Adult III Final Exam Questions &
Answers 100% Correct!!
The nurse manager in the ED receives information that a local chemical plant has had a
chemical leak. This disaster is assigned a status of level II. What does this classification
indicate?
A)First responders can manage the situation.
B)Regional efforts and aid from surrounding communities can manage the situation.
C)Statewide or federal assistance is required.
D)The area must be evacuated immediately - ANSWERSB)Regional efforts and aid
from surrounding communities can manage the situation.
A workplace explosion has left a 40-year-old man burned over 65% of his body. His
burns are second- and third-degree burns, but he is conscious. How would this person
be triaged?
A)Green
B)Yellow
C)Red
D)Black - ANSWERSD)Black
A nurse is caring for patients exposed to a terrorist attack involving chemicals. The
nurse has been advised that personal protective equipment must be worn in order to
give the highest level of respiratory protection with a lesser level of skin and eye
protection. What level protection is this considered?
A)Level A
B)Level B
C)Level C
D)Level D - ANSWERSB)Level B
A patient who has been exposed to anthrax is being treated in the local hospital. The
nurse should prioritize what health assessments?
A)Integumentary assessment
B)Assessment for signs of hemorrhage
C)Neurologic assessment
D)Assessment of respiratory status - ANSWERSD)Assessment of respiratory status
Level C personal protective equipment has been deemed necessary in the response to
an unknown substance. The nurse is aware that the equipment will include what?
A)A self-contained breathing apparatus
B)A vapor-tight, chemical-resistant suit
C)A uniform only
D)An air-purified respirator - ANSWERSD)An air-purified respirator
,Emergency department (ED) staff members have been trained to follow steps that will
decrease the risk of secondary exposure to a chemical. When conducting
decontamination, staff members should remove the patients clothing and then perform
what action?
A)Rinse the patient with water.
B)Wash the patient with a dilute bleach solution.
C)Wash the patient chlorhexidine.
D)Rinse the patient with hydrogen peroxide. - ANSWERSA)Rinse the patient with water.
A patient is admitted to the ED who has been exposed to a nerve agent. The nurse
should anticipate the STAT administration of what drug?
A)Amyl nitrate
B)Dimercaprol
C)Erythromycin
D)Atropine - ANSWERSD)Atropine
There has been a radiation-based terrorist attack and a patient is experiencing vomiting,
diarrhea, and shock after the attack. How will the patients likelihood of survival be
characterized?
A)Probable
B)Possible
C)Improbable
D)Extended - ANSWERSC)Improbable
A hospitals emergency operations plan has been enacted following an industrial
accident. While one nurse performs the initial triage, what should other emergency
medical services personnel do?
A)Perform life-saving measures.
B)Classify patients according to acuity.
C)Provide health promotion education.
D)Modify the emergency operations plan. - ANSWERSA)Perform life-saving measures.
The nurse has been notified that the ED is expecting terrorist attack victims and that
level D personal protective equipment is appropriate. What does level D PPE include?
A)A chemical-resistant coverall with splash hood, chemical-resistant gloves, and boots
B)A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-tight,
chemical-resistant suit with chemical-resistant gloves and boots.
C)The SCBA and a chemical-resistant suit, but the suit is not vapor tight
D)The nurses typical work uniform - ANSWERSD)The nurses typical work uniform
The ED staff has been notified of the imminent arrival of a patient who has been
exposed to chlorine. The nurse should anticipate the need to address what nursing
diagnosis?
A)Impaired gas exchange
B)Decreased cardiac output
C)Chronic pain
,D)Excess fluid volume - ANSWERSA)Impaired gas exchange
Which patient should the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A)A patient with a blunt chest trauma with some difficulty breathing
B)A patient with a sore neck who was immobilized in the field on a backboard with a
cervical collar
C)A patient with a possible fractured tibia with adequate pedal pulses
D)A patient with an acute onset of confusion - ANSWERSA)A patient with a blunt chest
trauma with some difficulty breathing
A patient is brought to the ED by ambulance with a gunshot wound to the abdomen.
The nurse knows that the most common hollow organ injured in this type of injury is
what?
A)Liver
B)Small bowel
C)Stomach
D)Large bowel - ANSWERSB)Small bowel
A patient has been brought to the ED with multiple trauma after a motor vehicle
accident. After immediate threats to life have been addressed, the nurse and trauma
team should take what action?
A)Perform a rapid physical assessment.
B)Initiate health education.
C)Perform diagnostic imaging.
D)Establish the circumstances of the accident. - ANSWERSA)Perform a rapid physical
assessment.
A patient is brought to the ED by ambulance after swallowing highly acidic toilet bowl
cleaner 2 hours earlier. The patient is alert and oriented. What is the care teams most
appropriate treatment?
A)Administering syrup of ipecac
B)Performing a gastric lavage
C)Giving milk to drink
D)Referring to psychiatry - ANSWERSC)Giving milk to drink
An obtunded patient is admitted to the ED after ingesting bleach. The nurse should
prepare to assist with what intervention?
A)Prompt administration of an antidote
B)Gastric lavage
C)Administration of activated charcoal
D)Helping the patient drink large amounts of water - ANSWERSD)Helping the patient
drink large amounts of water
, A 6-year-old is admitted to the ED after being rescued from a pond after falling through
the ice while ice skating. What action should the nurse perform while rewarming the
patient?
A)Assessing the patients oral temperature frequently
B)Ensuring continuous ECG monitoring
C)Massaging the patients skin surfaces to promote circulation
D)Administering bronchodilators by nebulizer - ANSWERSB)Ensuring continuous ECG
monitoring
A male patient with multiple injuries is brought to the ED by ambulance. He has had his
airway stabilized and is breathing on his own. The ED nurse does not see any active
bleeding, but should suspect internal hemorrhage based on what finding?
A)Absence of bruising at contusion sites
B)Rapid pulse and decreased capillary refill
C)Increased BP with narrowed pulse pressure
D)Sudden diaphoresis - ANSWERSB)Rapid pulse and decreased capillary refill
A 13-year-old is being admitted to the ED after falling from a roof and sustaining blunt
abdominal injuries. To assess for internal injury in the patients peritoneum, the nurse
should anticipate what diagnostic test?
A)Radiograph
B)Computed tomography (CT) scan
C)Complete blood count (CBC)
D)Barium swallow - ANSWERSB)Computed tomography (CT) scan
A patient is brought to the ER in an unconscious state. The physician notes that the
patient is in need of emergency surgery. No family members are present, and the
patient does not have identification. What action by the nurse is most important
regarding consent for treatment?
A)Ask the social worker to come and sign the consent.
B)Contact the police to obtain the patients identity.
C)Obtain a court order to treat the patient.
D)Clearly document LOC and health status on the patients chart. - ANSWERSD)Clearly
document LOC and health status on the patients chart.
A patient is brought by friends to the ED after being involved in a motor vehicle
accident. The patient sustained blunt trauma to the abdomen. What nursing action
would be most appropriate for this patient?
A)Ambulate the patient to expel flatus.
B)Place the patient in a high Fowlers position.
C)Immobilize the patient on a backboard.
D)Place the patient in a left lateral position. - ANSWERSC)Immobilize the patient on a
backboard.
A backcountry skier has been airlifted to the ED after becoming lost and developing
hypothermia and frostbite. How should the nurse best manage the patients frostbite?
Answers 100% Correct!!
The nurse manager in the ED receives information that a local chemical plant has had a
chemical leak. This disaster is assigned a status of level II. What does this classification
indicate?
A)First responders can manage the situation.
B)Regional efforts and aid from surrounding communities can manage the situation.
C)Statewide or federal assistance is required.
D)The area must be evacuated immediately - ANSWERSB)Regional efforts and aid
from surrounding communities can manage the situation.
A workplace explosion has left a 40-year-old man burned over 65% of his body. His
burns are second- and third-degree burns, but he is conscious. How would this person
be triaged?
A)Green
B)Yellow
C)Red
D)Black - ANSWERSD)Black
A nurse is caring for patients exposed to a terrorist attack involving chemicals. The
nurse has been advised that personal protective equipment must be worn in order to
give the highest level of respiratory protection with a lesser level of skin and eye
protection. What level protection is this considered?
A)Level A
B)Level B
C)Level C
D)Level D - ANSWERSB)Level B
A patient who has been exposed to anthrax is being treated in the local hospital. The
nurse should prioritize what health assessments?
A)Integumentary assessment
B)Assessment for signs of hemorrhage
C)Neurologic assessment
D)Assessment of respiratory status - ANSWERSD)Assessment of respiratory status
Level C personal protective equipment has been deemed necessary in the response to
an unknown substance. The nurse is aware that the equipment will include what?
A)A self-contained breathing apparatus
B)A vapor-tight, chemical-resistant suit
C)A uniform only
D)An air-purified respirator - ANSWERSD)An air-purified respirator
,Emergency department (ED) staff members have been trained to follow steps that will
decrease the risk of secondary exposure to a chemical. When conducting
decontamination, staff members should remove the patients clothing and then perform
what action?
A)Rinse the patient with water.
B)Wash the patient with a dilute bleach solution.
C)Wash the patient chlorhexidine.
D)Rinse the patient with hydrogen peroxide. - ANSWERSA)Rinse the patient with water.
A patient is admitted to the ED who has been exposed to a nerve agent. The nurse
should anticipate the STAT administration of what drug?
A)Amyl nitrate
B)Dimercaprol
C)Erythromycin
D)Atropine - ANSWERSD)Atropine
There has been a radiation-based terrorist attack and a patient is experiencing vomiting,
diarrhea, and shock after the attack. How will the patients likelihood of survival be
characterized?
A)Probable
B)Possible
C)Improbable
D)Extended - ANSWERSC)Improbable
A hospitals emergency operations plan has been enacted following an industrial
accident. While one nurse performs the initial triage, what should other emergency
medical services personnel do?
A)Perform life-saving measures.
B)Classify patients according to acuity.
C)Provide health promotion education.
D)Modify the emergency operations plan. - ANSWERSA)Perform life-saving measures.
The nurse has been notified that the ED is expecting terrorist attack victims and that
level D personal protective equipment is appropriate. What does level D PPE include?
A)A chemical-resistant coverall with splash hood, chemical-resistant gloves, and boots
B)A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-tight,
chemical-resistant suit with chemical-resistant gloves and boots.
C)The SCBA and a chemical-resistant suit, but the suit is not vapor tight
D)The nurses typical work uniform - ANSWERSD)The nurses typical work uniform
The ED staff has been notified of the imminent arrival of a patient who has been
exposed to chlorine. The nurse should anticipate the need to address what nursing
diagnosis?
A)Impaired gas exchange
B)Decreased cardiac output
C)Chronic pain
,D)Excess fluid volume - ANSWERSA)Impaired gas exchange
Which patient should the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A)A patient with a blunt chest trauma with some difficulty breathing
B)A patient with a sore neck who was immobilized in the field on a backboard with a
cervical collar
C)A patient with a possible fractured tibia with adequate pedal pulses
D)A patient with an acute onset of confusion - ANSWERSA)A patient with a blunt chest
trauma with some difficulty breathing
A patient is brought to the ED by ambulance with a gunshot wound to the abdomen.
The nurse knows that the most common hollow organ injured in this type of injury is
what?
A)Liver
B)Small bowel
C)Stomach
D)Large bowel - ANSWERSB)Small bowel
A patient has been brought to the ED with multiple trauma after a motor vehicle
accident. After immediate threats to life have been addressed, the nurse and trauma
team should take what action?
A)Perform a rapid physical assessment.
B)Initiate health education.
C)Perform diagnostic imaging.
D)Establish the circumstances of the accident. - ANSWERSA)Perform a rapid physical
assessment.
A patient is brought to the ED by ambulance after swallowing highly acidic toilet bowl
cleaner 2 hours earlier. The patient is alert and oriented. What is the care teams most
appropriate treatment?
A)Administering syrup of ipecac
B)Performing a gastric lavage
C)Giving milk to drink
D)Referring to psychiatry - ANSWERSC)Giving milk to drink
An obtunded patient is admitted to the ED after ingesting bleach. The nurse should
prepare to assist with what intervention?
A)Prompt administration of an antidote
B)Gastric lavage
C)Administration of activated charcoal
D)Helping the patient drink large amounts of water - ANSWERSD)Helping the patient
drink large amounts of water
, A 6-year-old is admitted to the ED after being rescued from a pond after falling through
the ice while ice skating. What action should the nurse perform while rewarming the
patient?
A)Assessing the patients oral temperature frequently
B)Ensuring continuous ECG monitoring
C)Massaging the patients skin surfaces to promote circulation
D)Administering bronchodilators by nebulizer - ANSWERSB)Ensuring continuous ECG
monitoring
A male patient with multiple injuries is brought to the ED by ambulance. He has had his
airway stabilized and is breathing on his own. The ED nurse does not see any active
bleeding, but should suspect internal hemorrhage based on what finding?
A)Absence of bruising at contusion sites
B)Rapid pulse and decreased capillary refill
C)Increased BP with narrowed pulse pressure
D)Sudden diaphoresis - ANSWERSB)Rapid pulse and decreased capillary refill
A 13-year-old is being admitted to the ED after falling from a roof and sustaining blunt
abdominal injuries. To assess for internal injury in the patients peritoneum, the nurse
should anticipate what diagnostic test?
A)Radiograph
B)Computed tomography (CT) scan
C)Complete blood count (CBC)
D)Barium swallow - ANSWERSB)Computed tomography (CT) scan
A patient is brought to the ER in an unconscious state. The physician notes that the
patient is in need of emergency surgery. No family members are present, and the
patient does not have identification. What action by the nurse is most important
regarding consent for treatment?
A)Ask the social worker to come and sign the consent.
B)Contact the police to obtain the patients identity.
C)Obtain a court order to treat the patient.
D)Clearly document LOC and health status on the patients chart. - ANSWERSD)Clearly
document LOC and health status on the patients chart.
A patient is brought by friends to the ED after being involved in a motor vehicle
accident. The patient sustained blunt trauma to the abdomen. What nursing action
would be most appropriate for this patient?
A)Ambulate the patient to expel flatus.
B)Place the patient in a high Fowlers position.
C)Immobilize the patient on a backboard.
D)Place the patient in a left lateral position. - ANSWERSC)Immobilize the patient on a
backboard.
A backcountry skier has been airlifted to the ED after becoming lost and developing
hypothermia and frostbite. How should the nurse best manage the patients frostbite?
