NUR 439 Quiz #9 Questions and Answers Latest Update 2025-2026
The hospital administration issues a statement that surge capacity is likely to be exceeded
because state-wide measures have not been successful in "flattening the curve" of COVID-19
(coronavirus) cases. How is this information most likely to affect the nursing staff? - Answers
Nurses will be asked to work extra shifts or keep working beyond end-of-shift.
An emergency department clinical nurse specialist is training staff in how to don and doff
personal protective equipment (PPE) when caring for patients with infections such as Ebola.
Which staff member has demonstrated the most grievous error during the practice session? -
Answers An emergency medical technician doffs both pairs of gloves first.
The charge nurse in an emergency department (ED) must assign two staff members to cover
the triage area. Which team is best for this assignment? - Answers An advanced practice nurse
and an experienced RN
The nurse is working in the triage area of an emergency department, and the following four
patients approach the triage desk at the same time. List the order in which the nurse will assess
these patients. - Answers 1. An irritable newborn with a fever, petechiae, and nuchal rigidity
2. An ambulatory, dazed 25-year-old man with a bandaged head wound
3. A 50-year-old woman with moderate abdominal pain and occasional vomiting
4. A 35-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
When a primary survey of a trauma patient is conducted, which action would be performed first?
- Answers Perform a brief neurologic assessment.
A 56-year-old patient comes to the triage area with left-sided chest pain, diaphoresis, and
dizziness. What is the priority action? - Answers Administer oxygen via nasal cannula.
The patient's blood alcohol level is 0.45%. Based on this information, what is the priority nursing
concept that underlies emergency medical and nursing interventions for this patient? - Answers
Gas Exchange
According to the Emergency Nurses' Association (ENA), what are the main issues when
providing emergency care for patients with mental health problems or psychiatric disorders?
Select all that apply. - Answers - Seeking and ruling out medical causes for psychiatric behaviors
and problems
- Ensuring safety for patients, staff, and others related to restraints, aggressive behavior, and
agitation
- Improving length of stay in the emergency department (ED) related to lack of resources and
providers' decisions about disposition
, - Establishing ongoing care after triage by dedicated psychiatric emergency nurses
- Improving communication to describe symptoms and findings in hand-off, disposition, and
follow-up care
It is the summer season, and patients with signs and symptoms of heat-related illness come to
the emergency department. Which patient needs attention first? - Answers Homeless person
who displays altered mental status, poor muscle coordination, and hot, dry, ashen skin; duration
of heat exposure is unknown
The nurse responds to a call for help from the emergency department waiting room. An older
adult patient is lying on the floor. List the order in which the nurse must carry out the following
actions. - Answers 1. Establish unresponsiveness.
2. Call for help and activate the code team.
3. Perform the chin lift or jaw thrust maneuver.
4. Initiate cardiopulmonary resuscitation (CPR).
5. Instruct assistive personnel to get the crash cart.
Emergency medical services has transported a patient with severe chest pain. As the patient is
being transferred to the emergency stretcher, the nurse notes unresponsiveness, cessation of
breathing, and no palpable pulse. Which task is appropriate to delegate to the assistive
personnel (AP)? - Answers Performing chest compressions
Although the incidence of tetanus has decreased through routine immunization, there is still a
danger. Which patient represents the group that is most vulnerable for risk? - Answers Older
adult who lives alone and sustained a minor cut while cleaning the basement
A healthy but anxious 24-year-old college student reports tingling sensations, palpitations, and
sore chest muscles. Deep, rapid breathing and carpal spasms are noted. Which action is the
priority? - Answers Have the student breathe into a paper bag.
An experienced traveling nurse has been assigned to work in the emergency department (ED);
however, this is the nurse's first week on the job. Which area of the ED would be the best
assignment for this nurse? - Answers Ambulatory or fast-track clinic
The nurse and her friends are at the lake. Suddenly, someone says, "Look across the lake! It
looks like someone might be drowning out there!" What is the nurse's first action? - Answers
Use a pair of binoculars and look across the lake.
In the care of a patient who has experienced sexual assault, which task is most appropriate for
an LPN/ LVN to perform? - Answers Providing emotional support and supportive
communication
The hospital administration issues a statement that surge capacity is likely to be exceeded
because state-wide measures have not been successful in "flattening the curve" of COVID-19
(coronavirus) cases. How is this information most likely to affect the nursing staff? - Answers
Nurses will be asked to work extra shifts or keep working beyond end-of-shift.
An emergency department clinical nurse specialist is training staff in how to don and doff
personal protective equipment (PPE) when caring for patients with infections such as Ebola.
Which staff member has demonstrated the most grievous error during the practice session? -
Answers An emergency medical technician doffs both pairs of gloves first.
The charge nurse in an emergency department (ED) must assign two staff members to cover
the triage area. Which team is best for this assignment? - Answers An advanced practice nurse
and an experienced RN
The nurse is working in the triage area of an emergency department, and the following four
patients approach the triage desk at the same time. List the order in which the nurse will assess
these patients. - Answers 1. An irritable newborn with a fever, petechiae, and nuchal rigidity
2. An ambulatory, dazed 25-year-old man with a bandaged head wound
3. A 50-year-old woman with moderate abdominal pain and occasional vomiting
4. A 35-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
When a primary survey of a trauma patient is conducted, which action would be performed first?
- Answers Perform a brief neurologic assessment.
A 56-year-old patient comes to the triage area with left-sided chest pain, diaphoresis, and
dizziness. What is the priority action? - Answers Administer oxygen via nasal cannula.
The patient's blood alcohol level is 0.45%. Based on this information, what is the priority nursing
concept that underlies emergency medical and nursing interventions for this patient? - Answers
Gas Exchange
According to the Emergency Nurses' Association (ENA), what are the main issues when
providing emergency care for patients with mental health problems or psychiatric disorders?
Select all that apply. - Answers - Seeking and ruling out medical causes for psychiatric behaviors
and problems
- Ensuring safety for patients, staff, and others related to restraints, aggressive behavior, and
agitation
- Improving length of stay in the emergency department (ED) related to lack of resources and
providers' decisions about disposition
, - Establishing ongoing care after triage by dedicated psychiatric emergency nurses
- Improving communication to describe symptoms and findings in hand-off, disposition, and
follow-up care
It is the summer season, and patients with signs and symptoms of heat-related illness come to
the emergency department. Which patient needs attention first? - Answers Homeless person
who displays altered mental status, poor muscle coordination, and hot, dry, ashen skin; duration
of heat exposure is unknown
The nurse responds to a call for help from the emergency department waiting room. An older
adult patient is lying on the floor. List the order in which the nurse must carry out the following
actions. - Answers 1. Establish unresponsiveness.
2. Call for help and activate the code team.
3. Perform the chin lift or jaw thrust maneuver.
4. Initiate cardiopulmonary resuscitation (CPR).
5. Instruct assistive personnel to get the crash cart.
Emergency medical services has transported a patient with severe chest pain. As the patient is
being transferred to the emergency stretcher, the nurse notes unresponsiveness, cessation of
breathing, and no palpable pulse. Which task is appropriate to delegate to the assistive
personnel (AP)? - Answers Performing chest compressions
Although the incidence of tetanus has decreased through routine immunization, there is still a
danger. Which patient represents the group that is most vulnerable for risk? - Answers Older
adult who lives alone and sustained a minor cut while cleaning the basement
A healthy but anxious 24-year-old college student reports tingling sensations, palpitations, and
sore chest muscles. Deep, rapid breathing and carpal spasms are noted. Which action is the
priority? - Answers Have the student breathe into a paper bag.
An experienced traveling nurse has been assigned to work in the emergency department (ED);
however, this is the nurse's first week on the job. Which area of the ED would be the best
assignment for this nurse? - Answers Ambulatory or fast-track clinic
The nurse and her friends are at the lake. Suddenly, someone says, "Look across the lake! It
looks like someone might be drowning out there!" What is the nurse's first action? - Answers
Use a pair of binoculars and look across the lake.
In the care of a patient who has experienced sexual assault, which task is most appropriate for
an LPN/ LVN to perform? - Answers Providing emotional support and supportive
communication
