NR 341 Complex Adult Health Exam
QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% Verified Solutions | Updated Per
Latest Guidelines | Graded A+
SECTION 1: EMERGENCY & TRAUMA NURSING
Question 1
An emergency room nurse assesses a client who has been raped. With which
health care team member should the nurse collaborate when planning this client's
care?
A) Emergency medicine physician
B) Case manager
C) Forensic nurse examiner
D) Psychiatric crisis nurse
Answer: C
Rationale: The forensic nurse examiner is specifically educated to obtain client
histories and collect evidence dealing with sexual assault.
Question 2
A patient with a suspected epidural hematoma arrives post-MVC. Which action
should the nurse prioritize?
A) Perform hourly neuro checks
B) Administer pain medication
,C) Notify the family
D) Prepare for intubation
Answer: A
Rationale: Hourly neurological checks are essential for monitoring deterioration in
patients with epidural hematoma.
Question 3
In a mass casualty event, which patient receives a black tag?
A) Patient with a fractured femur
B) Patient with burns on 30% of the body
C) Patient in full cardiac arrest with no pulse
D) Patient with a head injury who is conscious
Answer: C
Rationale: In mass casualty triage, a black tag is assigned to patients with no
pulse, open/unresponsive head injury, or full cardiac arrest.
Question 4
A patient with a leg fracture involving a large bone (femur or pelvis) is at risk for
which complication?
A) Fat embolism
B) Cardiac arrhythmia
C) Gastrointestinal bleeding
D) Pulmonary edema
Answer: A
Rationale: Long bone fractures, particularly of the femur or pelvis, carry a high risk
of fat embolism syndrome, where fat globules enter the bloodstream and lodge in
the lungs.
, Question 5
How is rhabdomyolysis diagnosed and treated?
A) Elevated CK (creatine kinase) level; treatment with IV fluids to achieve urine
output of 100-200 mL/hr
B) Elevated BUN level; treatment with dialysis
C) Elevated troponin level; treatment with anticoagulants
D) Elevated WBC count; treatment with antibiotics
Answer: A
Rationale: Rhabdomyolysis is identified by elevated CK (creatine kinase).
Treatment involves aggressive IV fluid resuscitation targeting a urine output of
100-200 mL/hr.
Question 6
What are the classic "5 P's" of compartment syndrome?
A) Pain, Pallor, Pulselessness, Paresthesia, Paralysis
B) Pain, Petechiae, Palpitations, Paresthesia, Paralysis
C) Pain, Pallor, Palpitations, Paresthesia, Petechiae
D) Pain, Pulselessness, Pallor, Paralysis, Pallor
Answer: A
Rationale: The "5 P's" are classic signs of compartment syndrome: Pain
(disproportionate to injury), Pallor (pale skin), Pulselessness, Paresthesia
(tingling/numbness), and Paralysis.
Question 7
A patient with carbon monoxide poisoning is on a pulse oximeter. Why should the
nurse be cautious about interpreting SpO₂ readings?
QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% Verified Solutions | Updated Per
Latest Guidelines | Graded A+
SECTION 1: EMERGENCY & TRAUMA NURSING
Question 1
An emergency room nurse assesses a client who has been raped. With which
health care team member should the nurse collaborate when planning this client's
care?
A) Emergency medicine physician
B) Case manager
C) Forensic nurse examiner
D) Psychiatric crisis nurse
Answer: C
Rationale: The forensic nurse examiner is specifically educated to obtain client
histories and collect evidence dealing with sexual assault.
Question 2
A patient with a suspected epidural hematoma arrives post-MVC. Which action
should the nurse prioritize?
A) Perform hourly neuro checks
B) Administer pain medication
,C) Notify the family
D) Prepare for intubation
Answer: A
Rationale: Hourly neurological checks are essential for monitoring deterioration in
patients with epidural hematoma.
Question 3
In a mass casualty event, which patient receives a black tag?
A) Patient with a fractured femur
B) Patient with burns on 30% of the body
C) Patient in full cardiac arrest with no pulse
D) Patient with a head injury who is conscious
Answer: C
Rationale: In mass casualty triage, a black tag is assigned to patients with no
pulse, open/unresponsive head injury, or full cardiac arrest.
Question 4
A patient with a leg fracture involving a large bone (femur or pelvis) is at risk for
which complication?
A) Fat embolism
B) Cardiac arrhythmia
C) Gastrointestinal bleeding
D) Pulmonary edema
Answer: A
Rationale: Long bone fractures, particularly of the femur or pelvis, carry a high risk
of fat embolism syndrome, where fat globules enter the bloodstream and lodge in
the lungs.
, Question 5
How is rhabdomyolysis diagnosed and treated?
A) Elevated CK (creatine kinase) level; treatment with IV fluids to achieve urine
output of 100-200 mL/hr
B) Elevated BUN level; treatment with dialysis
C) Elevated troponin level; treatment with anticoagulants
D) Elevated WBC count; treatment with antibiotics
Answer: A
Rationale: Rhabdomyolysis is identified by elevated CK (creatine kinase).
Treatment involves aggressive IV fluid resuscitation targeting a urine output of
100-200 mL/hr.
Question 6
What are the classic "5 P's" of compartment syndrome?
A) Pain, Pallor, Pulselessness, Paresthesia, Paralysis
B) Pain, Petechiae, Palpitations, Paresthesia, Paralysis
C) Pain, Pallor, Palpitations, Paresthesia, Petechiae
D) Pain, Pulselessness, Pallor, Paralysis, Pallor
Answer: A
Rationale: The "5 P's" are classic signs of compartment syndrome: Pain
(disproportionate to injury), Pallor (pale skin), Pulselessness, Paresthesia
(tingling/numbness), and Paralysis.
Question 7
A patient with carbon monoxide poisoning is on a pulse oximeter. Why should the
nurse be cautious about interpreting SpO₂ readings?
