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Exam (elaborations)

EMERGENCY NURSING COMPREHENSIVE EXAMINATION questions with answers

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EMERGENCY NURSING COMPREHENSIVE EXAMINATION questions with answers

Institution
Emergency Nursing
Course
Emergency Nursing









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Institution
Emergency Nursing
Course
Emergency Nursing

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Uploaded on
June 23, 2025
Number of pages
10
Written in
2024/2025
Type
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EMERGENCY NURSING |\ |\




COMPREHENSIVE EXAMINATION |\ |\




questions with answers |\ |\




1. The ED nurse is caring for a client diagnosed with multiple rib
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



fractures. Which |\




data should the nurse include in the assessment?
|\ |\ |\ |\ |\ |\ |\




1. Level of orientation to time and place.
|\ |\ |\ |\ |\ |\ |\




2. Current use and last dose of medication.
|\ |\ |\ |\ |\ |\ |\




3. Symmetrical movement of the chest.
|\ |\ |\ |\ |\




4. Time of last meal the client ate. - CORRECT ANSWERS ✔✔3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




2. The nurse is caring for a client in the ED with abdominal trauma
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



who has had |\ |\




peritoneal lavage. Which intervention should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\



the plan of care?
|\ |\ |\




1. Assess for the presence of blood, bile, or feces.
|\ |\ |\ |\ |\ |\ |\ |\ |\




2. Palpate the client for bilateral femoral pulses.
|\ |\ |\ |\ |\ |\ |\




3. Perform Leopold's maneuver every eight (8) hours.
|\ |\ |\ |\ |\ |\ |\




4. Collect information on the client's dietary history. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔1 |\




3. The elderly client is brought to the ED complaining of cramps,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



headache, and |\

, weakness after working outside in the sun. The telemetry shows
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



sinus tachycardia.
|\




Which intervention should the nurse implement?
|\ |\ |\ |\ |\




1. Determine if the client is experiencing any thirst.
|\ |\ |\ |\ |\ |\ |\ |\




2. Administer D5W intravenously at 250 mL/hr.
|\ |\ |\ |\ |\ |\




3. Maintain a cool environment to promote rest.
|\ |\ |\ |\ |\ |\ |\




4. Withhold the client's oral intake. - CORRECT ANSWERS ✔✔3
|\ |\ |\ |\ |\ |\ |\ |\ |\




4. The ED nurse is caring for a client who suffered a near-drowning.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



Which expected
|\ |\




outcome should the nurse include in the plan of care for this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



client?
1. Maintain the client's cardiac function.
|\ |\ |\ |\ |\




2. Promote a continued decrease in lung surfactant.
|\ |\ |\ |\ |\ |\ |\




3. Warm rapidly to minimize the effects of hypothermia.
|\ |\ |\ |\ |\ |\ |\ |\




4. Keep the oxygen saturation level above 93%. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔4 |\




5. The nurse is assessing the client who suffered a near-drowning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



event. Which data |\ |\




require immediate intervention?
|\ |\




1. The onset of pink, frothy sputum.
|\ |\ |\ |\ |\ |\




2. An oral temperature of 97˚F.
|\ |\ |\ |\ |\




3. An alcohol level of 100 mg/dL.
|\ |\ |\ |\ |\ |\




4. A heart rate of 100 beats/min. - CORRECT ANSWERS ✔✔1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\

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