AH3 EXAM 3 QUESTIONS & ANSWERS
A nurse is participating in the planning of a hospitals emergency operations plan. The
nurse is aware of
the potential for ethical dilemmas during a disaster or other emergency. Ethical
dilemmas in these
contexts are best addressed by which of the following actions?
A) Having an ethical framework in place prior to an emergency
B) Allowing staff to provide care anonymously during an emergency
C) Assuring staff that they are not legally accountable for care provided during an
emergency
D) Teaching staff that principles of ethics do not apply in an emergency situation -
Answers :A
The nurse in the emergency department receives a client who has choked on a piece of
food and is unconscious. Abdominal thrusts and suctioning have failed to remove the
foreign object, and the physician has determined intubation is impossible due to the
obstruction. The nurse should emergently prepare for which of the following
procedures? - Answers :- Prepare patient for tracheostomy
The nurse in the emergency department is triaging clients who have arrived following a
mass casualty incident. The nurse should consider which of the following factors when
triaging clients? Select all that apply. - Answers :- Nearness to death
- Level of resources required
The nurse working in the emergency department is caring for a female client who has a
spiral fracture to the right arm and ecchymosis to the right eye. The client's spouse
states the client fell at home and the nurse notes the client has multiple ED visits in the
last 6 months for other injuries. Which of the following actions would be most
appropriate for the nurse to take? Select all that apply.
a. Prove information to client about a safe house
b. Report findings of abuse to charge nurse
c. Attempt to interview client alone
d. Ask spouse if he caused the injuries
e. Call police to arrest spouse - Answers :a. Prove information to client about a safe
house
b. Report findings of abuse to charge nurse
c. Attempt to interview client alone
Nurse in ED caring for pt with moderate hypothermia. What complications should be
monitored for? - Answers :- stroke
The nurse in the emergency department is assessing a client who arrived by ambulance
following a traumatic injury at a construction site. Which of the following assessment
findings should be a priority for the nurse to address? - Answers :- Trachea to the left of
the midline
, The nurse in the emergency department has received a 5-year-old client who has flu-
like symptoms and an erythematous lesion on the flank that is 8 cm in diameter. It is
important for the nurse to ask the client's parent if the child has recently been around
which of the following? - Answers :- Ask if they have been in wooded area
(The child is exhibiting classic manifestations of the early stages of Lyme disease. Lyme
disease is caused by a tick bite, and ticks are prevalent in wooded areas.)
The nurse in the emergency department is caring for a client with a wound from a
human bite on the hand 12 hours ago. Which of the following prescriptions should the
nurse clarify? - Answers :- Rabies immune globulin
- Sterile dressing
The nurse in the emergency department is assessing clients who arrived by ambulance
following a bridge collapse. The nurse must recognize that - Answers :- Subcutaneous
emphysema (rice crispy/bubble wrap) may indicate laryngeal tracheal disruption
The nurse is caring for a client who is critically ill and at risk for stress ulcers. Which of
the following prescribed medications should the nurse expect from the healthcare
provider as prophylactic therapy? Select all that apply.
a. misoprostol
b. Ranitidine
c. famotidine
d. cimetidine
e. pantoprazole - Answers :a. misoprostol
e. pantoprazole
The nurse in the emergency department is caring for a group of clients who have
experienced poisoning. Which of the following actions by the nurse would be
appropriate? - Answers :- Preparing a client who ingested an excessive dose of aspirin
for hemodialysis
(A client who has ingested an excessive dose of aspirin (salicylic acid) may develop
severe acidosis. Hemodialysis can help to correct this imbalance.)
The nurse administered NPH insulin to an assigned client at 0700. Which of the
following times should the nurse expect the insulin to begin peaking? - Answers :- 1100
(NPH insulin peaks between 4 and 12 hours after administration so the nurse should
expect the NPH to begin peaking around 1100)
The nurse is providing care for a client who survived near drowning. Which of the
following interventions should be a priority for the nurse to take? - Answers :- Correcting
hypoxia
A nurse is participating in the planning of a hospitals emergency operations plan. The
nurse is aware of
the potential for ethical dilemmas during a disaster or other emergency. Ethical
dilemmas in these
contexts are best addressed by which of the following actions?
A) Having an ethical framework in place prior to an emergency
B) Allowing staff to provide care anonymously during an emergency
C) Assuring staff that they are not legally accountable for care provided during an
emergency
D) Teaching staff that principles of ethics do not apply in an emergency situation -
Answers :A
The nurse in the emergency department receives a client who has choked on a piece of
food and is unconscious. Abdominal thrusts and suctioning have failed to remove the
foreign object, and the physician has determined intubation is impossible due to the
obstruction. The nurse should emergently prepare for which of the following
procedures? - Answers :- Prepare patient for tracheostomy
The nurse in the emergency department is triaging clients who have arrived following a
mass casualty incident. The nurse should consider which of the following factors when
triaging clients? Select all that apply. - Answers :- Nearness to death
- Level of resources required
The nurse working in the emergency department is caring for a female client who has a
spiral fracture to the right arm and ecchymosis to the right eye. The client's spouse
states the client fell at home and the nurse notes the client has multiple ED visits in the
last 6 months for other injuries. Which of the following actions would be most
appropriate for the nurse to take? Select all that apply.
a. Prove information to client about a safe house
b. Report findings of abuse to charge nurse
c. Attempt to interview client alone
d. Ask spouse if he caused the injuries
e. Call police to arrest spouse - Answers :a. Prove information to client about a safe
house
b. Report findings of abuse to charge nurse
c. Attempt to interview client alone
Nurse in ED caring for pt with moderate hypothermia. What complications should be
monitored for? - Answers :- stroke
The nurse in the emergency department is assessing a client who arrived by ambulance
following a traumatic injury at a construction site. Which of the following assessment
findings should be a priority for the nurse to address? - Answers :- Trachea to the left of
the midline
, The nurse in the emergency department has received a 5-year-old client who has flu-
like symptoms and an erythematous lesion on the flank that is 8 cm in diameter. It is
important for the nurse to ask the client's parent if the child has recently been around
which of the following? - Answers :- Ask if they have been in wooded area
(The child is exhibiting classic manifestations of the early stages of Lyme disease. Lyme
disease is caused by a tick bite, and ticks are prevalent in wooded areas.)
The nurse in the emergency department is caring for a client with a wound from a
human bite on the hand 12 hours ago. Which of the following prescriptions should the
nurse clarify? - Answers :- Rabies immune globulin
- Sterile dressing
The nurse in the emergency department is assessing clients who arrived by ambulance
following a bridge collapse. The nurse must recognize that - Answers :- Subcutaneous
emphysema (rice crispy/bubble wrap) may indicate laryngeal tracheal disruption
The nurse is caring for a client who is critically ill and at risk for stress ulcers. Which of
the following prescribed medications should the nurse expect from the healthcare
provider as prophylactic therapy? Select all that apply.
a. misoprostol
b. Ranitidine
c. famotidine
d. cimetidine
e. pantoprazole - Answers :a. misoprostol
e. pantoprazole
The nurse in the emergency department is caring for a group of clients who have
experienced poisoning. Which of the following actions by the nurse would be
appropriate? - Answers :- Preparing a client who ingested an excessive dose of aspirin
for hemodialysis
(A client who has ingested an excessive dose of aspirin (salicylic acid) may develop
severe acidosis. Hemodialysis can help to correct this imbalance.)
The nurse administered NPH insulin to an assigned client at 0700. Which of the
following times should the nurse expect the insulin to begin peaking? - Answers :- 1100
(NPH insulin peaks between 4 and 12 hours after administration so the nurse should
expect the NPH to begin peaking around 1100)
The nurse is providing care for a client who survived near drowning. Which of the
following interventions should be a priority for the nurse to take? - Answers :- Correcting
hypoxia
