Rasmussen University NUR 2755 Module 9 (pdf) | 2026/2027 | MDC 4
Q&A | Nursing
1. Which of the following best describes the primary role of the triage nurse
in the Emergency Department?
A) To provide direct patient care to the most critical patients
B) To sort and classify patients into priority levels based on illness or injury
severity
C) To coordinate the transfer of patients to other departments
D) To administer medications to all patients in the waiting room
Correct Answer: To sort and classify patients into priority levels based on
illness or injury severity
Rationale: The triage nurse acts as the "gatekeeper" of the emergency
department, sorting and classifying patients into priority levels depending on
the severity of their illness or injury [10†L16-L17][8†L25-L27]. This ensures
that the highest acuity patients receive the quickest intervention [10†L18-
L19].
2. A Forensic Nurse Examiner (RN-FNE) is called to the emergency
department. For which type of situation is this nurse's expertise most
critical?
A) A patient experiencing a myocardial infarction
B) A patient who is a victim of sexual assault
C) A patient presenting with a severe asthma attack
D) A patient with a traumatic brain injury
Correct Answer: A patient who is a victim of sexual assault
,Rationale: Forensic Nurse Examiners (RN-FNEs) have specialized knowledge
of the correct procedures to collect evidence for victims of rape, child abuse,
and domestic violence cases [6†L22-L25][7†L18-L21]. They are also trained
to assist the client in developing a safety plan and involving outside
agencies.
3. A nurse is caring for a client who is suicidal in the emergency department.
Which team would the nurse most likely collaborate with to determine the
client's disposition?
A) Emergency Medical Technicians (EMTs)
B) The Emergency Medicine Physician
C) The Psychiatric Crisis Nurse Team
D) The Forensic Nurse Examiner
Correct Answer: The Psychiatric Crisis Nurse Team
Rationale: The Psychiatric Crisis Nurse Team is called upon to evaluate and
assist in determining the disposition of a client who is suicidal [6†L27-L29]
[7†L22-L24]. The team may assist with admission to local psychiatric
hospitals and offers support to the ER staff.
4. A client arrives at the emergency department via ambulance. The pre-
hospital team has already assessed the client and communicated their
findings. Which team member is responsible for providing Advanced Life
Support (ALS) in the pre-hospital setting?
A) Emergency Medical Technician (EMT)
B) Paramedic
C) Emergency Nurse
D) Emergency Medicine Physician
Correct Answer: Paramedic
,Rationale: Paramedics offer Advanced Life Support (ALS) [6†L33-L34]. They
are the pre-hospital team members who initially assess and evaluate the
patient and communicate their findings to the ER so that preparation can
take place before the client's arrival [6†L34-L37].
5. A nurse is triaging clients in the emergency department. Which client
should the nurse prioritize for immediate intervention?
A) A client with a sprained ankle
B) A client with a severe headache and visual disturbances
C) A client with a laceration on the arm
D) A client with a fever and cough
Correct Answer: A client with a severe headache and visual disturbances
Rationale: The highest acuity patients will receive the quickest intervention
[10†L18-L19]. A severe headache with visual disturbances could indicate a
life-threatening condition such as a stroke or increased intracranial pressure,
requiring immediate attention over less critical conditions.
6. In the emergency department triage system, which color tag is assigned
to a patient who is an immediate threat to life (Class I)?
A) Red
B) Yellow
C) Green
D) Black
Correct Answer: Red
, Rationale: In triage, Class I patients are those who are an immediate threat
to life and are typically assigned a red tag [10†L12-L14][10†L23-L24]. This
indicates they require immediate, life-saving intervention.
7. A client in the emergency department has a heat stroke and begins to
shiver. Why is this finding a concern?
A) It indicates the client is recovering from the heat stroke
B) Shivering raises the client's core body temperature
C) It is a normal response to a cold environment
D) It indicates the client is having a seizure
Correct Answer: Shivering raises the client's core body temperature
Rationale: Shivering is a concern in a patient with heat stroke because it
generates heat and raises the body's core temperature [10†L33-L34]. This
can worsen the hyperthermia and counteract cooling efforts, making the
heat stroke more dangerous.
8. A nurse is preparing to admit a client with frostbite. Which treatment
should the nurse anticipate for this client in the emergency department?
A) Application of dry heat
B) Immersion in warm saline
C) Massage of the affected area
D) Application of ice packs
Correct Answer: Immersion in warm saline
Rationale: Treatment for frostbite in the emergency department includes
warming the affected area with warm saline [9†L10-L11]. Dry heat and
Q&A | Nursing
1. Which of the following best describes the primary role of the triage nurse
in the Emergency Department?
A) To provide direct patient care to the most critical patients
B) To sort and classify patients into priority levels based on illness or injury
severity
C) To coordinate the transfer of patients to other departments
D) To administer medications to all patients in the waiting room
Correct Answer: To sort and classify patients into priority levels based on
illness or injury severity
Rationale: The triage nurse acts as the "gatekeeper" of the emergency
department, sorting and classifying patients into priority levels depending on
the severity of their illness or injury [10†L16-L17][8†L25-L27]. This ensures
that the highest acuity patients receive the quickest intervention [10†L18-
L19].
2. A Forensic Nurse Examiner (RN-FNE) is called to the emergency
department. For which type of situation is this nurse's expertise most
critical?
A) A patient experiencing a myocardial infarction
B) A patient who is a victim of sexual assault
C) A patient presenting with a severe asthma attack
D) A patient with a traumatic brain injury
Correct Answer: A patient who is a victim of sexual assault
,Rationale: Forensic Nurse Examiners (RN-FNEs) have specialized knowledge
of the correct procedures to collect evidence for victims of rape, child abuse,
and domestic violence cases [6†L22-L25][7†L18-L21]. They are also trained
to assist the client in developing a safety plan and involving outside
agencies.
3. A nurse is caring for a client who is suicidal in the emergency department.
Which team would the nurse most likely collaborate with to determine the
client's disposition?
A) Emergency Medical Technicians (EMTs)
B) The Emergency Medicine Physician
C) The Psychiatric Crisis Nurse Team
D) The Forensic Nurse Examiner
Correct Answer: The Psychiatric Crisis Nurse Team
Rationale: The Psychiatric Crisis Nurse Team is called upon to evaluate and
assist in determining the disposition of a client who is suicidal [6†L27-L29]
[7†L22-L24]. The team may assist with admission to local psychiatric
hospitals and offers support to the ER staff.
4. A client arrives at the emergency department via ambulance. The pre-
hospital team has already assessed the client and communicated their
findings. Which team member is responsible for providing Advanced Life
Support (ALS) in the pre-hospital setting?
A) Emergency Medical Technician (EMT)
B) Paramedic
C) Emergency Nurse
D) Emergency Medicine Physician
Correct Answer: Paramedic
,Rationale: Paramedics offer Advanced Life Support (ALS) [6†L33-L34]. They
are the pre-hospital team members who initially assess and evaluate the
patient and communicate their findings to the ER so that preparation can
take place before the client's arrival [6†L34-L37].
5. A nurse is triaging clients in the emergency department. Which client
should the nurse prioritize for immediate intervention?
A) A client with a sprained ankle
B) A client with a severe headache and visual disturbances
C) A client with a laceration on the arm
D) A client with a fever and cough
Correct Answer: A client with a severe headache and visual disturbances
Rationale: The highest acuity patients will receive the quickest intervention
[10†L18-L19]. A severe headache with visual disturbances could indicate a
life-threatening condition such as a stroke or increased intracranial pressure,
requiring immediate attention over less critical conditions.
6. In the emergency department triage system, which color tag is assigned
to a patient who is an immediate threat to life (Class I)?
A) Red
B) Yellow
C) Green
D) Black
Correct Answer: Red
, Rationale: In triage, Class I patients are those who are an immediate threat
to life and are typically assigned a red tag [10†L12-L14][10†L23-L24]. This
indicates they require immediate, life-saving intervention.
7. A client in the emergency department has a heat stroke and begins to
shiver. Why is this finding a concern?
A) It indicates the client is recovering from the heat stroke
B) Shivering raises the client's core body temperature
C) It is a normal response to a cold environment
D) It indicates the client is having a seizure
Correct Answer: Shivering raises the client's core body temperature
Rationale: Shivering is a concern in a patient with heat stroke because it
generates heat and raises the body's core temperature [10†L33-L34]. This
can worsen the hyperthermia and counteract cooling efforts, making the
heat stroke more dangerous.
8. A nurse is preparing to admit a client with frostbite. Which treatment
should the nurse anticipate for this client in the emergency department?
A) Application of dry heat
B) Immersion in warm saline
C) Massage of the affected area
D) Application of ice packs
Correct Answer: Immersion in warm saline
Rationale: Treatment for frostbite in the emergency department includes
warming the affected area with warm saline [9†L10-L11]. Dry heat and
