Elsevier EAQ Questions and Answers
2025
Which condition would the nurse keep in mind while performing a rewarming procedure for
a client with severe hypothermia? - correct answers The client should be monitored for a
after drop during rewarming.
When performing a rewarming procedure with warmed intravenous fluids for a client with
severe hypothermia, which core temperature is lowest temperature in which the nurse
would stop rewarming the client? - correct answers 91.4
Which action would the nurse take to decrease the risk of ventilator-associated pneumonia
(VAP) for a client receiving mechanical ventilation? - correct answers Elevate the head of
the bed to at least 30 degress.
In which order would the nurse implement the steps for cooling a client with heatstroke
who has a a body temperature of 104°F (40°C) so that breathing and circulation are not
impaired? - correct answers 1. Remove Clients clothing
2. Palce Ice packs on the clients neck
3. immerse the client in cold water
4. Fan the client rapidly to aid in cooling by evaporation
Which client activity warrants the highest priority for education about health promotion to
prevent head and neck cancer? Select all that apply. One, some, or all responses may be
correct. - correct answers 1. Chews Tobacco
2. Multiple sex partners
3. History of alcohol abuse for 5 years
Which intervention would be a priority for the nurse to implement topromote client safety
directly after esophagogastroduodenoscopy (EGD)? Select all that apply. One, some, or all
responses may be correct. - correct answers 1. Positioning to prevent aspiration
,Elsevier EAQ Questions and Answers
2025
2. Monitoring for signs of perforation
Which nursing intervention would be the priority for an older client with depression who is
prescribed a tricyclic antidepressant? - correct answers REquest that the health care
provider change the medication
- correct answers 1.Using a jaw-thrust maneuver to establish an airway
Correct
2.Providing bag-valve-mask (BVM) ventilation
Correct
3.Palpating for the presence of a radial pulse
Correct
4.Monitoring systolic blood pressure
Correct
5.Assessing the score of eye opening
Correct
6.Removing the clothing with scissors
In which order, from the most to the least urgent, would the nurse triage clients based on
their conditions? - correct answers 1. Overdoes and bradypnea
2. multiple traumas
3. Gynecological disorder
4. Simple laceration
5. Minor Burns
,Elsevier EAQ Questions and Answers
2025
Which intervention would be the priority for the nurse to incorporate into the plan of care
for the client status post mastectomy and breast augmentation receiving anthracycline
chemotherapy? - correct answers Instructing the client to report a chronic cough and
shortness of breath
When providing care for a client during the first few hours after admission to the burn unit
with full-thickness burns of the trunk and head, which goal is the nurse's priority during the
emergent phase of this injury? - correct answers Managing fluid loss
In which order would the nurse provide care based on client condition and the 5-level triage
system? - correct answers 1. Cardiac arrest
2. Chest pain to ischemia
3. Hip Fracture
4. Minor burns
Which triage tag and client condition pair would the triage nurse assign? - correct answers
major injuries with yellow tag
Which condition in a client with carbon monoxide poisoning would be given priority nursing
care? - correct answers Cardiopulmonary instability
In which order based on priority would the nurse perform interventions for a severely
traumatized client with difficulty breathing because of debris in the mouth, external
hemorrhaging, symptoms of severe hypoglycemia, and bruises on the skin? - correct
answers 1. Remove the debris from the mouth (Airway)
2.Apply pressure bandages to the bleeding areas
3. Administer intravenous glucose
4. apply bandage on the bruises
, Elsevier EAQ Questions and Answers
2025
Which client would the nurse categorize in an emergent level based on condition according
to the 3-tiered triage system? - correct answers Client A. Respiratory Distress
The client with which change in vital signs measurements would be treated first to ensure
safety? - correct answers Client B. = Vital are RR: 17--> 10
HR: 72-->120 bpm
Which client would the nurse classify as requiring immediate care based on condition and
stability? - correct answers 1. Overdoes with bradypnea 2. Cardiac arrest 3. Chest pain
due to ischemia 4. Hip Fracture
ANswer Client B= Cardiac Arrest
The emergency department nurse would provide immediate care based on priority to the
client with which condition? - correct answers Repeated tonic-clonic seizures
Which client would the triage nurse classify as requiring the least priority of care? - correct
answers client D, foreign body aspiration/pneumonia
Once a client admitted with shock secondary to severe gastrointestinal (GI) bleeding is
stabilized, which action would the nurse take? - correct answers Take a blood sample for
laboratory test
Based on laboratory values, which client's needs would the nurse address first? - correct
answers Client B: A1C%: 6.8Fasting plasma glucose level (mg/dL): 130Two-hour plasma
glucose level (mg/dL): 200
2025
Which condition would the nurse keep in mind while performing a rewarming procedure for
a client with severe hypothermia? - correct answers The client should be monitored for a
after drop during rewarming.
When performing a rewarming procedure with warmed intravenous fluids for a client with
severe hypothermia, which core temperature is lowest temperature in which the nurse
would stop rewarming the client? - correct answers 91.4
Which action would the nurse take to decrease the risk of ventilator-associated pneumonia
(VAP) for a client receiving mechanical ventilation? - correct answers Elevate the head of
the bed to at least 30 degress.
In which order would the nurse implement the steps for cooling a client with heatstroke
who has a a body temperature of 104°F (40°C) so that breathing and circulation are not
impaired? - correct answers 1. Remove Clients clothing
2. Palce Ice packs on the clients neck
3. immerse the client in cold water
4. Fan the client rapidly to aid in cooling by evaporation
Which client activity warrants the highest priority for education about health promotion to
prevent head and neck cancer? Select all that apply. One, some, or all responses may be
correct. - correct answers 1. Chews Tobacco
2. Multiple sex partners
3. History of alcohol abuse for 5 years
Which intervention would be a priority for the nurse to implement topromote client safety
directly after esophagogastroduodenoscopy (EGD)? Select all that apply. One, some, or all
responses may be correct. - correct answers 1. Positioning to prevent aspiration
,Elsevier EAQ Questions and Answers
2025
2. Monitoring for signs of perforation
Which nursing intervention would be the priority for an older client with depression who is
prescribed a tricyclic antidepressant? - correct answers REquest that the health care
provider change the medication
- correct answers 1.Using a jaw-thrust maneuver to establish an airway
Correct
2.Providing bag-valve-mask (BVM) ventilation
Correct
3.Palpating for the presence of a radial pulse
Correct
4.Monitoring systolic blood pressure
Correct
5.Assessing the score of eye opening
Correct
6.Removing the clothing with scissors
In which order, from the most to the least urgent, would the nurse triage clients based on
their conditions? - correct answers 1. Overdoes and bradypnea
2. multiple traumas
3. Gynecological disorder
4. Simple laceration
5. Minor Burns
,Elsevier EAQ Questions and Answers
2025
Which intervention would be the priority for the nurse to incorporate into the plan of care
for the client status post mastectomy and breast augmentation receiving anthracycline
chemotherapy? - correct answers Instructing the client to report a chronic cough and
shortness of breath
When providing care for a client during the first few hours after admission to the burn unit
with full-thickness burns of the trunk and head, which goal is the nurse's priority during the
emergent phase of this injury? - correct answers Managing fluid loss
In which order would the nurse provide care based on client condition and the 5-level triage
system? - correct answers 1. Cardiac arrest
2. Chest pain to ischemia
3. Hip Fracture
4. Minor burns
Which triage tag and client condition pair would the triage nurse assign? - correct answers
major injuries with yellow tag
Which condition in a client with carbon monoxide poisoning would be given priority nursing
care? - correct answers Cardiopulmonary instability
In which order based on priority would the nurse perform interventions for a severely
traumatized client with difficulty breathing because of debris in the mouth, external
hemorrhaging, symptoms of severe hypoglycemia, and bruises on the skin? - correct
answers 1. Remove the debris from the mouth (Airway)
2.Apply pressure bandages to the bleeding areas
3. Administer intravenous glucose
4. apply bandage on the bruises
, Elsevier EAQ Questions and Answers
2025
Which client would the nurse categorize in an emergent level based on condition according
to the 3-tiered triage system? - correct answers Client A. Respiratory Distress
The client with which change in vital signs measurements would be treated first to ensure
safety? - correct answers Client B. = Vital are RR: 17--> 10
HR: 72-->120 bpm
Which client would the nurse classify as requiring immediate care based on condition and
stability? - correct answers 1. Overdoes with bradypnea 2. Cardiac arrest 3. Chest pain
due to ischemia 4. Hip Fracture
ANswer Client B= Cardiac Arrest
The emergency department nurse would provide immediate care based on priority to the
client with which condition? - correct answers Repeated tonic-clonic seizures
Which client would the triage nurse classify as requiring the least priority of care? - correct
answers client D, foreign body aspiration/pneumonia
Once a client admitted with shock secondary to severe gastrointestinal (GI) bleeding is
stabilized, which action would the nurse take? - correct answers Take a blood sample for
laboratory test
Based on laboratory values, which client's needs would the nurse address first? - correct
answers Client B: A1C%: 6.8Fasting plasma glucose level (mg/dL): 130Two-hour plasma
glucose level (mg/dL): 200
