NURS 370 - MIDTERM Actual Questions and Correct Answers
Q1
In ABCDE what is included in A (airway)?
Answer: (select all that apply) voice RR breath sounds pulse oximetry chest wall movement
Q2
In ABCDE what is included in B (breathing)?
Answer: (select all that apply) RR chest wall movements voice chest percussion lung auscultation
sputum examination pulse oximetry breath sounds
Q3
What is included in circulation(C) of ABCDE?
Answer: (select all that apply) skin colour sweating cap refill time pulse rate heart auscultation
fluid balance blood pressure ECG monitoring
Q4
What is included in disability (D) of ABCDE?
Answer: (select all that apply) LOC (GCS) limb movements pupillary light reflex temperature blood
glucose
Q5
What is included in exposure (E) of ABCDE?
Answer: (select all that apply) expose skin temperature blood glucose skin reactions needle
marks
Q6
A mass casualty event has occurred in your local region of residency. An explosion occurred at a
football game where hundreds of individuals were injured. A half an hour after the explosion, two
passenger trains collided resulting in more injuries. You have been called in to work via the emergency
call tree. Once at work, you were assigned to one of the 4 triage tents in the parking lot of the hospital
Note that you have limited resources and limited operation rooms. Place the following patients in order
of importance using the color-coded mass causality system. 24 year old female, with a forehead
laceration from flying debris. She had no loss of consciousness. 38 year old male, with crushing injuries
to bilateral legs, HR 112, Resp 22, BP 90/50. 65 year old female patient with palpitations. Heart rate is
125 bpm. Patient is not diaphoretic and not short of breath Resp 16. 18 year old female with bila
Answer: 2, 3, 1, 4
, Q7
symptom suggests complete airway obstruction by a foreign body?
Answer: Gagging Coughing Inability to speak Rapid respirations
Q8
the RN's priority?
Answer: The surgical site dressing has a scant amount of bright red blood. The client is sleeping
but easily arouses when touched. The client's respirations are 6 to 8 breaths per minute. The
client's blood pressure is 100/68 mm Hg
Q9
requires the nurse's immediate attention?
Answer: "I have bad pain in my lower leg" "I just can't 'catch my breath'" "I have to use the
bedpan to pee at least every hour." "The pain medication is not working today."
Q10
There has been a train derailment and four people are injured. Which patient should the RN see first?
Client who is 20 years of age who has unequal pupils and is tachypneic Client who is 80 years old
complaining of a "racing heart" and has a laceration on his arm Client who is 10 years old with a swollen
wrist Client who is 25 years old with an open chest wall wound
Answer: d
Q11
Interactive health literacy
Answer: Ability to optimize prevention and self-management to improve
Q12
Autonomous health literacy
Answer: personal empowerment - self-awareness to assume
Q13
Informational health literacy
Answer: ability to determine authority and currency of health information Contextual health
literacy mastery of
environment
Q1
In ABCDE what is included in A (airway)?
Answer: (select all that apply) voice RR breath sounds pulse oximetry chest wall movement
Q2
In ABCDE what is included in B (breathing)?
Answer: (select all that apply) RR chest wall movements voice chest percussion lung auscultation
sputum examination pulse oximetry breath sounds
Q3
What is included in circulation(C) of ABCDE?
Answer: (select all that apply) skin colour sweating cap refill time pulse rate heart auscultation
fluid balance blood pressure ECG monitoring
Q4
What is included in disability (D) of ABCDE?
Answer: (select all that apply) LOC (GCS) limb movements pupillary light reflex temperature blood
glucose
Q5
What is included in exposure (E) of ABCDE?
Answer: (select all that apply) expose skin temperature blood glucose skin reactions needle
marks
Q6
A mass casualty event has occurred in your local region of residency. An explosion occurred at a
football game where hundreds of individuals were injured. A half an hour after the explosion, two
passenger trains collided resulting in more injuries. You have been called in to work via the emergency
call tree. Once at work, you were assigned to one of the 4 triage tents in the parking lot of the hospital
Note that you have limited resources and limited operation rooms. Place the following patients in order
of importance using the color-coded mass causality system. 24 year old female, with a forehead
laceration from flying debris. She had no loss of consciousness. 38 year old male, with crushing injuries
to bilateral legs, HR 112, Resp 22, BP 90/50. 65 year old female patient with palpitations. Heart rate is
125 bpm. Patient is not diaphoretic and not short of breath Resp 16. 18 year old female with bila
Answer: 2, 3, 1, 4
, Q7
symptom suggests complete airway obstruction by a foreign body?
Answer: Gagging Coughing Inability to speak Rapid respirations
Q8
the RN's priority?
Answer: The surgical site dressing has a scant amount of bright red blood. The client is sleeping
but easily arouses when touched. The client's respirations are 6 to 8 breaths per minute. The
client's blood pressure is 100/68 mm Hg
Q9
requires the nurse's immediate attention?
Answer: "I have bad pain in my lower leg" "I just can't 'catch my breath'" "I have to use the
bedpan to pee at least every hour." "The pain medication is not working today."
Q10
There has been a train derailment and four people are injured. Which patient should the RN see first?
Client who is 20 years of age who has unequal pupils and is tachypneic Client who is 80 years old
complaining of a "racing heart" and has a laceration on his arm Client who is 10 years old with a swollen
wrist Client who is 25 years old with an open chest wall wound
Answer: d
Q11
Interactive health literacy
Answer: Ability to optimize prevention and self-management to improve
Q12
Autonomous health literacy
Answer: personal empowerment - self-awareness to assume
Q13
Informational health literacy
Answer: ability to determine authority and currency of health information Contextual health
literacy mastery of
environment
