Study Guide UPDATED ACTUAL Exam
Questions and CORRECT Answers
2 1 4 3 - CORRECT ANSWER - You are working in the triage area of an ED, and the
following four clients approach the triage desk at the same time. List the order in which you will
assess these clients?
1. Ambulatory, dazed 25-year-old man with a bandaged head wound
2. Irritable infant with a fever, petechiae, and nuchal rigidity
3. 35-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
4. 50-year-old woman with moderate abdominal pain and occasional vomiting
2 4 1 3 5 - CORRECT ANSWER - You respond to a call for help from the ED waiting
room. An elderly client is lying on the floor. List the order in which you must carry out the
following actions.
1. Perform the chin lift or jaw thrust maneuver
2. Establish unresponsiveness
3. Initiate cardiopulmonary resuscitation
4. Call for help and activate the code team
5. Instruct a UAP to get the crash cart
3 2 4 1 5 - CORRECT ANSWER - You are caring for a client with frostbite to the feet.
Place the following interventions in the correct order.
1. Apply a loose, sterile, bulky dressing
2. Give pain medication
3. Remove the client from the cold environment
4. Immerse the feet in warm water
5. Monitor for compartment syndrome
, 5 3 4 2 1 - CORRECT ANSWER - After emergency ET intubation, you must verify tube
placement and secure the tube. List in order the steps that are required to perform this function.
1. Obtain an order for a chest radiograph to document tube placement
2. Secure the tube in place
3. Auscultate the chest during assisted ventilation
4. Confirm that the breath sounds are equal and bilateral
5. Check exhaled carbon dioxide levels
4 5 2 3 1 6 - CORRECT ANSWER - The following clients come to the ED reporting acute
abdominal pain, prioritize
1. 35 y.o.
2. 11 y.o.
3. 40 y.o.
4. 65 y.o.
5. 23 y.o.
6. 50 y.o.
3 2 4 1 5 6 7 - CORRECT ANSWER - A client involved in a one-car rollover yadayada.
List order of priority
1. secure two IV bags
2. chin lift
3. assess for spontaneous respirations
4. supplemental oxygen
5. vital signs
6. remove clothing
7. Foley catheter
3 4 2 5 1 - CORRECT ANSWER - Emergency and ambulatory care nurses are among the
first HC workers to encounter victims of a bioterrorism attack.