Adult Health 3 Exam 3 questions with
answers
The emergency department (ED) nurse is triaging clients according
to the Emergency Severity Index (ESI). When assigning clients to a
triage level, the nurse will consider the clients' acuity as well as what
other variable?
a. The client's or insurer's ability to pay for care
b. Whether the client is known to ED staff from previous visits
c. The likelihood of a repeat visit to the ED in the next 7 days
d. The resources that the client is likely to require - CORRECT
ANSWERS ✔✔d. The resources that the client is likely to require
True or False: The Emergency Severity Index (ESI) is a triage system
incorporating concepts of illness severity and resource utilization to
determine which client should be treated first. - CORRECT
ANSWERS ✔✔True
True or False: An obvious threat to life or organ places the client at
the emergency severity index (ESI) level 1. - CORRECT ANSWERS
✔✔True
, True or False: A primary and secondary survey is the approach used
for all emergency department clients. - CORRECT ANSWERS
✔✔False
A nurse in the emergency department is working triage. Which
assessment findings would indicate immediate care is required?
a. Warm, edematous, reddened and painful calf
b. Shortened and externally rotated leg
c. Inability to swallow and move the left arm
d. Yellow sputum and pain with deep inspiration - CORRECT
ANSWERS ✔✔c. Inability to swallow and move the left arm
True or False: When assessing the client's level of alertness during
the primary survey, a simple mnemonic to remember is AVPU: A =
alert, V = responsive to voice, P = responsive to physical stimulus,
and U = unresponsive - CORRECT ANSWERS ✔✔False
A client has been brought to the emergency department (ED) with
multiple trauma after a motor vehicle accident. After immediate
threats to life have been addressed, the nurse and trauma team
should take what action?
a. Establish the circumstances of the accident.
b. Perform a rapid physical assessment.
c. Initiate health education.
answers
The emergency department (ED) nurse is triaging clients according
to the Emergency Severity Index (ESI). When assigning clients to a
triage level, the nurse will consider the clients' acuity as well as what
other variable?
a. The client's or insurer's ability to pay for care
b. Whether the client is known to ED staff from previous visits
c. The likelihood of a repeat visit to the ED in the next 7 days
d. The resources that the client is likely to require - CORRECT
ANSWERS ✔✔d. The resources that the client is likely to require
True or False: The Emergency Severity Index (ESI) is a triage system
incorporating concepts of illness severity and resource utilization to
determine which client should be treated first. - CORRECT
ANSWERS ✔✔True
True or False: An obvious threat to life or organ places the client at
the emergency severity index (ESI) level 1. - CORRECT ANSWERS
✔✔True
, True or False: A primary and secondary survey is the approach used
for all emergency department clients. - CORRECT ANSWERS
✔✔False
A nurse in the emergency department is working triage. Which
assessment findings would indicate immediate care is required?
a. Warm, edematous, reddened and painful calf
b. Shortened and externally rotated leg
c. Inability to swallow and move the left arm
d. Yellow sputum and pain with deep inspiration - CORRECT
ANSWERS ✔✔c. Inability to swallow and move the left arm
True or False: When assessing the client's level of alertness during
the primary survey, a simple mnemonic to remember is AVPU: A =
alert, V = responsive to voice, P = responsive to physical stimulus,
and U = unresponsive - CORRECT ANSWERS ✔✔False
A client has been brought to the emergency department (ED) with
multiple trauma after a motor vehicle accident. After immediate
threats to life have been addressed, the nurse and trauma team
should take what action?
a. Establish the circumstances of the accident.
b. Perform a rapid physical assessment.
c. Initiate health education.
