NUR 265 Practice units 9, 10 and 11
Exam Study Guide – Practice
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, NUR 265 Practice units 9,10 and 11
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An emergency room nurse is triaging victims of a multi-casualty
event. Which client should receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
2. While triaging clients in a crowded emergency department, a nurse
assesses a client who presents with symptoms of tuberculosis. Which action should
the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
3. A nurse is triaging clients in the emergency department (ED). Which
client should the nurse prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a
temperature of 101°
F
4. Emergency medical technicians arrive at the emergency
department with an unresponsive client who has an oxygen mask in place.
Which action should the nurse take 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 the best neurologic response.
5. A trauma client with multiple open wounds is brought to the
emergency department in cardiac arrest. Which action should the nurse take prior
to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
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, b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
6. A nurse is triaging clients in the emergency department. Which
client should be considered “urgent”?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102° F
d. A 50-year-old male with new-onset confusion and slurred speech
7. An emergency department nurse is caring for a client who has
died from a suspected homicide. Which action should the nurse take?
a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the grieving
family.
d. Communicate the client’s death to the family in a simple and concrete
manner.
8. An emergency department (ED) case manager is consulted for a
client who is homeless. Which intervention should the case manager provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.
9. On a hot humid day, an emergency department nurse is caring for a
client who is confused and has these vital signs: temperature 104.1° F (40.1° C),
pulse 132 beats/min, respira- tions 26 breaths/min, blood pressure 106/66 mm
Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes.
10. While at a public park, a nurse encounters a person immediately
after a bee sting. The person’s lips are swollen, and wheezes are audible. Which
action should the nurse take first?
a. Elevate the site and notify the person’s next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911.
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, 11. A client presents to the emergency department after prolonged
exposure to the cold. The client is difficult to arouse and speech is incoherent.
Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client’s extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis.
12. An emergency department nurse cares for a middle-aged mountain
climber who is confused and exhibits bizarre behaviors. After administering
oxygen, which priority intervention should the nurse implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini–mental state examination.
c. Prepare the client for computed tomography of the brain.
d. Request a psychiatric consult.
17. After teaching a client how to prevent altitude-related illnesses, a
nurse assesses the client’s understanding. Which statement indicates the client
needs additional teaching?
a. “If my climbing partner can’t think straight, we should descend to a
lower altitude.”
b. “I will ask my provider about medications to help prevent acute
mountain
sickness.”
c. “My partner and I will plan to sleep at a higher elevation to acclimate
more
quickly.”
d. “I will drink plenty of fluids to stay hydrated while on the mountain.”
18. A hospital responds to a local mass casualty event. Which action
should the nurse supervisor take to prevent staff post-traumatic stress disorder
during a mass casualty event?
a. Provide water and healthy snacks for energy throughout the event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency response
plan.
d. Assign staff to different roles and units within the medical facility.
19. A nurse is field-triaging clients after an industrial accident. Which
client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
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Exam Study Guide – Practice
Questions with Verified Answers.
GRADED A+. Latest 2026/2027
Update
messages.downloaded_by
, NUR 265 Practice units 9,10 and 11
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An emergency room nurse is triaging victims of a multi-casualty
event. Which client should receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
2. While triaging clients in a crowded emergency department, a nurse
assesses a client who presents with symptoms of tuberculosis. Which action should
the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
3. A nurse is triaging clients in the emergency department (ED). Which
client should the nurse prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a
temperature of 101°
F
4. Emergency medical technicians arrive at the emergency
department with an unresponsive client who has an oxygen mask in place.
Which action should the nurse take 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 the best neurologic response.
5. A trauma client with multiple open wounds is brought to the
emergency department in cardiac arrest. Which action should the nurse take prior
to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
messages.downloaded_by
, b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
6. A nurse is triaging clients in the emergency department. Which
client should be considered “urgent”?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102° F
d. A 50-year-old male with new-onset confusion and slurred speech
7. An emergency department nurse is caring for a client who has
died from a suspected homicide. Which action should the nurse take?
a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the grieving
family.
d. Communicate the client’s death to the family in a simple and concrete
manner.
8. An emergency department (ED) case manager is consulted for a
client who is homeless. Which intervention should the case manager provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.
9. On a hot humid day, an emergency department nurse is caring for a
client who is confused and has these vital signs: temperature 104.1° F (40.1° C),
pulse 132 beats/min, respira- tions 26 breaths/min, blood pressure 106/66 mm
Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes.
10. While at a public park, a nurse encounters a person immediately
after a bee sting. The person’s lips are swollen, and wheezes are audible. Which
action should the nurse take first?
a. Elevate the site and notify the person’s next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911.
messages.downloaded_by
, 11. A client presents to the emergency department after prolonged
exposure to the cold. The client is difficult to arouse and speech is incoherent.
Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client’s extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis.
12. An emergency department nurse cares for a middle-aged mountain
climber who is confused and exhibits bizarre behaviors. After administering
oxygen, which priority intervention should the nurse implement?
a. Administer dexamethasone (Decadron).
b. Complete a mini–mental state examination.
c. Prepare the client for computed tomography of the brain.
d. Request a psychiatric consult.
17. After teaching a client how to prevent altitude-related illnesses, a
nurse assesses the client’s understanding. Which statement indicates the client
needs additional teaching?
a. “If my climbing partner can’t think straight, we should descend to a
lower altitude.”
b. “I will ask my provider about medications to help prevent acute
mountain
sickness.”
c. “My partner and I will plan to sleep at a higher elevation to acclimate
more
quickly.”
d. “I will drink plenty of fluids to stay hydrated while on the mountain.”
18. A hospital responds to a local mass casualty event. Which action
should the nurse supervisor take to prevent staff post-traumatic stress disorder
during a mass casualty event?
a. Provide water and healthy snacks for energy throughout the event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency response
plan.
d. Assign staff to different roles and units within the medical facility.
19. A nurse is field-triaging clients after an industrial accident. Which
client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
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