MDC4 Final Exam Questions and
Answers 2024 Updated
What does triaging do? - CORRECT ANSWER-*acts as gatekeeper*
helps prioritize patient care based on illness and severity level
According to triage, what patients would be seen firtst - CORRECT ANSWER-highest
acuity patients will receive quickest intervention
(Most ill/severe will get seen first)
What is a good model for triaging patients? - CORRECT ANSWER-ABCs
Is hospital triaging the same as mass casualty triaging? - CORRECT ANSWER-NO
Which triage situation uses tags? - CORRECT ANSWER-mass casualties
what are the categories of triage? - CORRECT ANSWER-- emergent
- urgent
- nonurgent
- primary survey
what classifies a patient as emergent according to triage - CORRECT ANSWER-- life
threatening injuries
- needs immediate treatment
what patient conditions warrant an emergent status of triage - CORRECT ANSWER--
respiratory distress
- chest pain with diaphoresis
- stroke
- active hemorrhage
- unstable vitals
what classifies a patient as urgent according to triage - CORRECT ANSWER-patient
should be treated quickly but there is not and immediate threat to life
what patient conditions warrant an urgent status for triage - CORRECT ANSWER--
severe abdominal pain
- renal colic
- displaced multiple fractures
- new onset of respiratory infection (pneumonia)
,what classifies a patient as nonurgent according to triage - CORRECT ANSWER-
patient can wait several hours without a risk to life
what patient conditions warrant a nonurgent status for triage - CORRECT ANSWER--
skin rash
- strains/sprains
- colds
- simple fracture
what is a primary survey that should be performed while triaging? - CORRECT
ANSWER-ABCDE
what does ABCDE stand for in triaging patients - CORRECT ANSWER-A:
Airway/cervical spine
B: Breathing
C: Circulation
D: Disability
E: Exposure
what does the "A" refer to in ABCDE - CORRECT ANSWER-airway, cervical spine
- patent airway
- immobilize spine
**do NOT move patient
what does the "B" refer to in ABCDE - CORRECT ANSWER-breathing
- assess sounds
- assess chest wall movement
what does the "C" refer to in ABCDE - CORRECT ANSWER-circulation
- vitals (BP and pulse)
- maintain vascular access
- stop any bleeding
what does the "D" refer to in ABCDE - CORRECT ANSWER-disability
*LOC
what does the "E" refer to in ABCDE - CORRECT ANSWER-exposure
- get clothes off
- use blankets to prevent hypothermia
, what is the one exception to ABCDE? - CORRECT ANSWER-in excessive bleeding,
you would prioritize "C" before "AB"
what is a secondary survey? - CORRECT ANSWER-comprehensive head to toe
assessment
if warranted during the secondary survey, what would a nurse likely do? - CORRECT
ANSWER-- insert NG tube
- insert catheter
- prep for diagnostics
what does drowning lead to? - CORRECT ANSWER-leads to loss of surfactant in lungs
which causes alveolar collapse and pulmonary edema
is dehydration common in heat exhaustion? - CORRECT ANSWER-YES
what can major diaphoresis cause? - CORRECT ANSWER-severe dehydration and
hyponatremia
if heat exhaustion goes untreated, what can it cause? - CORRECT ANSWER-heat
stroke
what are the s/s of heat exhaustion - CORRECT ANSWER--dehydration
-decrease in blood volume
-decrease in BP
-tachycardia
what is the first intervention for a person expected to have heat exhaustion? -
CORRECT ANSWER-stop their physical activity and transfer to a cool place
what is the quickest way to reduce someone's temperature? - CORRECT ANSWER--
remove clothing
- remove bed linen
what interventions are there for cooling patients down? - CORRECT ANSWER-- cold
pack on the neck, chest, abdomen, and groin
- soak in cool water
when rehydrating someone with heat exhaustion, should you use water or a sports
drink/oral reydration solution? - CORRECT ANSWER-Sports drink/oral hydration
solution
why is a sports drink better at rehydrating patients with heat exhaustion? - CORRECT
ANSWER-plain water can worsen sodium deficits
Answers 2024 Updated
What does triaging do? - CORRECT ANSWER-*acts as gatekeeper*
helps prioritize patient care based on illness and severity level
According to triage, what patients would be seen firtst - CORRECT ANSWER-highest
acuity patients will receive quickest intervention
(Most ill/severe will get seen first)
What is a good model for triaging patients? - CORRECT ANSWER-ABCs
Is hospital triaging the same as mass casualty triaging? - CORRECT ANSWER-NO
Which triage situation uses tags? - CORRECT ANSWER-mass casualties
what are the categories of triage? - CORRECT ANSWER-- emergent
- urgent
- nonurgent
- primary survey
what classifies a patient as emergent according to triage - CORRECT ANSWER-- life
threatening injuries
- needs immediate treatment
what patient conditions warrant an emergent status of triage - CORRECT ANSWER--
respiratory distress
- chest pain with diaphoresis
- stroke
- active hemorrhage
- unstable vitals
what classifies a patient as urgent according to triage - CORRECT ANSWER-patient
should be treated quickly but there is not and immediate threat to life
what patient conditions warrant an urgent status for triage - CORRECT ANSWER--
severe abdominal pain
- renal colic
- displaced multiple fractures
- new onset of respiratory infection (pneumonia)
,what classifies a patient as nonurgent according to triage - CORRECT ANSWER-
patient can wait several hours without a risk to life
what patient conditions warrant a nonurgent status for triage - CORRECT ANSWER--
skin rash
- strains/sprains
- colds
- simple fracture
what is a primary survey that should be performed while triaging? - CORRECT
ANSWER-ABCDE
what does ABCDE stand for in triaging patients - CORRECT ANSWER-A:
Airway/cervical spine
B: Breathing
C: Circulation
D: Disability
E: Exposure
what does the "A" refer to in ABCDE - CORRECT ANSWER-airway, cervical spine
- patent airway
- immobilize spine
**do NOT move patient
what does the "B" refer to in ABCDE - CORRECT ANSWER-breathing
- assess sounds
- assess chest wall movement
what does the "C" refer to in ABCDE - CORRECT ANSWER-circulation
- vitals (BP and pulse)
- maintain vascular access
- stop any bleeding
what does the "D" refer to in ABCDE - CORRECT ANSWER-disability
*LOC
what does the "E" refer to in ABCDE - CORRECT ANSWER-exposure
- get clothes off
- use blankets to prevent hypothermia
, what is the one exception to ABCDE? - CORRECT ANSWER-in excessive bleeding,
you would prioritize "C" before "AB"
what is a secondary survey? - CORRECT ANSWER-comprehensive head to toe
assessment
if warranted during the secondary survey, what would a nurse likely do? - CORRECT
ANSWER-- insert NG tube
- insert catheter
- prep for diagnostics
what does drowning lead to? - CORRECT ANSWER-leads to loss of surfactant in lungs
which causes alveolar collapse and pulmonary edema
is dehydration common in heat exhaustion? - CORRECT ANSWER-YES
what can major diaphoresis cause? - CORRECT ANSWER-severe dehydration and
hyponatremia
if heat exhaustion goes untreated, what can it cause? - CORRECT ANSWER-heat
stroke
what are the s/s of heat exhaustion - CORRECT ANSWER--dehydration
-decrease in blood volume
-decrease in BP
-tachycardia
what is the first intervention for a person expected to have heat exhaustion? -
CORRECT ANSWER-stop their physical activity and transfer to a cool place
what is the quickest way to reduce someone's temperature? - CORRECT ANSWER--
remove clothing
- remove bed linen
what interventions are there for cooling patients down? - CORRECT ANSWER-- cold
pack on the neck, chest, abdomen, and groin
- soak in cool water
when rehydrating someone with heat exhaustion, should you use water or a sports
drink/oral reydration solution? - CORRECT ANSWER-Sports drink/oral hydration
solution
why is a sports drink better at rehydrating patients with heat exhaustion? - CORRECT
ANSWER-plain water can worsen sodium deficits
