ER Practice Questions With Complete Answers Solved Correctly!!

ER Practice Questions With Complete Answers Solved Correctly!! The physician notes that an unconscious patient brought to the emergency room needs emergency surgery. No family members are present, and the patient does not have identification. Which of the following actions by the nurse is most important regarding obtaining consent to examine and treat the patient? A) Ask the social worker to come and sign the consent. B) Contact the police to obtain the patient's identity. C) Obtain a court order to treat the patient. D) Document in the patient's chart the level of consciousness and health status of patient. D Feedback: When a patient is unconscious and in critical condition, the level of consciousness and health status of the patient should be documented so that treatment can be quickly administered when consent cannot be obtained by usual routes. The most appropriate nursing diagnosis for a patient who has difficulty maintaining a patent airway due to hemorrhage in the oral cavity would be: A) Ineffective airway clearance B) Impaired swallowing C) Risk for trauma D) Ineffective individual coping A A patient who has broken his femur presents to the emergency department with the following signs and symptoms: cool, moist skin, increased heart rate, and falling blood pressure. The nurse suspects the patient is experiencing: A) Low blood glucose B) High blood glucose C) Hemorrhage D) Fluid volume excess C Which of the following injuries would take highest priority if demonstrated by the patient entering the emergency department? A) Open fracture of the femur B) Laceration of the forearm C) Stabbing to the chest D) Traumatic amputation of foot C A patient enters the emergency department with a gunshot wound to the abdomen. The most common hollow organ injured in this way is the: A) Liver B) Small bowel C) Stomach D) Large bowel B To assess for internal injury in the peritoneum of a patient who has sustained blunt abdominal injuries in a fall, the most effective diagnostic test is a: A) Radiograph B) Computed tomography (CT) scan C) Complete blood count D) Barium swallow B After immediate threats to life have been corrected in a patient with multiple trauma, the nurse and trauma team will: A) Perform a rapid physical assessment B) Splint fractures C) Perform a thorough physical examination D) Establish the patient's age A A male patient with multiple injuries has had his airway stabilized and is breathing on his own. The nurse does not see any bleeding but suspects internal hemorrhage when the patient: A) Complains of pain at wound sites B) Has increased pulse rate C) Has increased blood pressure D) Has increased urine output B The nurse caring for a patient with suspected alcohol intoxication assesses for which condition that can mimic acute alcohol intoxication? A) Hypoglycemia B) Hyperglycemia C) Hyponatremia D) Hypokalemia A When treating a patient with alcohol withdrawal syndrome, to minimize the potential for hallucinations the nurse should: A) Place the patient in a room with roommates. B) Turn the lights to low illumination. C) Close the closet doors. D) Leave the television on at all times. C A client is admitted to the ED after being involved in a MVC. The client has multiple injuries. After establishing an airway and adequate ventilation, the ED team should prioritize what aspect of care? A) Control the client's hemorrhage B) Assess for cognitive effects of the injury C) Splint the client's fractures D) Assess the client's neurologic status A A client is brought to the ED by friends. The friends tell the nurse that the client was using cocaine at a part. On arrival to the ED the client is in visible distress with an axillary temperature of 104.2. What would be the priority nursing action for this client? A) Monitor cardiovascular effects B) Administer antipyretics C) Ensure airway and ventilation D) Prevent seizure activity C The nurse is caring for a client admitted with a drug overdose. What is the nurse's priority responsibility in caring for this client? A) Support the client's respiratory and cardiovascular function B) Provide for the safety of the client C) Enhance clearance of the offending agent D) Ensure the safety of the staff A A client is admitted to the ED with an apparent overdose of IV heroin. After stabilizing the client's cardiopulmonary status, the nurse should prepare to perform what intervention? A) Administer a bolus of lactated Ringer's B) Administer naloxone hydrochloride C) Insert an indwelling urinary catheter D) Perform a focused neurologic assessment B A client is being treated for bites suffered during an assault. After the bites have been examined by the HCP, the nurse should do what prior to wound care? A. Apply gauze soaked with chlorhexidine B. Document the wounds by photograph C. Administer a hepatitis B vaccination D. Assess the client's immunization history B A workplace explosion has produced over 100 injuries, including a 40-year-old-man with full thickness burns over 75% of his body. Despite his injuries, the man is conscious. During a mass casualty incident (MCI) how would this person be triaged? A) Green B) Yellow C) Red D) Black D A client who has been exposed to anthrax is being treated in the local hospital. The nurse should prioritize what health assessments? A) Integumentary assessment B) Assessment for signs of hemorrhage C) Neurologic assessment D) Assessment of respiratory status D For the patient exposed to anthrax, what level of precautions and isolation should be implemented? A) Droplet precautions B) Airborne precautions C) Contact precautions D) Standard precautions D When assessing clients who are victims of a chemical agent attack, the nurse is aware that assessment findings vary based on the type of chemical agent. The chemical sulfur mustard is an example of what type of chemical warfare agent? A) Vesicant B) Blood agent C) Pulmonary agent D) Nerve agent A It is announced that the facility may return to normal functioning after a local disaster. In the emergency operation plan, this is referred to as? A) Demobilization response B) Post-incident response C) Crisis diffusion D) Reversion A When conduction decontamination of a client exposed to a chemical agent, the ED staff members should remove the client's clothing and then perform what action? A) Rinse the client with dilute bleach solution B) Rinse the client with water C) Wash the client with chlorhexidine D) Rinse the client with hydrogen peroxide B A nurse who is a member of the local disaster response team is learning about blast injuries. The nurse should plan for what event that occurs in the tertiary phase of the blast injury? A) Victims' pre-existing medical conditions are exacerbated B) Victims are thrown by the pressure wave C) Victims experience burns from the blast D) Victims suffer injuries caused by debris or shrapnel from the blast B A client has been admitted to the medical unit with signs and symptoms that are suggestive of anthrax infection. The nurse should anticipate what intervention? A) Administration of acyclovir B) Hematopoietic stem cell transplantation (HSCT) C) Administration of ciprofloxacin D) Hemodialysis C During the treatment and management of the trauma patient, maintaining tissue perfusion, oxygenation, and nutritional support are strategies to prevent: A) Disseminated intravascular coagulation B) Multiple system organ dysfunction C) Septic shock D) Wound infection B Which of the following interventions is a strategy to prevent fat embolism syndrome? A) Administer lipid-lowering statin medication B) Intubate the patient early after the injury to provide mechanical ventilation C) Provide prophylaxis with low-molecular weight heparin D) Stability extremity fractures early D Which of the following injuries would result in a greater likelihood of internal organ damage and risk for infection? A) A fall from a 6-foot ladder onto the grass B) A shotgun wound to the abdomen C) A knife wound to the right chest D) A motor vehicle crash in which the driver hits the steering wheel B Nursing priorities to prevent ineffective coagulation include which of the following? SATA A) Prevention of hypothermia B) Administration of fresh frozen plasma as ordered C) Administration of potassium as ordered D) Administration of calcium as ordered A, B, D Rationale: Ineffective coagulation is a serious complication for a trauma patient that can be prevented by maintaining normothermia, evaluating and treating for hypocalcemia, administering clotting factors found in fresh frozen plasma or platelets, and evaluating and treating metabolic acidosis. Evaluating and treating serum potassium levels is important for effective cardiac muscle function, not coagulation Range of motion exercises, early ambulation, and adequate hydration are intervention to prevent: A) Catheter-associated infection B) Venous thromboembolism C) Fat embolism D) Nosocomial pneumonia B Which of the following patients have the greatest risk of developing ARDS after traumatic injury? A) A patient who has a closed head injury with decreased LOC B) A patient who has a fractured femur and is currently in traction C) A patient who has received large volumes of fluid and/or blood replacement D) A patient who has underlying chronic obstructive pulmonary disease