100% Correct Verified Answers
1. The nurse has attended a continuing education conference about CPR interventions in the
ED. Which of the following statements indicates a correct understanding of the program?
A. Fluids and blood products may need to be warmed prior to admission.
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: Pg. 443. Fluids and blood products should be warmed before
administering to prevent hypothermia.
2. The nurse working in the ED is precepting a newly hired nurse. It requires immediate
follow up by the preceptor if the newly hired nurse is observed
A. Preparing to admin acetazolamide to a client who has attitude sickness and is
allergic to sulfa drugs.
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: Pg. 486 DRUG ALERT! That is a sulfa drug. Ask about allergies.
3. The nurse working in the ED is admitting a client who was a victim of a drowning
accident. EMS successfully resuscitated the kid and performed endotracheal intubation.
Which of the following actions should the nurse take next?
A. Insert a NG tube with connection to low wall suction.
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
,Rationale: Pg. 490. In the clinical setting, gastric decompression with NG or OG tube is
needed to prevent aspiration of gastric contents and improve ventilatory function.
4. The nurse is caring for a client of a mass casualty incident who is in the ED with the
following assessment findings. Which color tags should the nurse assign to the client?
A. BLACK: Expected to die / RED: immediate threats to life such as airway obstruction,
shock, require immediate attention; YELLOW: Open fractures with distal pulses, large
wounds. Tx w/n 30 mins - 2 hrs; GREEN: 'walking wounded'
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: Color tags: RED = immediate, YELLOW = 30min-2hr, GREEN = walking
wounded, BLACK = expected to die.
5. The nurse working in the ED is admitting a client who has been exposed to a biologic
terrorism agent. Which of the following actions should the nurse immediately take?
A. Immediately report the exposure to the hospital incident commander
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: Pg.1595. ACTION ALERT! Anthrax can be considered an act of
bioterrorism. Report present of symptoms to hospital authorities immediately.
6. The nurse working in the ED is precepting a newly hired nurse. It requires immediate
follow up by the preceptor of the newly hired nurse is observed
A. Giving water to a client with a penetrating abdominal injury.
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
, Rationale: Common sense - NPO with abdominal trauma due to risk of surgery.
7. The nurse working in the ED is triaging a client who has presented with chest pain,
shortness of breath, a productive cough, and reports nights sweats. That clients health
history includes the presence of acquired immunodeficiency syndrome (AIDS) and the
recent laboratory results that reveal a low CD4+ count. Airborne precautions have been
initiated. Which of the following actions should the nurse take next?
A. Check the client's temperature
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: A fever is a symptom of AIDS exacerbation.
8. The newly hired nurse is developing a plan of care for a client who has acquired AIDS and
was just diagnosed with pneumocystis jiroveci pneumonia and pain. Which of the following
interventions should the nurse preceptor question?
A. Placing the client on a pressure-relieving mattress
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: That is not an appropriate intervention for PCP pneumonia.
9. The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal
meningitis. Which of the following actions should the nurse take?
A. Initiate seizure precautions with padded side rails
B. [Not provided in source]
C. [Not provided in source]
D. [Not provided in source]
Rationale: Pg.965. Patients may have seizures. Meningitis = seizures.