Verified Answers
\Q\.A public health nurse is discussing mass casualty triage at a staff meeting. Which of the
following staff member statements should the nurse identify as an understanding of the
information? - ANSWERS✔-Clients in the expectant category should receive comfort measures
only
\Q\.A nurse is assessing a child at the scene of a school bus crash. The child has several bruises
and a superficial 5cm (2in) laceration that has stopped bleeding on their left arm. The nurse
should assign the child to which of the following triage categories? - ANSWERS✔-Nonurgent
\Q\.A nurse is planning a tabletop disaster drill at an acute care facility. The nurse should
include which of the following clients as an example of the urgent triage category? -
ANSWERS✔-A client who has a large wound to their right thigh and pedal pulses 3+
\Q\.An occupational health nurse is assisting with the mass casualty triage following an
explosion at a local factory. The nurse should recommend transporting which of the following
clients to the ED first? - ANSWERS✔-A client whose leg is partially amputated
\Q\.Following a natural disaster, a nurse at an ED is prioritizing care of incoming clients. The
nurse finds a client who is assigned to the urgent care category. Which of the following actions
should the nurse plan to take? - ANSWERS✔-Tell the clients they will recieve treatment in about
an hour
\Q\.A nurse in the PACU is caring for a client whos is postop following an abdominal
hysterectomy. Which of the following actions should the nurse take first? - ANSWERS✔-Place
the client in a side-lying postion
, \Q\.A nurse is assessing four clients. Which of the following clients should the nurse assess
furst? - ANSWERS✔-A client who has a chest tube and asymmetrical chest movement
\Q\.A nurse enters a client's room and sees the client lying on the floor next to the bed. Which
of the following actions should the nurse take first? - ANSWERS✔-Obtain the client's vital signs
\Q\.A nurse is preparing to apply a condom catheter to a client who has a penis. Which of the
following actions should the nurse take next after performing hand hygiene and applying clean
gloves? - ANSWERS✔-Check the condition of the penile shaft
\Q\.A nurse is assessing a client who has cancer and is receiving morphine for pain
management. Which of the following findings should the nurse identify as the priority? -
ANSWERS✔-Respiratory rate 10/min
\Q\.A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the use of critical thinking skills? - ANSWERS✔-Intervenes after reviewing arterial
blood gas results for a client who is on mechanical ventilation
\Q\.A nurse is admitting a client who reports increased thirst and fatigue. Which of the
following actions should the nurse include in the assessment step of the nursing process? -
ANSWERS✔-Ask the client whne the thirst and fatigue started
\Q\.A nurse is preparing a plan of care for a client who is experiencing pain after surgery. Which
of the following components should the nurse identify as part of the planning step of the
nursing process? - ANSWERS✔-Formulate client goals for a prioritized problem
\Q\.A nurse is following the steps of the nursing process when caring for a group of clients.
Which of the following actions by the nurse occurs during the evaluation step of the nursing
process? - ANSWERS✔-Checks and documents a client's pain level 30 min after administering
pain medication