Chapter 68: Emergency And Disaster
Nursing Questions With Correct
Answers
1. bDuring bthe bprimary bassessment bof ba bvictim bof ba bmotor bvehicle bcollision, bthe
bnurse bdetermines bthat bthe bpatient bhas ban bunobstructed bairway. bWhich baction
bshould bthe bnurse btake bnext? b
a. bPalpate bextremities bfor bbilateral bpulses. b
b. bObserve bthe bpatient's brespiratory beffort. b
c. bCheck bthe bpatient's blevel bof bconsciousness. b
d. bExamine bthe bpatient bfor bany bexternal bbleeding. b- bcorrect banswers✔✔Answer: bb.
bObserve bthe bpatient's brespiratory beffort. b
Rationale: bEven bwith ba bpatent bairway, bpatients bcan bhave bother bproblems bthat
bcompromise bventilation, bso bthe bnext baction bis bto bassess bthe bpatient's bbreathing.
bThe bother bactions bare balso bpart bof bthe binitial bsurvey, bbut bassessment bof
bbreathing bshould bbe bdone bimmediately bafter bassessing bfor bairway bpatency.
2. bDuring bthe bprimary bsurvey bof ba bpatient bwith bsevere bleg btrauma, bthe bnurse
bobserves bthat bthe bpatient's bleft bpedal band bposterior btibial bpulses bare babsent, band
bthe bentire bleg bis bswollen. bWhich baction bwill bthe bnurse btake bnext? b
a. bSend bblood bto bthe blab bfor ba bcomplete bblood bcount. b
b. bAssess bfurther bfor ba bcause bof bthe bdecreased bcirculation. b
c. bFinish bthe bairway, bbreathing, bcirculation, bdisability bsurvey. b
d. bStart bnormal bsaline bfluid binfusion bwith ba blarge-bore bIV bline. b- bcorrect
banswers✔✔Answer: bd. bStart bnormal bsaline bfluid binfusion bwith ba blarge-bore bIV
bline. b
, Rationale: bThe bassessment bdata bindicate bthat bthe bpatient bmay bhave barterial
btrauma band bhemorrhage. bWhen ba blife-threatening binjury bis bfound bduring bthe
bprimary bsurvey, bthe bnurse bshould bimmediately bstart binterventions bbefore
bproceeding bwith bthe bsurvey. bAlthough ba bcomplete bblood bcount bis bindicated,
badministration bof bIV bfluids bshould bbe bstarted bfirst. bCompletion bof bthe bprimary
bsurvey band bfurther bassessment bshould bbe bcompleted bafter bthe bIV bfluids bare
binitiated.
3. bAfter bthe breturn bof bspontaneous bcirculation bfollowing bthe bresuscitation bof ba
bpatient bwho bhad ba bcardiac barrest, btherapeutic bhypothermia bis bprescribed. bWhich
baction bwill bthe bnurse binclude bin bthe bplan bof bcare? b
a. bInitiate bcooling bper bprotocol. b
b. bAvoid bthe buse bof bsedative bdrugs. b
c. bCheck bmental bstatus bevery b15 bminutes. b
d. bRewarm bif btemperature bis bbelow b91° bF b(32.8° bC). b- bcorrect
banswers✔✔Answer: ba. bInitiate bcooling bper bprotocol. b
Rationale: bWhen btherapeutic bhypothermia bis bused bpostresuscitation, bexternal
bcooling bdevices bor bcold bnormal bsaline binfusions bare bused bto brapidly blower bbody
btemperature bto b89.6° bto b93.2° bF b(32° bto b34° bC). bBecause bhypothermia bwill
bdecrease bbrain bactivity, bassessing bmental bstatus bevery b15 bminutes bis bnot bdone
bat bthis bstage. bSedative bdrugs bare bgiven bduring btherapeutic bhypothermia.
4. bA bpatient bwho bis bunconscious bafter ba bfall bfrom ba bladder bis btransported bto bthe
bemergency bdepartment bby bemergency bmedical bpersonnel. bWhat bshould bthe bnurse
bdo bduring bthe bprimary bsurvey bof bthe bpatient? b
a. bObtain ba bcomplete bset bof bvital bsigns. b
b. bCheck ba bGlasgow bComa bScale bscore. b
c. bAttach ban belectrocardiogram bmonitor. b
d. bAsk babout bchronic bmedical bconditions. b- bcorrect banswers✔✔Answer: bb. bCheck
ba bGlasgow bComa bScale bscore. b
Rationale: bThe bGlasgow bComa bScale bis bincluded bwhen bassessing bfor bdisability
bduring bthe bprimary bsurvey. bThe bother binformation bis bpart bof bthe bsecondary
bsurvey.
5. bA b19-yr-old bpatient bis bbrought bto bthe bemergency bdepartment b(ED) bwith bmultiple
blacerations band btissue bavulsion bof bthe bleft bhand. bWhen basked babout btetanus
Nursing Questions With Correct
Answers
1. bDuring bthe bprimary bassessment bof ba bvictim bof ba bmotor bvehicle bcollision, bthe
bnurse bdetermines bthat bthe bpatient bhas ban bunobstructed bairway. bWhich baction
bshould bthe bnurse btake bnext? b
a. bPalpate bextremities bfor bbilateral bpulses. b
b. bObserve bthe bpatient's brespiratory beffort. b
c. bCheck bthe bpatient's blevel bof bconsciousness. b
d. bExamine bthe bpatient bfor bany bexternal bbleeding. b- bcorrect banswers✔✔Answer: bb.
bObserve bthe bpatient's brespiratory beffort. b
Rationale: bEven bwith ba bpatent bairway, bpatients bcan bhave bother bproblems bthat
bcompromise bventilation, bso bthe bnext baction bis bto bassess bthe bpatient's bbreathing.
bThe bother bactions bare balso bpart bof bthe binitial bsurvey, bbut bassessment bof
bbreathing bshould bbe bdone bimmediately bafter bassessing bfor bairway bpatency.
2. bDuring bthe bprimary bsurvey bof ba bpatient bwith bsevere bleg btrauma, bthe bnurse
bobserves bthat bthe bpatient's bleft bpedal band bposterior btibial bpulses bare babsent, band
bthe bentire bleg bis bswollen. bWhich baction bwill bthe bnurse btake bnext? b
a. bSend bblood bto bthe blab bfor ba bcomplete bblood bcount. b
b. bAssess bfurther bfor ba bcause bof bthe bdecreased bcirculation. b
c. bFinish bthe bairway, bbreathing, bcirculation, bdisability bsurvey. b
d. bStart bnormal bsaline bfluid binfusion bwith ba blarge-bore bIV bline. b- bcorrect
banswers✔✔Answer: bd. bStart bnormal bsaline bfluid binfusion bwith ba blarge-bore bIV
bline. b
, Rationale: bThe bassessment bdata bindicate bthat bthe bpatient bmay bhave barterial
btrauma band bhemorrhage. bWhen ba blife-threatening binjury bis bfound bduring bthe
bprimary bsurvey, bthe bnurse bshould bimmediately bstart binterventions bbefore
bproceeding bwith bthe bsurvey. bAlthough ba bcomplete bblood bcount bis bindicated,
badministration bof bIV bfluids bshould bbe bstarted bfirst. bCompletion bof bthe bprimary
bsurvey band bfurther bassessment bshould bbe bcompleted bafter bthe bIV bfluids bare
binitiated.
3. bAfter bthe breturn bof bspontaneous bcirculation bfollowing bthe bresuscitation bof ba
bpatient bwho bhad ba bcardiac barrest, btherapeutic bhypothermia bis bprescribed. bWhich
baction bwill bthe bnurse binclude bin bthe bplan bof bcare? b
a. bInitiate bcooling bper bprotocol. b
b. bAvoid bthe buse bof bsedative bdrugs. b
c. bCheck bmental bstatus bevery b15 bminutes. b
d. bRewarm bif btemperature bis bbelow b91° bF b(32.8° bC). b- bcorrect
banswers✔✔Answer: ba. bInitiate bcooling bper bprotocol. b
Rationale: bWhen btherapeutic bhypothermia bis bused bpostresuscitation, bexternal
bcooling bdevices bor bcold bnormal bsaline binfusions bare bused bto brapidly blower bbody
btemperature bto b89.6° bto b93.2° bF b(32° bto b34° bC). bBecause bhypothermia bwill
bdecrease bbrain bactivity, bassessing bmental bstatus bevery b15 bminutes bis bnot bdone
bat bthis bstage. bSedative bdrugs bare bgiven bduring btherapeutic bhypothermia.
4. bA bpatient bwho bis bunconscious bafter ba bfall bfrom ba bladder bis btransported bto bthe
bemergency bdepartment bby bemergency bmedical bpersonnel. bWhat bshould bthe bnurse
bdo bduring bthe bprimary bsurvey bof bthe bpatient? b
a. bObtain ba bcomplete bset bof bvital bsigns. b
b. bCheck ba bGlasgow bComa bScale bscore. b
c. bAttach ban belectrocardiogram bmonitor. b
d. bAsk babout bchronic bmedical bconditions. b- bcorrect banswers✔✔Answer: bb. bCheck
ba bGlasgow bComa bScale bscore. b
Rationale: bThe bGlasgow bComa bScale bis bincluded bwhen bassessing bfor bdisability
bduring bthe bprimary bsurvey. bThe bother binformation bis bpart bof bthe bsecondary
bsurvey.
5. bA b19-yr-old bpatient bis bbrought bto bthe bemergency bdepartment b(ED) bwith bmultiple
blacerations band btissue bavulsion bof bthe bleft bhand. bWhen basked babout btetanus
