NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
Chapter:gFirstgAid,gEmergencygCare,gandgDisastergManagementgLinton:
gMedical-SurgicalgNursing,g7thgEdition
I. Agpatientgisgpresentgwithgsignsgofgseveregairwaygobstruction.gWhatgtermgaccuratel
ygdescribesgtheghigh-pitchedgnoisegthegpatientgisgexhibitinggwithginhalation?
a. Stridor
b. Tachypnea
c. Wheezing
d. Rhonchi
ANS:g A
Signsgofgseveregairwaygobstructiongaregpoorgorgnogairgexchange,gpoorgorgnogcough,
high-
pitchedgnoisegknowngasgstridorgonginhalation,grespiratorygdistress,gcyanosis,ginabilitygtogs
peak,ginabilitygtogmovegair,gandgclutchinggthegneck.
DIF: CognitivegLevel:gComprehension REF:gggp.g1246 OBJ:g 3
TOP:g AirwaygObstruction
KEY:g NursinggProcessgStep:gKnowle
dgegMSC:g NCLEX:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
II. Standinggingagfast-
foodgline,gthegpersongingfront,gwhilegmunchinggongagcookie,gbeginsgtogcoughgheavily,gtake
sgdeepginspirations,gandgwavesghisgarmsgaroundgwildly.gWhatgshouldgbegthegnurse’sgfirstga
ction?
a. Startgrescuegbreathinggasgquicklygasgpossible.
b. Startgchestgcompressionsgasgquicklygasgpossible.
c. Performgabdominalgthrusts.
d. Dognothinggatgthisgpointgasglonggasgairgisgexchanged.
ANS:g D
Whengagpersongisgchokinggbutgalertgenoughgtogattemptgtogcoughgandgforcegthegobstruction
upgandgoutgbyghimself,gallowingghimgtogdogsogalonegisgbestgbecausegmoregexpellinggforce
g
,NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
occursgthatgway.gOnlygwhengthegpersongshowsgsignsgofgnotgbeinggablegtogbreathegbeyond
g
thegobstructiongshouldgabdominalgthrustsgbegapplied.
g
DIF: CognitivegLevel:gApplication REF:gggp.g1246
OBJ:g4gTOP:g ImmediategInterventiongforgagChokinggVictim
KEY:gNursinggProcessgStep:gImplementation
MSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
III. Whatgisgtheginitialginterventiongforgangunconsciousgpatientgwhogisgnotgbreathinggaccordin
ggtogone-persongCPRgprinciples,gasgtaughtgandgpracticedgbygprofessionalgnurses?
a. Liftgthegjawgtogcleargthegairway.
b. Callgforgassistance.
c. Startgchestgcompressions.
d. Removegpatientgclothinggtogvisualizegthegchest.
ANS:g B
Withgone-
persongCPR,gwhengthegpatientgisgunconsciousgandgnotgbreathing,gthegfirstgthinggtogdogisgtog
callgforghelp.
,NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
DIF: CognitivegLevel:gComprehension REF:gggp.g1245 OBJ:g 3g|g4
TOP:g CPRgGuidelines
KEY:gNursinggProcessgStep:gImplementa
tiongMSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
IV. Whilegambulating,gagpatientggaspsgandgdropsgtogthegfloorgunconsciousgwithgnogpulseg
orgrespiration.gWhengisgthegnursegawaregthatgbraingcellsgbegingtogdie?
a. 1gminute
b. 2gminutes
c. 3gminutes
d. 4gminutes
ANS:g D
Withoutgadequategperfusion,gthegbraingcellsgbegingtogdieging4gminutes.
DIF: CognitivegLevel:gComprehension REF:gggp.g1245 OBJ:ggg 3
TOP:g BraingDamage
KEY:gNursinggProcessgStep:gAssess
mentgMSC:g NCLEX:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
V. AgnursegfollowsgthegprotocolgofgSAMPLEgwhengspeakinggtogagvictimgofgagfallgingt
hegparkingglotgofgtheghospital.gWhatgdoesgthegPgstandgfor?
a. Pillsgtakengtoday
b. Personalgphysician
c. Pastgillnesses
d. Preferencegforgemergencygtransportation
ANS:g C
ThegacronymgSAMPLEgthatgguidesgthegvictimginterviewgmeansgallergies,gmedications,gpa
stgillnessgorgpregnancy,glastgfoodgandgdrink,gandgeventsgrelatedgtoginjury.
DIF: CognitivegLevel:gKnowledge REF:gggp.g1244 OBJ:ggg 3
TOP:g SAMPLEgProtocol
KEY:gNursinggProcessgStep:gImplementa
tiongMSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
, NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
VI. Whatginstructionsgshouldgthegnursegprovidegforgimmediategtreatmentgforgepistaxis?
a. “Standgstill,gleangyourgheadgbackgsogthatgthegbloodgwon’tggetgallgovergeverythin
g,gandgpinchgyourgnosegshutgforgatgleastg10gminutes.”
b. “Standgstill,gleangyourgheadgforward,gandgpinchgyourgnosegtightlygforgatgleastg
10gminutes.”
c. “Sitgdowngongagsolidgsurface,gleangyourgheadgforwardgtogletgthegbloodgrungout,ga
ndgthengpinchgyourgnosegclosedgforgatgleastg30gminutes.”
d. “Sitgdowngongagsolidgsurface,gleangyourgheadgforwardgsogyougdon’tgchokegongt
hegblood,gandgpinchgyourgnosegshutgforgatgleastg10gminutes.”
ANS:g D
Bloodgfromgagnosebleedgingtheganteriorgportiongofgthegnasalgcavitygwillgusuallygstopgwi
thgpinchgpressuregwithing10gminutes.gBloodgfromgagnosebleedgshouldgnotgbegswallowed.
DIF: CognitivegLevel:gApplication REF:gggp.g1247 OBJ:g 4
TOP:g FirstgAidgforgagNosebleed
KEY:gNursinggProcessgStep:gImplementa
tiongMSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
IONgBYgLINTONgLATESTg2021
Chapter:gFirstgAid,gEmergencygCare,gandgDisastergManagementgLinton:
gMedical-SurgicalgNursing,g7thgEdition
I. Agpatientgisgpresentgwithgsignsgofgseveregairwaygobstruction.gWhatgtermgaccuratel
ygdescribesgtheghigh-pitchedgnoisegthegpatientgisgexhibitinggwithginhalation?
a. Stridor
b. Tachypnea
c. Wheezing
d. Rhonchi
ANS:g A
Signsgofgseveregairwaygobstructiongaregpoorgorgnogairgexchange,gpoorgorgnogcough,
high-
pitchedgnoisegknowngasgstridorgonginhalation,grespiratorygdistress,gcyanosis,ginabilitygtogs
peak,ginabilitygtogmovegair,gandgclutchinggthegneck.
DIF: CognitivegLevel:gComprehension REF:gggp.g1246 OBJ:g 3
TOP:g AirwaygObstruction
KEY:g NursinggProcessgStep:gKnowle
dgegMSC:g NCLEX:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
II. Standinggingagfast-
foodgline,gthegpersongingfront,gwhilegmunchinggongagcookie,gbeginsgtogcoughgheavily,gtake
sgdeepginspirations,gandgwavesghisgarmsgaroundgwildly.gWhatgshouldgbegthegnurse’sgfirstga
ction?
a. Startgrescuegbreathinggasgquicklygasgpossible.
b. Startgchestgcompressionsgasgquicklygasgpossible.
c. Performgabdominalgthrusts.
d. Dognothinggatgthisgpointgasglonggasgairgisgexchanged.
ANS:g D
Whengagpersongisgchokinggbutgalertgenoughgtogattemptgtogcoughgandgforcegthegobstruction
upgandgoutgbyghimself,gallowingghimgtogdogsogalonegisgbestgbecausegmoregexpellinggforce
g
,NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
occursgthatgway.gOnlygwhengthegpersongshowsgsignsgofgnotgbeinggablegtogbreathegbeyond
g
thegobstructiongshouldgabdominalgthrustsgbegapplied.
g
DIF: CognitivegLevel:gApplication REF:gggp.g1246
OBJ:g4gTOP:g ImmediategInterventiongforgagChokinggVictim
KEY:gNursinggProcessgStep:gImplementation
MSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
III. Whatgisgtheginitialginterventiongforgangunconsciousgpatientgwhogisgnotgbreathinggaccordin
ggtogone-persongCPRgprinciples,gasgtaughtgandgpracticedgbygprofessionalgnurses?
a. Liftgthegjawgtogcleargthegairway.
b. Callgforgassistance.
c. Startgchestgcompressions.
d. Removegpatientgclothinggtogvisualizegthegchest.
ANS:g B
Withgone-
persongCPR,gwhengthegpatientgisgunconsciousgandgnotgbreathing,gthegfirstgthinggtogdogisgtog
callgforghelp.
,NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
DIF: CognitivegLevel:gComprehension REF:gggp.g1245 OBJ:g 3g|g4
TOP:g CPRgGuidelines
KEY:gNursinggProcessgStep:gImplementa
tiongMSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
IV. Whilegambulating,gagpatientggaspsgandgdropsgtogthegfloorgunconsciousgwithgnogpulseg
orgrespiration.gWhengisgthegnursegawaregthatgbraingcellsgbegingtogdie?
a. 1gminute
b. 2gminutes
c. 3gminutes
d. 4gminutes
ANS:g D
Withoutgadequategperfusion,gthegbraingcellsgbegingtogdieging4gminutes.
DIF: CognitivegLevel:gComprehension REF:gggp.g1245 OBJ:ggg 3
TOP:g BraingDamage
KEY:gNursinggProcessgStep:gAssess
mentgMSC:g NCLEX:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
V. AgnursegfollowsgthegprotocolgofgSAMPLEgwhengspeakinggtogagvictimgofgagfallgingt
hegparkingglotgofgtheghospital.gWhatgdoesgthegPgstandgfor?
a. Pillsgtakengtoday
b. Personalgphysician
c. Pastgillnesses
d. Preferencegforgemergencygtransportation
ANS:g C
ThegacronymgSAMPLEgthatgguidesgthegvictimginterviewgmeansgallergies,gmedications,gpa
stgillnessgorgpregnancy,glastgfoodgandgdrink,gandgeventsgrelatedgtoginjury.
DIF: CognitivegLevel:gKnowledge REF:gggp.g1244 OBJ:ggg 3
TOP:g SAMPLEgProtocol
KEY:gNursinggProcessgStep:gImplementa
tiongMSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort
, NURSINGgATI:gTESTgBANKgFORgMEDICALgSURGICALgNURSINGg7THgEDIT
IONgBYgLINTONgLATESTg2021
VI. Whatginstructionsgshouldgthegnursegprovidegforgimmediategtreatmentgforgepistaxis?
a. “Standgstill,gleangyourgheadgbackgsogthatgthegbloodgwon’tggetgallgovergeverythin
g,gandgpinchgyourgnosegshutgforgatgleastg10gminutes.”
b. “Standgstill,gleangyourgheadgforward,gandgpinchgyourgnosegtightlygforgatgleastg
10gminutes.”
c. “Sitgdowngongagsolidgsurface,gleangyourgheadgforwardgtogletgthegbloodgrungout,ga
ndgthengpinchgyourgnosegclosedgforgatgleastg30gminutes.”
d. “Sitgdowngongagsolidgsurface,gleangyourgheadgforwardgsogyougdon’tgchokegongt
hegblood,gandgpinchgyourgnosegshutgforgatgleastg10gminutes.”
ANS:g D
Bloodgfromgagnosebleedgingtheganteriorgportiongofgthegnasalgcavitygwillgusuallygstopgwi
thgpinchgpressuregwithing10gminutes.gBloodgfromgagnosebleedgshouldgnotgbegswallowed.
DIF: CognitivegLevel:gApplication REF:gggp.g1247 OBJ:g 4
TOP:g FirstgAidgforgagNosebleed
KEY:gNursinggProcessgStep:gImplementa
tiongMSC:g NCLEX:gPhysiologicalgIntegrity:gBasicgCaregandgComfort