EMERGENCY AND DISASTER NURSING
LATEST TEST BANK WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
RATED A+
A 54-year-old patient arrives in the emergency department (ED)
after exposure to powdered lime at work. Which action should the
nurse take first?
a. Obtain the patients vital signs.
b. Obtain a baseline complete blood count.
c. Decontaminate the patient by showering with water.
d. Brush off any visible powder on the skin and clothing. Corect
Answer D
The initial action should be to protect staff members and decrease
the patients exposure to the toxin by
decontamination. Patients exposed to powdered lime should not
be showered; instead any/all visible powder
should be brushed off. The other actions can be done after the
decontamination is completed.
,An unresponsive 79-year-old is admitted to the emergency
department (ED) during a summer heat wave. The patients core
temperature is 105.4 F (40.8 C), blood pressure (BP) 88/50, and
pulse 112. The nurse
initially will plan to
a. apply wet sheets and a fan to the patient.
b. provide O2 at 6 L/min with a nasal cannula.
c. start lactated Ringers solution at 1000 mL/hr.
d. give acetaminophen (Tylenol) rectal suppository. Corect
Answer A
The priority intervention is to cool the patient. Antipyretics are not
effective in decreasing temperature in heat
stroke, and 100% oxygen should be given, which requires a high
flow rate through a non-rebreather mask. An
older patient would be at risk for developing complications such
as pulmonary edema if given fluids at 1000
mL/hr
19. A patient is admitted to the emergency department (ED) after
falling through the ice while ice skating. Which assessment will
the nurse obtain first?
a. Heart rate
b. Breath sounds
,c. Body temperature
d. Level of consciousness Corect Answer B
The priority assessment relates to ABCs (airway, breathing,
circulation) and how well the patient is oxygenating, so breath
sounds should be assessed first. The other data will also be
collected rapidly but are not
as essential as the breath sounds.
Following an earthquake, patients are triaged by emergency
medical personnel and are transported to the
emergency department (ED). Which patient will the nurse need to
assess first?
a. A patient with a red tag
b. A patient with a blue tag
c. A patient with a black tag
d. A patient with a yellow tag Corect Answer A
The red tag indicates a patient with a life-threatening injury
requiring rapid treatment. The other tags indicate
patients with less urgent injuries or those who are likely to die.
Family members are in the patients room when the patient has a
cardiac arrest and the staff start
, resuscitation measures. Which action should the nurse take next?
a. Keep the family in the room and assign a staff member to
explain the care given and answer questions.
b. Ask the family to wait outside the patients room with a
designated staff member to provide emotional support.
c. Ask the family members about whether they would prefer to
remain in the patients room or wait outside the room.
d. Tell the family members that patients are comforted by having
family members present during resuscitation efforts. Corect
Answer C
Although many family members and patients report benefits from
family presence during resuscitation efforts,
the nurses initial action should be to determine the preference of
these family members. The other actions may
be appropriate, but this will depend on what is learned when
assessing family preferences.
A 28-year-old patient who has deep human bite wounds on the
left hand is being treated in the urgent care
center. Which action will the nurse plan to take?
a. Prepare to administer rabies immune globulin (BayRab).
b. Assist the health care provider with suturing of the bite wounds.
c. Teach the patient the reason for the use of prophylactic
antibiotics.
LATEST TEST BANK WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
RATED A+
A 54-year-old patient arrives in the emergency department (ED)
after exposure to powdered lime at work. Which action should the
nurse take first?
a. Obtain the patients vital signs.
b. Obtain a baseline complete blood count.
c. Decontaminate the patient by showering with water.
d. Brush off any visible powder on the skin and clothing. Corect
Answer D
The initial action should be to protect staff members and decrease
the patients exposure to the toxin by
decontamination. Patients exposed to powdered lime should not
be showered; instead any/all visible powder
should be brushed off. The other actions can be done after the
decontamination is completed.
,An unresponsive 79-year-old is admitted to the emergency
department (ED) during a summer heat wave. The patients core
temperature is 105.4 F (40.8 C), blood pressure (BP) 88/50, and
pulse 112. The nurse
initially will plan to
a. apply wet sheets and a fan to the patient.
b. provide O2 at 6 L/min with a nasal cannula.
c. start lactated Ringers solution at 1000 mL/hr.
d. give acetaminophen (Tylenol) rectal suppository. Corect
Answer A
The priority intervention is to cool the patient. Antipyretics are not
effective in decreasing temperature in heat
stroke, and 100% oxygen should be given, which requires a high
flow rate through a non-rebreather mask. An
older patient would be at risk for developing complications such
as pulmonary edema if given fluids at 1000
mL/hr
19. A patient is admitted to the emergency department (ED) after
falling through the ice while ice skating. Which assessment will
the nurse obtain first?
a. Heart rate
b. Breath sounds
,c. Body temperature
d. Level of consciousness Corect Answer B
The priority assessment relates to ABCs (airway, breathing,
circulation) and how well the patient is oxygenating, so breath
sounds should be assessed first. The other data will also be
collected rapidly but are not
as essential as the breath sounds.
Following an earthquake, patients are triaged by emergency
medical personnel and are transported to the
emergency department (ED). Which patient will the nurse need to
assess first?
a. A patient with a red tag
b. A patient with a blue tag
c. A patient with a black tag
d. A patient with a yellow tag Corect Answer A
The red tag indicates a patient with a life-threatening injury
requiring rapid treatment. The other tags indicate
patients with less urgent injuries or those who are likely to die.
Family members are in the patients room when the patient has a
cardiac arrest and the staff start
, resuscitation measures. Which action should the nurse take next?
a. Keep the family in the room and assign a staff member to
explain the care given and answer questions.
b. Ask the family to wait outside the patients room with a
designated staff member to provide emotional support.
c. Ask the family members about whether they would prefer to
remain in the patients room or wait outside the room.
d. Tell the family members that patients are comforted by having
family members present during resuscitation efforts. Corect
Answer C
Although many family members and patients report benefits from
family presence during resuscitation efforts,
the nurses initial action should be to determine the preference of
these family members. The other actions may
be appropriate, but this will depend on what is learned when
assessing family preferences.
A 28-year-old patient who has deep human bite wounds on the
left hand is being treated in the urgent care
center. Which action will the nurse plan to take?
a. Prepare to administer rabies immune globulin (BayRab).
b. Assist the health care provider with suturing of the bite wounds.
c. Teach the patient the reason for the use of prophylactic
antibiotics.
