NURSING 431 Midterm Review Questions and Answers- West Coast University

NURSING 431 Midterm Review Questions What causes secondary blast injury from an explosion? A. Direct exposure to the over-pressurization wave of the explosion B. Inhalation of gases or other toxic substances C. The body is displaced and impacts another object D. Energized debris or explosive fragments impact the head "Blast lung" is a direct consequence of which of the following? A. High-order explosives (HE) over-pressurization wave B. Low-order explosives (LE) over-pressurization wave C. The individual being thrown by the blast wind D. Inhalation of gases or other toxic substances Explosives can be categorized into what two categories? A. Low order, low class B. High order, low order C. Low class, high class D. Low weight, high weight The nurse is caring for a client with a blast injury. Which of the following nursing assessments would be most appropriate for this client? A. Assess for vasovagal hypotension B. Assess the client for confusion C. Assess for asphyxia D. Assess for hypervolemia In an earthquake, the roads and underground pipes were all destroyed. Fires and explosions began to occur from the broken leaking gas lines. Which of the following would be used to describe the fire? a. A man-made disaster b. The cause of the earthquake c. The primary agent d. The secondary agent During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. The next assessment by the nurse should be to A. Check the patient’s level of consciousness B. Examine the patient for any external bleeding C. Observe the patient’s respiratory effort D. Palpable for the presence of peripheral pulses During the primary assessment of a patient with multiple trauma, the nurse observes that the patient’s right pedal pulses are absent, and the leg is swollen. The nurse’s first action should be to A. Initiate isotonic fluid infusion through two large-bore IV lines B. Send blood to the lab for a complete blood count (CBC) C. Finish the airway, breathing, circulation, disability survey D. Assess further for a cause of the decreased circulation When caring for a patient with head and neck trauma after a motorcycle accident, the emergency department nurse’s first action should be to A. Suction the mouth and oropharynx B. Immobilize the cervical spine C. Administer supplemental oxygen D. Obtain venous access A patient has been brought to the emergency department with a gunshot wound to the abdomen. In obtaining a history of the incident to determine possible injuries, the nurse asks A. “Where did the incident occur?” B. “What direction did the bullet enter the body?” C. “How long ago did the incident happen?” D. “What emergency care was started at the scene?” A 67-year-old patient who has fallen from a ladder is transported to the emergency department by ambulance. The patient is unconscious on arrival and accompanies by family members. During the primary survey of the patient, the nurse should A. Assess a full set of vital signs B. Obtain a Glascow Coma Scale score