NUR445 Exam 4 2025/2026 Exam
Questions and Answers 100%
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A nurse is assisting with triaging clients following an explosion. Which of
the following clients should the nurse identify as the highest priority? -
🧠ANSWER ✔✔A conscious adult client who has second-degree burns on
both lower legs; respiratory rate is > 30/min
A charge nurse is discussing the phases of community response to disaster
with nursing staff. Which of the following statements indicates an
understanding of the heroic phase of disaster response? - 🧠ANSWER
✔✔"Personnel are willing to work in dangerous conditions to provide
assistance."
,A nurse is assessing an adolescent who experienced blunt trauma to the
abdomen. Which of the following findings is the nurse's priority? -
🧠ANSWER ✔✔Blood pressure 92/50 mm Hg
A nurse is caring for a client who experienced an open, right femur fracture
following a motor-vehicle crash. - 🧠ANSWER ✔✔The nurse should identify
that the client is most likely experiencing compartment syndrome.
Compartment syndrome occurs following a fracture due to increased
edema of the extremity or restriction by a cast or splint. It is identified by the
five Ps: pain, pallor, pulselessness, paresthesia, and paralysis.
Compartment syndrome is a medical emergency. The nurse's priorities are
to loosen the dressing to the splint and assess the client's peripheral
pulses. A pulse volume recorder may be necessary to detect the peripheral
pulses. The nurse should frequently monitor the client's neurovascular
function to detect any changes that may indicate further progression of
compartment syndrome. The nurse should also monitor and treat the
client's pain using prescribed opioids.
A nurse is reviewing treatment protocols for clients exposed to bioterrorism
agents. For which of the following agents should the nurse plan to
administer a vaccine following exposure? - 🧠ANSWER ✔✔Smallpox
,Which of the following are potential signs or symptoms of internal bleeding
caused by a brown recluse spider bite? - 🧠ANSWER ✔✔Internal bleeding
caused by a brown recluse spider bite can manifest as abdominal pain,
black or tarry stools, bloody or dark urine, and chest pain with shortness of
breath. Skin rash and itching, headache and dizziness, joint pain and
swelling, numbness and tingling, and fever and chills are not typically
associated with internal bleeding from a spider bite.
A nurse is preparing a response protocol for botulism as a bioterrorism
agent. The nurse should prepare the protocol based on which of the
following information? (Select all that apply.) - 🧠ANSWER ✔✔Botulism can
produce paralysis within 12 to 72 hr following exposure is correct. Botulism
is a neurotoxin that can cause flaccid paralysis within hours of exposure.
Notify the Centers for Disease Control and Prevention (CDC) when more
than three cases are confirmed is incorrect. Due to the threat of a botulism
outbreak, the CDC should be notified if even a single case is suspected.
Botulism is acquired through direct contact with an infected person is
incorrect. Botulism is primarily acquired through ingestion of a
contaminated food source. Vomiting and diarrhea are expected findings
following exposure is correct. Vomiting and diarrhea are expected findings
3
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STATEMENT. ALL RIGHTS RESERVED
, following ingestion of botulism. Botulism is a toxin found in castor beans is
incorrect. Ricin, rather than botulism, is a toxin found in castor beans.
A nurse is caring for a client who has burns to his face, ears, and eyelids.
The nurse should identify which of the following is the priority finding to
report to the provider? - 🧠ANSWER ✔✔Difficulty swallowing
A nurse in an emergency department is caring for a client who has a
sucking chest wound resulting from a gunshot. The client has a blood
pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory
rate of 40/min. Which of the following actions should the nurse take? -
🧠ANSWER ✔✔Administer oxygen via nasal cannula.
A community health nurse is teaching a group of community members
about natural disasters. Which of the following information about natural
disasters should the nurse include in the teaching? - 🧠ANSWER ✔✔They
are geological or meteorological occurrences.
A nurse is among the first responders to a mass-casualty incident and does
not know what type of personal protective equipment (PPE) is needed.
Which of the following actions should the nurse take? - 🧠ANSWER
✔✔Choose the highest level of protection equipment available.
Questions and Answers 100%
Guaranteed Success | Already Rated A+
A nurse is assisting with triaging clients following an explosion. Which of
the following clients should the nurse identify as the highest priority? -
🧠ANSWER ✔✔A conscious adult client who has second-degree burns on
both lower legs; respiratory rate is > 30/min
A charge nurse is discussing the phases of community response to disaster
with nursing staff. Which of the following statements indicates an
understanding of the heroic phase of disaster response? - 🧠ANSWER
✔✔"Personnel are willing to work in dangerous conditions to provide
assistance."
,A nurse is assessing an adolescent who experienced blunt trauma to the
abdomen. Which of the following findings is the nurse's priority? -
🧠ANSWER ✔✔Blood pressure 92/50 mm Hg
A nurse is caring for a client who experienced an open, right femur fracture
following a motor-vehicle crash. - 🧠ANSWER ✔✔The nurse should identify
that the client is most likely experiencing compartment syndrome.
Compartment syndrome occurs following a fracture due to increased
edema of the extremity or restriction by a cast or splint. It is identified by the
five Ps: pain, pallor, pulselessness, paresthesia, and paralysis.
Compartment syndrome is a medical emergency. The nurse's priorities are
to loosen the dressing to the splint and assess the client's peripheral
pulses. A pulse volume recorder may be necessary to detect the peripheral
pulses. The nurse should frequently monitor the client's neurovascular
function to detect any changes that may indicate further progression of
compartment syndrome. The nurse should also monitor and treat the
client's pain using prescribed opioids.
A nurse is reviewing treatment protocols for clients exposed to bioterrorism
agents. For which of the following agents should the nurse plan to
administer a vaccine following exposure? - 🧠ANSWER ✔✔Smallpox
,Which of the following are potential signs or symptoms of internal bleeding
caused by a brown recluse spider bite? - 🧠ANSWER ✔✔Internal bleeding
caused by a brown recluse spider bite can manifest as abdominal pain,
black or tarry stools, bloody or dark urine, and chest pain with shortness of
breath. Skin rash and itching, headache and dizziness, joint pain and
swelling, numbness and tingling, and fever and chills are not typically
associated with internal bleeding from a spider bite.
A nurse is preparing a response protocol for botulism as a bioterrorism
agent. The nurse should prepare the protocol based on which of the
following information? (Select all that apply.) - 🧠ANSWER ✔✔Botulism can
produce paralysis within 12 to 72 hr following exposure is correct. Botulism
is a neurotoxin that can cause flaccid paralysis within hours of exposure.
Notify the Centers for Disease Control and Prevention (CDC) when more
than three cases are confirmed is incorrect. Due to the threat of a botulism
outbreak, the CDC should be notified if even a single case is suspected.
Botulism is acquired through direct contact with an infected person is
incorrect. Botulism is primarily acquired through ingestion of a
contaminated food source. Vomiting and diarrhea are expected findings
following exposure is correct. Vomiting and diarrhea are expected findings
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, following ingestion of botulism. Botulism is a toxin found in castor beans is
incorrect. Ricin, rather than botulism, is a toxin found in castor beans.
A nurse is caring for a client who has burns to his face, ears, and eyelids.
The nurse should identify which of the following is the priority finding to
report to the provider? - 🧠ANSWER ✔✔Difficulty swallowing
A nurse in an emergency department is caring for a client who has a
sucking chest wound resulting from a gunshot. The client has a blood
pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory
rate of 40/min. Which of the following actions should the nurse take? -
🧠ANSWER ✔✔Administer oxygen via nasal cannula.
A community health nurse is teaching a group of community members
about natural disasters. Which of the following information about natural
disasters should the nurse include in the teaching? - 🧠ANSWER ✔✔They
are geological or meteorological occurrences.
A nurse is among the first responders to a mass-casualty incident and does
not know what type of personal protective equipment (PPE) is needed.
Which of the following actions should the nurse take? - 🧠ANSWER
✔✔Choose the highest level of protection equipment available.
