NUR 445 Exam 4 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ 2026-2027.
A nurse is developing a plan of care for a client who is rehabilitating from
major burns. Which of the following interventions should the nurse include to
provide emotional support? - ANSWER-Talk with the client during wound care.
A nurse is helping to triage a group of clients at a mass casualty incident who
were involved in an explosion at a local factory. Which of the following clients
should the nurse tag to be the priority for care? - ANSWER-A client who has a
piece of wood punctured into the chest wall and has an audible hissing sound
coming from the wound site
A nurse is conducting a primary survey of a client who has sustained life-
threatening injuries due to a motor-vehicle crash. Identify the sequence of
,actions the nurse should take. (Move the actions into the box on the right,
placing them in the selected order of performance. Use all the steps.) -
ANSWER-A primary survey is an organized system to rapidly identify and
manage immediate threats to life. The mnemonic "ABCDE" is a reminder of
the steps of the primary survey. The first step is "airway," during which the
nurse should establish a patent airway using the jaw-thrust maneuver. The
second is "breathing," during which the nurse should assess the client's
ventilator efforts to determine effectiveness of breaths. During the third step,
"circulation," the nurse should establish IV access for fluids and blood
administration as needed. The fourth step is "disability," during which the
nurse should determine a baseline neurologic status by completing a GSC
assessment. And the fifth step is "exposure," during which the nurse should
remove the client's clothing to complete a thorough assessment of the client's
injuries.
,A nurse is planning activities to increase disaster preparedness in the
community. Which of the following activities should the nurse include? -
ANSWER-Identify emergency shelter locations
A nurse is reviewing the guidelines for reporting nationally notifiable
infectious diseases. Which of the following diseases should the nurse plan to
report to the Centers for Disease Control and Prevention (CDC)? - ANSWER-
Lyme disease
A nurse in the emergency department is preparing to care for a client who
received multiple injuries during a fight. The nurse should plan to base his
primary survey on which of the following? (Select all that apply.) - ANSWER-
Airway is correct. Airway is part of the ABCDE mnemonic, which is used to
guide a primary survey for a client who has traumatic injuries. Cervical spine
is correct. Cervical spine is part of the ABCDE mnemonic which is used to
guide a primary survey for a client who has traumatic injuries.Disability is
, correct. Disability is part of the ABCDE mnemonic which is used to guide a
primary survey for a client who has traumatic injuries.Exposure is correct.
Exposure is part of the ABCDE mnemonic, which is used to guide a primary
survey for a client who has traumatic injuries.Urinary output is incorrect.
Urinary output is not part of the ABCDE mnemonic which is used to guide a
primary survey for a client who has traumatic injuries.
A community health nurse is discussing the emotional phases often
experienced during a disaster with a group of community members. Which of
the following scenarios should the nurse include as an example of the
honeymoon phase? - ANSWER-Survivors of an earthquake relive their
experiences during the disaster.
A nurse is caring for a client who suspects recent exposure to inhalation
anthrax. Which of the following findings indicate possible exposure? -
ANSWER-Flu-like symptoms
QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ 2026-2027.
A nurse is developing a plan of care for a client who is rehabilitating from
major burns. Which of the following interventions should the nurse include to
provide emotional support? - ANSWER-Talk with the client during wound care.
A nurse is helping to triage a group of clients at a mass casualty incident who
were involved in an explosion at a local factory. Which of the following clients
should the nurse tag to be the priority for care? - ANSWER-A client who has a
piece of wood punctured into the chest wall and has an audible hissing sound
coming from the wound site
A nurse is conducting a primary survey of a client who has sustained life-
threatening injuries due to a motor-vehicle crash. Identify the sequence of
,actions the nurse should take. (Move the actions into the box on the right,
placing them in the selected order of performance. Use all the steps.) -
ANSWER-A primary survey is an organized system to rapidly identify and
manage immediate threats to life. The mnemonic "ABCDE" is a reminder of
the steps of the primary survey. The first step is "airway," during which the
nurse should establish a patent airway using the jaw-thrust maneuver. The
second is "breathing," during which the nurse should assess the client's
ventilator efforts to determine effectiveness of breaths. During the third step,
"circulation," the nurse should establish IV access for fluids and blood
administration as needed. The fourth step is "disability," during which the
nurse should determine a baseline neurologic status by completing a GSC
assessment. And the fifth step is "exposure," during which the nurse should
remove the client's clothing to complete a thorough assessment of the client's
injuries.
,A nurse is planning activities to increase disaster preparedness in the
community. Which of the following activities should the nurse include? -
ANSWER-Identify emergency shelter locations
A nurse is reviewing the guidelines for reporting nationally notifiable
infectious diseases. Which of the following diseases should the nurse plan to
report to the Centers for Disease Control and Prevention (CDC)? - ANSWER-
Lyme disease
A nurse in the emergency department is preparing to care for a client who
received multiple injuries during a fight. The nurse should plan to base his
primary survey on which of the following? (Select all that apply.) - ANSWER-
Airway is correct. Airway is part of the ABCDE mnemonic, which is used to
guide a primary survey for a client who has traumatic injuries. Cervical spine
is correct. Cervical spine is part of the ABCDE mnemonic which is used to
guide a primary survey for a client who has traumatic injuries.Disability is
, correct. Disability is part of the ABCDE mnemonic which is used to guide a
primary survey for a client who has traumatic injuries.Exposure is correct.
Exposure is part of the ABCDE mnemonic, which is used to guide a primary
survey for a client who has traumatic injuries.Urinary output is incorrect.
Urinary output is not part of the ABCDE mnemonic which is used to guide a
primary survey for a client who has traumatic injuries.
A community health nurse is discussing the emotional phases often
experienced during a disaster with a group of community members. Which of
the following scenarios should the nurse include as an example of the
honeymoon phase? - ANSWER-Survivors of an earthquake relive their
experiences during the disaster.
A nurse is caring for a client who suspects recent exposure to inhalation
anthrax. Which of the following findings indicate possible exposure? -
ANSWER-Flu-like symptoms
