AH3 EXAM 4 QUESTIONS AND ANSWERS
A client from a local care facility has sustained a cardiac arrest in the ED, and
resuscitation was unsuccessful. The client's family wishes to view the body. What steps
should the ED nurse take? (SATA)
a. remove all lines and indwelling tubes
b. cover the client with a sheet, leaving the face exposed
c. Call a chaplain or social worker to accompany the family
d. Tell the family that the client "is in a better place now."
e. Dim the light in the client's room - Answers :b. cover the client with a sheet, leaving
the face exposed
e. Dim the light in the client's room
A client comes into the ED clutching the chest. Which core competency for ED nurses is
the first one used in this situation?
a. Assessment
b. Communication
c. Priority setting
d. Technical and Procedural skills - Answers :a. Assessment
A client with a gunshot wound is admitted to the ED. Which minimum Standard
Precaution activity does the nurse require for staff safety?
a. Blood and body fluid precautions
b. Metal detector screening of the client
c. Placement of a security guard
d. Use of a positive air-purifying respirator (PAPR) - Answers :a. Blood and body fluid
precautions
There has been an explosion at a local refinery. Numerous serious and life-threatening
injuries have occurred. The following clients arrive from the scene by private vehicle.
Which client is considered a priority for treatment?
a. Child with an open fracture of the arm
b. Man with contusion on the head
c. Teenager with a closed fracture of the leg
d. Woman bleeding heavily - Answers :d. Woman bleeding heavily
A client is admitted to the ED after being in a MVC. The client was wearing a seat belt
and airbag deployed. There are no apparent injuries besides an abrasion from the
shoulder harness across the clavicle and anterior chest. First vital signs are BP 110/70,
, HR 98, RR 18, SaO2 98% on RA. The client's GCS score is 15. What does the nurse do
next?
a. Allows the client to go home
b. Checks blood alcohol levels
c. Prepares the client for surgery
d. Monitors the client - Answers :d. Monitors the client
As a direct result of overcrowding in ED environments, for whom must the ED nurse
expect to provide care?
a. A variety of age groups and cultures
b. "Boarding" or holding inpatient clients
c. Clients with a broad spectrum of issues, illnesses, and injuries
d. Uninsured and underinsured clients - Answers :b. "Boarding" or holding inpatient
clients
An air medical helicopter arrives on the scene of a high-speed motorcycle collision with
a train. The client was not wearing a helmet and is very confused, with a GCS score of
13. There is an apparent partial amputation of both hands. Vital signs are stable and the
airway is secure. Which level of trauma center would be the most appropriate
destination for this client?
a. Level I
b. Level II
c. Level III
d. Level IV - Answers :a. Level I
The provider is planning to discharge a client home. The nurse suspects domestic
violence as the cause of injury, although the client denies this. What is the best action
for the nurse to take?
a. Call the police
b. Consult with Social Services
c. Discharge the client as instructed
d. Instruct t the client to go to a safe place - Answers :b. Consult with Social Services
A client is admitted to the ED after reporting being raped. Who is the best team member
for the admitting nurse to locate to provide care for this client?
a. Forensic nurse examiner
b. Physician or HCP
c. Psychiatric Crisis Nurse
d. Police officer - Answers :a. Forensic nurse examiner
A client from a local care facility has sustained a cardiac arrest in the ED, and
resuscitation was unsuccessful. The client's family wishes to view the body. What steps
should the ED nurse take? (SATA)
a. remove all lines and indwelling tubes
b. cover the client with a sheet, leaving the face exposed
c. Call a chaplain or social worker to accompany the family
d. Tell the family that the client "is in a better place now."
e. Dim the light in the client's room - Answers :b. cover the client with a sheet, leaving
the face exposed
e. Dim the light in the client's room
A client comes into the ED clutching the chest. Which core competency for ED nurses is
the first one used in this situation?
a. Assessment
b. Communication
c. Priority setting
d. Technical and Procedural skills - Answers :a. Assessment
A client with a gunshot wound is admitted to the ED. Which minimum Standard
Precaution activity does the nurse require for staff safety?
a. Blood and body fluid precautions
b. Metal detector screening of the client
c. Placement of a security guard
d. Use of a positive air-purifying respirator (PAPR) - Answers :a. Blood and body fluid
precautions
There has been an explosion at a local refinery. Numerous serious and life-threatening
injuries have occurred. The following clients arrive from the scene by private vehicle.
Which client is considered a priority for treatment?
a. Child with an open fracture of the arm
b. Man with contusion on the head
c. Teenager with a closed fracture of the leg
d. Woman bleeding heavily - Answers :d. Woman bleeding heavily
A client is admitted to the ED after being in a MVC. The client was wearing a seat belt
and airbag deployed. There are no apparent injuries besides an abrasion from the
shoulder harness across the clavicle and anterior chest. First vital signs are BP 110/70,
, HR 98, RR 18, SaO2 98% on RA. The client's GCS score is 15. What does the nurse do
next?
a. Allows the client to go home
b. Checks blood alcohol levels
c. Prepares the client for surgery
d. Monitors the client - Answers :d. Monitors the client
As a direct result of overcrowding in ED environments, for whom must the ED nurse
expect to provide care?
a. A variety of age groups and cultures
b. "Boarding" or holding inpatient clients
c. Clients with a broad spectrum of issues, illnesses, and injuries
d. Uninsured and underinsured clients - Answers :b. "Boarding" or holding inpatient
clients
An air medical helicopter arrives on the scene of a high-speed motorcycle collision with
a train. The client was not wearing a helmet and is very confused, with a GCS score of
13. There is an apparent partial amputation of both hands. Vital signs are stable and the
airway is secure. Which level of trauma center would be the most appropriate
destination for this client?
a. Level I
b. Level II
c. Level III
d. Level IV - Answers :a. Level I
The provider is planning to discharge a client home. The nurse suspects domestic
violence as the cause of injury, although the client denies this. What is the best action
for the nurse to take?
a. Call the police
b. Consult with Social Services
c. Discharge the client as instructed
d. Instruct t the client to go to a safe place - Answers :b. Consult with Social Services
A client is admitted to the ED after reporting being raped. Who is the best team member
for the admitting nurse to locate to provide care for this client?
a. Forensic nurse examiner
b. Physician or HCP
c. Psychiatric Crisis Nurse
d. Police officer - Answers :a. Forensic nurse examiner
