NURS 480 CORRECT STUDY GUIDE QUESTIONS
AND ANSWERS SET A+
✔✔What does D stand for in ABCDE? - ✔✔Disability.
✔✔What does disability assess? - ✔✔Neurologic status and level of consciousness.
✔✔Why should neurologic assessment be repeated frequently? - ✔✔To detect rapid
changes in mental status.
✔✔What does E stand for in ABCDE? - ✔✔Exposure.
✔✔Why should clothing be removed during exposure? - ✔✔To assess for hidden
injuries, burns, bleeding, wounds, or trauma.
✔✔What must the nurse prevent after exposing a patient? - ✔✔Hypothermia.
✔✔When is the secondary survey performed? - ✔✔After life-threatening priorities have
been addressed.
✔✔What is included in the secondary survey? - ✔✔Comprehensive physical
assessment, health history, labs, diagnostics, wound care, comfort, and referrals.
✔✔What PPE may be needed in emergency care? - ✔✔Gloves, gown, eye protection,
face mask, and shoe covers.
✔✔Why are standard precautions important in the ED? - ✔✔To prevent contamination
from blood, body fluids, secretions, and unknown exposures.
✔✔What are common environmental emergencies? - ✔✔Heat illness, cold illness,
submersion injuries, bites, stings, and poisonings.
, ✔✔What causes heat-related emergencies? - ✔✔Failure of the body's thermoregulation
during exposure to high heat and humidity.
✔✔What are heat cramps? - ✔✔Severe cramps in large muscle groups after heavy
work or activity in heat.
✔✔What is heat exhaustion? - ✔✔A heat-related illness caused by prolonged heat
exposure and fluid/electrolyte loss.
✔✔What is heat stroke? - ✔✔A medical emergency caused by failure of the
hypothalamic thermoregulatory process.
✔✔Which heat-related condition is life-threatening? - ✔✔Heat stroke.
✔✔What are nursing actions for heat exhaustion or heat stroke? - ✔✔ABCDE, oxygen,
IV access, IV fluids, cooling measures, ice packs, and cooling blankets.
✔✔Why may an indwelling urinary catheter be needed in heat stroke? - ✔✔To monitor
urine output and organ perfusion.
✔✔What is frostbite? - ✔✔True tissue freezing with ice crystal formation in tissues and
cells.
✔✔What is the first response of the body to cold stress? - ✔✔Peripheral
vasoconstriction.
✔✔What is hypothermia? - ✔✔Core body temperature less than 95°F.
✔✔What are nursing actions for hypothermia? - ✔✔ABCDE, rewarming, correcting
dehydration, correcting acidosis, and monitoring dysrhythmias.
✔✔How should frostbite be rewarmed? - ✔✔With a warm water bath around 104°F to
108°F.
✔✔Why can frostbite rewarming be painful? - ✔✔Blood flow returns to damaged tissue,
increasing pain.
✔✔What vaccine may be given after frostbite or bite injuries? - ✔✔Tetanus toxoid.
✔✔What is drowning? - ✔✔Respiratory impairment after submersion in water or another
fluid.
✔✔What is the priority concern after drowning? - ✔✔Hypoxia.
AND ANSWERS SET A+
✔✔What does D stand for in ABCDE? - ✔✔Disability.
✔✔What does disability assess? - ✔✔Neurologic status and level of consciousness.
✔✔Why should neurologic assessment be repeated frequently? - ✔✔To detect rapid
changes in mental status.
✔✔What does E stand for in ABCDE? - ✔✔Exposure.
✔✔Why should clothing be removed during exposure? - ✔✔To assess for hidden
injuries, burns, bleeding, wounds, or trauma.
✔✔What must the nurse prevent after exposing a patient? - ✔✔Hypothermia.
✔✔When is the secondary survey performed? - ✔✔After life-threatening priorities have
been addressed.
✔✔What is included in the secondary survey? - ✔✔Comprehensive physical
assessment, health history, labs, diagnostics, wound care, comfort, and referrals.
✔✔What PPE may be needed in emergency care? - ✔✔Gloves, gown, eye protection,
face mask, and shoe covers.
✔✔Why are standard precautions important in the ED? - ✔✔To prevent contamination
from blood, body fluids, secretions, and unknown exposures.
✔✔What are common environmental emergencies? - ✔✔Heat illness, cold illness,
submersion injuries, bites, stings, and poisonings.
, ✔✔What causes heat-related emergencies? - ✔✔Failure of the body's thermoregulation
during exposure to high heat and humidity.
✔✔What are heat cramps? - ✔✔Severe cramps in large muscle groups after heavy
work or activity in heat.
✔✔What is heat exhaustion? - ✔✔A heat-related illness caused by prolonged heat
exposure and fluid/electrolyte loss.
✔✔What is heat stroke? - ✔✔A medical emergency caused by failure of the
hypothalamic thermoregulatory process.
✔✔Which heat-related condition is life-threatening? - ✔✔Heat stroke.
✔✔What are nursing actions for heat exhaustion or heat stroke? - ✔✔ABCDE, oxygen,
IV access, IV fluids, cooling measures, ice packs, and cooling blankets.
✔✔Why may an indwelling urinary catheter be needed in heat stroke? - ✔✔To monitor
urine output and organ perfusion.
✔✔What is frostbite? - ✔✔True tissue freezing with ice crystal formation in tissues and
cells.
✔✔What is the first response of the body to cold stress? - ✔✔Peripheral
vasoconstriction.
✔✔What is hypothermia? - ✔✔Core body temperature less than 95°F.
✔✔What are nursing actions for hypothermia? - ✔✔ABCDE, rewarming, correcting
dehydration, correcting acidosis, and monitoring dysrhythmias.
✔✔How should frostbite be rewarmed? - ✔✔With a warm water bath around 104°F to
108°F.
✔✔Why can frostbite rewarming be painful? - ✔✔Blood flow returns to damaged tissue,
increasing pain.
✔✔What vaccine may be given after frostbite or bite injuries? - ✔✔Tetanus toxoid.
✔✔What is drowning? - ✔✔Respiratory impairment after submersion in water or another
fluid.
✔✔What is the priority concern after drowning? - ✔✔Hypoxia.
