LEWIS MED SURG 12TH EDITION
EMERGENCY AND DISASTER NURSING (LEWIS MED SURG 12TH EDITION) EXAM
QUESTIONS AND ANSWERS % CORRECT.
1. The nurse is doing the primary survey of an adult who was in a motor vehicle
collision. After the nurse determines that the patient has an unobstructed airway,
which action would the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient's respiratory effort.
c. Check the patient's level of consciousness.
d. Examine the patient for external bleeding. answer >>>>>> B
Even with a patent airway, patients can have other problems that compromise
ventilation, so the next action is to assess the patient's breathing. the other
actions are also part of the initial survey, but assessment of breathing should be
done immediately after assessing for airway patency.
2. During the primary survey of a patient with severe leg trauma, the nurse
observes that the patient's left pedal and posterior tibia pulses are absent, and
the entire leg is swollen. Which action will the nurse take next?
a. Send blood to the lab for a complete blood count.
b. Assess further for a cause of the decreased circulation.
c. Finish the airway, breathing, circulation, disability survey.
d. Start normal saline fluid infusion with two large-bore IV lines. answer >>>>>> D
The assessment data indicate that the patient may have arterial trauma and
hemorrhage. When a life-threatening injury is found during the primary survey,
the nurse should immediately start interventions before proceeding with the
, LEWIS MED SURG 12TH EDITION
survey. Although sending off blood for a complete blood count is indicated,
administration of IV fluids should be started first. Completion of the primary
survey and further assessment should be completed after thieve fluids are
initiated.
3. A patient who had a cardiac arrest has been resuscitated and therapeutic
hypothermia is prescribed. Which action will the nurse include in the plan of care?
a. Hold the prescribed sedative drugs.
b. Check mental status every 15 minutes.
c. Initiate protocol for temperature management.
d. Rewarm if temperature is below 91 F (32.8 C) answer >>>>>> C
Therapeutic hypothermia, also called targeted temperature management (TTM),
uses external cooling devices or cold normal saline infusions to rapidly lower body
temperature to 89.6 to 93.2F (32 to 34C). Because hypothermia will decrease
brain activity, assessing mental status every 15 minutes is not done at this stage.
Sedative drugs are given during therapeutic hypothermia.
4. A patient who is unconscious after a fall from a ladder is transported to the
emergency department by emergency medical personnel. Which action would the
nurse complete during the primary survey of the patient?
a. Obtain a complete set of vital signs.
b. Check a Glasgow Coma Scale score.
c. Attach an electrocardiogram monitor.
d. Ask about chronic medical conditions. answer >>>>>> B
The Glasgow Coma Scale is included when assessing for disability during the
primary survey. the other information is part of the secondary survey.
EMERGENCY AND DISASTER NURSING (LEWIS MED SURG 12TH EDITION) EXAM
QUESTIONS AND ANSWERS % CORRECT.
1. The nurse is doing the primary survey of an adult who was in a motor vehicle
collision. After the nurse determines that the patient has an unobstructed airway,
which action would the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient's respiratory effort.
c. Check the patient's level of consciousness.
d. Examine the patient for external bleeding. answer >>>>>> B
Even with a patent airway, patients can have other problems that compromise
ventilation, so the next action is to assess the patient's breathing. the other
actions are also part of the initial survey, but assessment of breathing should be
done immediately after assessing for airway patency.
2. During the primary survey of a patient with severe leg trauma, the nurse
observes that the patient's left pedal and posterior tibia pulses are absent, and
the entire leg is swollen. Which action will the nurse take next?
a. Send blood to the lab for a complete blood count.
b. Assess further for a cause of the decreased circulation.
c. Finish the airway, breathing, circulation, disability survey.
d. Start normal saline fluid infusion with two large-bore IV lines. answer >>>>>> D
The assessment data indicate that the patient may have arterial trauma and
hemorrhage. When a life-threatening injury is found during the primary survey,
the nurse should immediately start interventions before proceeding with the
, LEWIS MED SURG 12TH EDITION
survey. Although sending off blood for a complete blood count is indicated,
administration of IV fluids should be started first. Completion of the primary
survey and further assessment should be completed after thieve fluids are
initiated.
3. A patient who had a cardiac arrest has been resuscitated and therapeutic
hypothermia is prescribed. Which action will the nurse include in the plan of care?
a. Hold the prescribed sedative drugs.
b. Check mental status every 15 minutes.
c. Initiate protocol for temperature management.
d. Rewarm if temperature is below 91 F (32.8 C) answer >>>>>> C
Therapeutic hypothermia, also called targeted temperature management (TTM),
uses external cooling devices or cold normal saline infusions to rapidly lower body
temperature to 89.6 to 93.2F (32 to 34C). Because hypothermia will decrease
brain activity, assessing mental status every 15 minutes is not done at this stage.
Sedative drugs are given during therapeutic hypothermia.
4. A patient who is unconscious after a fall from a ladder is transported to the
emergency department by emergency medical personnel. Which action would the
nurse complete during the primary survey of the patient?
a. Obtain a complete set of vital signs.
b. Check a Glasgow Coma Scale score.
c. Attach an electrocardiogram monitor.
d. Ask about chronic medical conditions. answer >>>>>> B
The Glasgow Coma Scale is included when assessing for disability during the
primary survey. the other information is part of the secondary survey.
