Unit 1: Emergency and Trauma Nursing,
Common Environmental Emergencies,
Emergency and Disaster Preparedness,
Critically Ill Patients with Respiratory
Problems – latest update questions with
answers
While assessing a Suzy in the ED, the Nurse Kelly identifies that the patient has been raped.
Which health care team member should the Kelly, RN collaborate with when planning this
client's care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse - ** VERIFIED ANSWERS **✔✔ANS: C
All other members of the health care team listed may be used in the management of this
client's care. However, the forensic nurse examiner is educated to obtain client histories and
collect evidence dealing with the assault, and can offer the counseling and follow-up needed
when dealing with the victim of an assault.
The ED RN is assigned an older adult patient who is confused and agitated. Which
intervention should the nurse include in the client's plan of care?
a. Administer a sedative medication.
b. Ask a family member to stay with the client.
c. Use restraints to prevent the client from falling.
d. Place the client in a wheelchair at the nurses' station. - ** VERIFIED ANSWERS
**✔✔ANS: B
,Older adults who are confused are at increased risks for falls. Fall prevention includes
measures such as siderails up, reorientation, call light in reach, and, in some cases, asking
the family member, significant other, or sitter to stay with the client to prevent falls.
The emergency medical technicians (EMTs) arrive at the emergency department with an
unresponsive client with an oxygen mask in place. What will the nurse do first?
a. Assess that the client is breathing adequately
b. Insert a large-bore intravenous line
c. Place the client on a cardiac monitor
d. Assess for best neurologic response - ** VERIFIED ANSWERS **✔✔ANS: A
The highest-priority intervention in the primary survey is to establish that the client is
breathing adequately. Even though this client has an oxygen mask on, he may not be
breathing, or he may be breathing inadequately with the device in place.
On admission to the ED, a patient states that he feels like killing himself. When planning
this client's care, it is most important for the nurse to coordinate with which member of the
health care team?
a. Case manager
b. Forensic nurse examiner
c. Physician
d. Psychiatric crisis nurse - ** VERIFIED ANSWERS **✔✔ANS: D
The psych crisis nurse interacts with patients and families in crisis. This health care team
member can offer valuable expertise to the emergency health care team, which also includes
the case manager and the physician.
The ED nurse is caring for the following patients. Which does the nurse prioritize to see
first?
a. 22-year-old with a painful and swollen right wrist
b. 45-year-old reporting chest pain and diaphoresis
c. 60-year-old reporting difficulty swallowing and nausea
,d. 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101° F - **
VERIFIED ANSWERS **✔✔ANS: B
A patient experiencing chest pain and diaphoresis would be classified as emergent and
would be triaged immediately to a treatment room in the ED. The other clients are more
stable.
A client arrives at the emergency department following a motor vehicle collision. The client
is not awake and is being bagged with a bag-valve-mask by paramedics. The client has
sustained obvious injuries to the head and face, as well as an open right femur fracture that
is bleeding profusely. What will the nurse do first?
a. Splint the right lower extremity.
b. Apply direct pressure to the leg.
c. Assess for a patent airway.
d. Start two large-bore IVs. - ** VERIFIED ANSWERS **✔✔ANS: C
The highest-priority intervention in the primary survey is to establish a patent airway.
Without an adequate airway to supply oxygen to the cells, a cerebral injury could progress to
anoxic brain death. After an airway is established, resuscitation may continue to B for
breathing and C for circulation assessment.
A client has been injured in a stabbing incident. Assessment reveals the following:
Blood pressure: 80/60 mm Hg
Heart rate: 140 beats/min
Respiratory rate: 35 breaths/min
Bleeding from stabbing wound site
Client is lethargic
Based on these assessment data, to which trauma center should the nurse ensure transport
of the client?
a. Level I
b. Level II
, c. Level III
d. Level IV - ** VERIFIED ANSWERS **✔✔ANS: A
The Level I trauma center is able to provide a full continuum of care for all client areas.
Level II can provide care to most injured clients, but given the extent of his injuries, a Level I
center would be better if it is available. Both Levels III and IV can stabilize major injuries,
but transport to a higher-level center is preferred, when possible.
The nurse manager is assessing current demographics of the facility's ED patients. Which
population would most likely present to the ED for treatment of a temperature and a sore
throat?
a. Older adults
b. Immunocompromised people
c. Pediatric clients
d. Underinsured people - ** VERIFIED ANSWERS **✔✔ANS: D
The ED serves as an important safety net for clients who are ill or injured but lack access to
basic health care. Especially vulnerable populations include the underinsured and the
uninsured, who may have nowhere else to go for health care.
An emergency department nurse is transferring a client to the med surg unit. What is the
most important nursing intervention in this situation?
a. Triage the client to determine the urgency of care.
b. Clearly communicate client data to the unit nurse.
c. Evaluate the need for ongoing medical treatment.
d. Perform a thorough assessment of the client. - ** VERIFIED ANSWERS **✔✔ANS: B
The emergency nurse needs to be able to triage, assess, and evaluate. However, these steps
have already been carried out in the early phases of the emergency department (ED)
admission. When a client is ready to be transferred from the ED, communication with staff
nurses from the inpatient units is essential. This report should be a concise but
comprehensive report of the client's ED experience.
Common Environmental Emergencies,
Emergency and Disaster Preparedness,
Critically Ill Patients with Respiratory
Problems – latest update questions with
answers
While assessing a Suzy in the ED, the Nurse Kelly identifies that the patient has been raped.
Which health care team member should the Kelly, RN collaborate with when planning this
client's care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse - ** VERIFIED ANSWERS **✔✔ANS: C
All other members of the health care team listed may be used in the management of this
client's care. However, the forensic nurse examiner is educated to obtain client histories and
collect evidence dealing with the assault, and can offer the counseling and follow-up needed
when dealing with the victim of an assault.
The ED RN is assigned an older adult patient who is confused and agitated. Which
intervention should the nurse include in the client's plan of care?
a. Administer a sedative medication.
b. Ask a family member to stay with the client.
c. Use restraints to prevent the client from falling.
d. Place the client in a wheelchair at the nurses' station. - ** VERIFIED ANSWERS
**✔✔ANS: B
,Older adults who are confused are at increased risks for falls. Fall prevention includes
measures such as siderails up, reorientation, call light in reach, and, in some cases, asking
the family member, significant other, or sitter to stay with the client to prevent falls.
The emergency medical technicians (EMTs) arrive at the emergency department with an
unresponsive client with an oxygen mask in place. What will the nurse do first?
a. Assess that the client is breathing adequately
b. Insert a large-bore intravenous line
c. Place the client on a cardiac monitor
d. Assess for best neurologic response - ** VERIFIED ANSWERS **✔✔ANS: A
The highest-priority intervention in the primary survey is to establish that the client is
breathing adequately. Even though this client has an oxygen mask on, he may not be
breathing, or he may be breathing inadequately with the device in place.
On admission to the ED, a patient states that he feels like killing himself. When planning
this client's care, it is most important for the nurse to coordinate with which member of the
health care team?
a. Case manager
b. Forensic nurse examiner
c. Physician
d. Psychiatric crisis nurse - ** VERIFIED ANSWERS **✔✔ANS: D
The psych crisis nurse interacts with patients and families in crisis. This health care team
member can offer valuable expertise to the emergency health care team, which also includes
the case manager and the physician.
The ED nurse is caring for the following patients. Which does the nurse prioritize to see
first?
a. 22-year-old with a painful and swollen right wrist
b. 45-year-old reporting chest pain and diaphoresis
c. 60-year-old reporting difficulty swallowing and nausea
,d. 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101° F - **
VERIFIED ANSWERS **✔✔ANS: B
A patient experiencing chest pain and diaphoresis would be classified as emergent and
would be triaged immediately to a treatment room in the ED. The other clients are more
stable.
A client arrives at the emergency department following a motor vehicle collision. The client
is not awake and is being bagged with a bag-valve-mask by paramedics. The client has
sustained obvious injuries to the head and face, as well as an open right femur fracture that
is bleeding profusely. What will the nurse do first?
a. Splint the right lower extremity.
b. Apply direct pressure to the leg.
c. Assess for a patent airway.
d. Start two large-bore IVs. - ** VERIFIED ANSWERS **✔✔ANS: C
The highest-priority intervention in the primary survey is to establish a patent airway.
Without an adequate airway to supply oxygen to the cells, a cerebral injury could progress to
anoxic brain death. After an airway is established, resuscitation may continue to B for
breathing and C for circulation assessment.
A client has been injured in a stabbing incident. Assessment reveals the following:
Blood pressure: 80/60 mm Hg
Heart rate: 140 beats/min
Respiratory rate: 35 breaths/min
Bleeding from stabbing wound site
Client is lethargic
Based on these assessment data, to which trauma center should the nurse ensure transport
of the client?
a. Level I
b. Level II
, c. Level III
d. Level IV - ** VERIFIED ANSWERS **✔✔ANS: A
The Level I trauma center is able to provide a full continuum of care for all client areas.
Level II can provide care to most injured clients, but given the extent of his injuries, a Level I
center would be better if it is available. Both Levels III and IV can stabilize major injuries,
but transport to a higher-level center is preferred, when possible.
The nurse manager is assessing current demographics of the facility's ED patients. Which
population would most likely present to the ED for treatment of a temperature and a sore
throat?
a. Older adults
b. Immunocompromised people
c. Pediatric clients
d. Underinsured people - ** VERIFIED ANSWERS **✔✔ANS: D
The ED serves as an important safety net for clients who are ill or injured but lack access to
basic health care. Especially vulnerable populations include the underinsured and the
uninsured, who may have nowhere else to go for health care.
An emergency department nurse is transferring a client to the med surg unit. What is the
most important nursing intervention in this situation?
a. Triage the client to determine the urgency of care.
b. Clearly communicate client data to the unit nurse.
c. Evaluate the need for ongoing medical treatment.
d. Perform a thorough assessment of the client. - ** VERIFIED ANSWERS **✔✔ANS: B
The emergency nurse needs to be able to triage, assess, and evaluate. However, these steps
have already been carried out in the early phases of the emergency department (ED)
admission. When a client is ready to be transferred from the ED, communication with staff
nurses from the inpatient units is essential. This report should be a concise but
comprehensive report of the client's ED experience.
