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EDAPT: Nursing Care: Trauma and
Emergency Questions and Answers Latest
Update
A nurse is performing a primary survey in the emergency department (ED).
What are the components of the primary survey? Select all that apply.—
Ans: Disability
Breathing
Circulation
Alertness
Exposure
While conducting the primary survey, it may be necessary to gather
additional data. Which adjunct measures should be initiated? Select all that
apply.— Ans: Collect blood specimens for laboratory testing.
Determine pain level.
Initiate continuous cardiac monitoring.
Monitor oxygenation.
A client presents to the emergency department with periorbital bruising and
a dysconjugate gaze (failure of the eyes to turn together in the same
direction). Which intervention is contraindicated?— Ans: Insert a
nasogastric tube.
© 2025 All rights reserved
, 2 | Page
Review the four clients below and properly assign them the correct
emergency service index (ESI).— Ans: Client 1: 5
Client 2: 1
Client 3: 4
Client 4: 2
A client presents to the emergency department following a motor vehicle
accident with a compound fracture of the left femur. During the primary
survey, the nurse notes asymmetric chest wall movement and absent breath
sounds on the left side. Pulse is 125, and respiratory rate is 36. What is the
priority action of the nurse?— Ans: Administer 100% oxygen via bag-valve-
mask device.
The body loses heat through four mechanisms: radiation, conduction,
convection, and evaporation. Match the type of heat loss to the example.—
Ans: Radiation - Bed near a cold window
Conduction - Cold operating room table
Convection - Wind chill
Evaporation - Wet clothing
The nurse is caring for a client experiencing homelessness who arrives to
the emergency department via ambulance with a core body temperature of
87ºF (30.5ºC). Which assessment findings should the nurse anticipate? Select
all that apply.— Ans: Bradypnea
Shivering
Kussmaul respirations
Hematocrit 55%
© 2025 All rights reserved
EDAPT: Nursing Care: Trauma and
Emergency Questions and Answers Latest
Update
A nurse is performing a primary survey in the emergency department (ED).
What are the components of the primary survey? Select all that apply.—
Ans: Disability
Breathing
Circulation
Alertness
Exposure
While conducting the primary survey, it may be necessary to gather
additional data. Which adjunct measures should be initiated? Select all that
apply.— Ans: Collect blood specimens for laboratory testing.
Determine pain level.
Initiate continuous cardiac monitoring.
Monitor oxygenation.
A client presents to the emergency department with periorbital bruising and
a dysconjugate gaze (failure of the eyes to turn together in the same
direction). Which intervention is contraindicated?— Ans: Insert a
nasogastric tube.
© 2025 All rights reserved
, 2 | Page
Review the four clients below and properly assign them the correct
emergency service index (ESI).— Ans: Client 1: 5
Client 2: 1
Client 3: 4
Client 4: 2
A client presents to the emergency department following a motor vehicle
accident with a compound fracture of the left femur. During the primary
survey, the nurse notes asymmetric chest wall movement and absent breath
sounds on the left side. Pulse is 125, and respiratory rate is 36. What is the
priority action of the nurse?— Ans: Administer 100% oxygen via bag-valve-
mask device.
The body loses heat through four mechanisms: radiation, conduction,
convection, and evaporation. Match the type of heat loss to the example.—
Ans: Radiation - Bed near a cold window
Conduction - Cold operating room table
Convection - Wind chill
Evaporation - Wet clothing
The nurse is caring for a client experiencing homelessness who arrives to
the emergency department via ambulance with a core body temperature of
87ºF (30.5ºC). Which assessment findings should the nurse anticipate? Select
all that apply.— Ans: Bradypnea
Shivering
Kussmaul respirations
Hematocrit 55%
© 2025 All rights reserved
