CM IV, EXAM 1 CHAPTERS 8, 9, 10,
1.) A client is brought to the emergency department by the
police after having seriously lacerated both wrists. The initial
action that the nurse should take is which step?
a. Assess and treat the wound sites
2.) A nurse is assisting with disaster triage following a
bomb explosion in a bus station. Which of the following
clients should the nurse identify as being the highest
priority?
a. A conscious adult with second degree burns on both
lower legs
3.) 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
patient?
a. Ensuring continuous ECG monitoring
4.) A nurse enters a client’s room and sees that ashes
from a cigarette are beginning to ignite trash in a waste
basket. Which of the following actions should the nurse take
first?
a. Rescue the client from immediate danger
5.) A patient who attempted suicide being treated in the
ED is accompanied by his mother, father, and brother. When
planning the nursing care of this family, the nurse should
perform which of the following action?
a. Ensure that the family receives appropriate crisis
intervention services
6.) A patient is admitted to the ED with an apparent
overdose of IV heroin. After stabilizing the patient’s
, cardiopulmonary status, the nurse should prepare to perform
what intervention?
a. Administer naloxone hydrochloride (Narcan).
7.) The ED nurse admitting a patient with a history of
depression is screening the patient for suicide risk. What
assessment question should the nurse ask when screening
the patient?
a. Have you ever thought about taking your own life?
8.) An ED nurse is triaging patients according to the
Emergency Severity Index (ESI). When assigning patients to
a triage level, the nurse will consider the patients acuity as
well as what other variable?
a. The resources that the patient is likely to require
9.) A patient who has been exposed to anthrax is being
treated in the local hospital. The nurse should prioritize what
health assessments?
a. Assessment of respiratory status
10.) While developing an emergency operations plan (EOP),
the committee is discussing the components of the EOP.
During the post-incident response of an emergency
operations plan, what activity will take place?
a) Conducting a critique and debriefing for all involved in the
incident
11.) 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.
12.) An industrial site has experienced a radiation leak and
workers who have been potentially affected are en-route to
, the hospital. To minimize the risks of contaminating the
hospital, managers should perform what action?
a. Establish a triage outside the hospital.
13.) 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.
14.) A nurse is triaging patients after a chemical leak at a
nearby fertilizer factory. The guiding principle of this activity
is what?
a. Doing the greatest good for the greatest number of
people
15.) A nurse is triaging clients in the emergency
department. Which client should the nurse classify as
nonurgent?
a. A 62-year-old with a simple fracture of the left arm
16.) The complex care provided during an emergency
requires interdisciplinary collaboration. Which
interdisciplinary team members are paired with the correct
responsibilities? (Select all that apply.)
a. Psychiatric crisis nurse Interacts with clients and families
when sudden illness, serious injury, or death of a loved one
may cause a crisis
e. Paramedic Provides prehospital advanced life support,
including cardiac monitoring, advanced airway management,
and medication administration
17.) A nurse assesses a client recently bitten by a coral
snake. Which assessment is the priority?
a. Respiratory rate and depth
1.) A client is brought to the emergency department by the
police after having seriously lacerated both wrists. The initial
action that the nurse should take is which step?
a. Assess and treat the wound sites
2.) A nurse is assisting with disaster triage following a
bomb explosion in a bus station. Which of the following
clients should the nurse identify as being the highest
priority?
a. A conscious adult with second degree burns on both
lower legs
3.) 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
patient?
a. Ensuring continuous ECG monitoring
4.) A nurse enters a client’s room and sees that ashes
from a cigarette are beginning to ignite trash in a waste
basket. Which of the following actions should the nurse take
first?
a. Rescue the client from immediate danger
5.) A patient who attempted suicide being treated in the
ED is accompanied by his mother, father, and brother. When
planning the nursing care of this family, the nurse should
perform which of the following action?
a. Ensure that the family receives appropriate crisis
intervention services
6.) A patient is admitted to the ED with an apparent
overdose of IV heroin. After stabilizing the patient’s
, cardiopulmonary status, the nurse should prepare to perform
what intervention?
a. Administer naloxone hydrochloride (Narcan).
7.) The ED nurse admitting a patient with a history of
depression is screening the patient for suicide risk. What
assessment question should the nurse ask when screening
the patient?
a. Have you ever thought about taking your own life?
8.) An ED nurse is triaging patients according to the
Emergency Severity Index (ESI). When assigning patients to
a triage level, the nurse will consider the patients acuity as
well as what other variable?
a. The resources that the patient is likely to require
9.) A patient who has been exposed to anthrax is being
treated in the local hospital. The nurse should prioritize what
health assessments?
a. Assessment of respiratory status
10.) While developing an emergency operations plan (EOP),
the committee is discussing the components of the EOP.
During the post-incident response of an emergency
operations plan, what activity will take place?
a) Conducting a critique and debriefing for all involved in the
incident
11.) 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.
12.) An industrial site has experienced a radiation leak and
workers who have been potentially affected are en-route to
, the hospital. To minimize the risks of contaminating the
hospital, managers should perform what action?
a. Establish a triage outside the hospital.
13.) 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.
14.) A nurse is triaging patients after a chemical leak at a
nearby fertilizer factory. The guiding principle of this activity
is what?
a. Doing the greatest good for the greatest number of
people
15.) A nurse is triaging clients in the emergency
department. Which client should the nurse classify as
nonurgent?
a. A 62-year-old with a simple fracture of the left arm
16.) The complex care provided during an emergency
requires interdisciplinary collaboration. Which
interdisciplinary team members are paired with the correct
responsibilities? (Select all that apply.)
a. Psychiatric crisis nurse Interacts with clients and families
when sudden illness, serious injury, or death of a loved one
may cause a crisis
e. Paramedic Provides prehospital advanced life support,
including cardiac monitoring, advanced airway management,
and medication administration
17.) A nurse assesses a client recently bitten by a coral
snake. Which assessment is the priority?
a. Respiratory rate and depth
