tree. Once at work, you were assigned to one of the 4 triage tents in the parking lot
of the hospital. Note that you have limited resources and limited operation rooms. Place the following
patients in order of importance using the color- coded mass causality system. 1. 24 year old female,
with a forehead laceration from flying debris. She had no loss of consciousness. 2. 38 year old male,
with crushing injuries to bilateral legs, HR 112, Resp 22, BP 90/50. 3. 65 year old female patient with
palpitations. Heart rate is 125 bpm. Patient is not diaphoretic and not short of breath Resp 16. 4. 18
Page 1
, Question 6 (continued):
year old female with bila
Answer: 2, 3, 1, 4
Question 7: A 4-year-old is brought to Emergency by his parents, who report he swallowed a small toy.
What symptom suggests complete airway obstruction by a foreign body? A. Gagging B. Coughing C.
Inability to speak D. Rapid respirations
Answer: c
Question 8: The adult client is newly admitted to the ward following surgery. Which assessment
finding should be the RN's priority? A. The surgical site dressing has a scant amount of bright red
blood. B. The client is sleeping but easily arouses when touched. C. The client's respirations are 6 to 8
breaths per minute. D. The client's blood pressure is 100/68 mm Hg.
Answer: c
Question 9: The nurse is caring for a client who had a total hip replacement four days ago. Which
assessment requires the nurse's immediate attention? A. "I have bad pain in my lower leg" B. "I just
can't 'catch my breath'" C. "I have to use the bedpan to pee at least every hour." D. "The pain
medication is not working today."
Answer: b
Question 10: There has been a train derailment and four people are injured. Which patient should the
RN see first? A. Client who is 20 years of age who has unequal pupils and is tachypneic B. Client who is
80 years old complaining of a "racing heart" and has a laceration on his arm C. Client who is 10 years
old with a swollen wrist D. Client who is 25 years old with an open chest wall wound
Answer: d
Question 11: The client just returned to the nursing unit following surgery. Which observation by the
RN requires the most immediate intervention? A. The client is sleepy B. The client coughed up blood-
tinged sputum C. Oxygen saturation level is 82% D. Jackson-Pratt wound drain is half full
Answer: c
Question 12: Operational health literacy
Answer: Ability to utilize tools, procedures, techniques for handline language proficiently. Reading,
writing, speaking, and numeracy skills.
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