NUR 2239 Exam 1 With Complete Solutions
A 28 year old patient who has deep human bite wounds on the
left hand is being treated in the urgent care center. Which action
will the nurse plan to take?
A. Prepare to administer rabies immune globulin (BayRab)
B. Assist the health care provider with suturing of the bite wounds
C. Teach the patient the reason for the use of prophylactic
antibiotics
D. Keep the wounds dry until the health care provider can assess
them - answers-C
A 54 year old patient arrives in the ED after exposure to
powdered lime at work. Which action should the nurse take first?
A. Obtain the patient's vital signs
B. Obtain a baseline complete blood count
,C. Decontaminate the patient by showering with water
D. Brush off any visible powder on the skin and clothing -
answers-D
A client who is hospitalized with burns after losing the family
home in a fire becomes angry and screams at a nurse when
dinner is served late. How should the nurse respond?
A. "Do you need something for pain right now?"
B. "Please stop yelling. I brought dinner as soon as I could."
C. "I suggest that you get control of yourself."
D. "You seem upset. I have time to talk if you'd like." - answers-D.
A 19 year old is brought to the emergency department with
multiple lacerations and tissue avulsion of the left hand. When
asked about tetanus immunization, the patient denies having any
previous vaccinations. The nurse will anticipate giving
A. tetanus immunoglobulin (TIG) only
,B. TIG and tetanus-diphtheria toxoid (Td)
C. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only
D. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap)
- answers-D
A 20 year old patient arrives in the emergency department several
hours after taking "25 to 30" acetaminophen tablets. Which action
will the nurse plan to take?
A. Give N-acetylcysteine (Mucomyst)
B. Discuss the use of chelation therapy
C. Start oxygen using a non-rebreather mask
D. Have the patient drink large amounts of water - answers-A
A 22 year old patient who experience a near drowning accident in
a local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most
important for the nurse to take during the observation period?
, A. Auscultate heart sounds
B. Palpate peripheral pulses
C. Auscultate breath sounds
D. Check pupil reaction to light - answers-C
A family in the emergency department is overwhelmed at the loss
of several family members due to a shooting incident in the
community. Which intervention should the nurse complete first?
a. Provide a calm location for the family to cope and discuss
needs.
b. Call the hospital chaplain to stay with the family and pray for
the deceased.
c. Do not allow visiting of the victims until the bodies are
prepared.
d. Provide privacy for law enforcement to interview the family. -
answers-A
A 28 year old patient who has deep human bite wounds on the
left hand is being treated in the urgent care center. Which action
will the nurse plan to take?
A. Prepare to administer rabies immune globulin (BayRab)
B. Assist the health care provider with suturing of the bite wounds
C. Teach the patient the reason for the use of prophylactic
antibiotics
D. Keep the wounds dry until the health care provider can assess
them - answers-C
A 54 year old patient arrives in the ED after exposure to
powdered lime at work. Which action should the nurse take first?
A. Obtain the patient's vital signs
B. Obtain a baseline complete blood count
,C. Decontaminate the patient by showering with water
D. Brush off any visible powder on the skin and clothing -
answers-D
A client who is hospitalized with burns after losing the family
home in a fire becomes angry and screams at a nurse when
dinner is served late. How should the nurse respond?
A. "Do you need something for pain right now?"
B. "Please stop yelling. I brought dinner as soon as I could."
C. "I suggest that you get control of yourself."
D. "You seem upset. I have time to talk if you'd like." - answers-D.
A 19 year old is brought to the emergency department with
multiple lacerations and tissue avulsion of the left hand. When
asked about tetanus immunization, the patient denies having any
previous vaccinations. The nurse will anticipate giving
A. tetanus immunoglobulin (TIG) only
,B. TIG and tetanus-diphtheria toxoid (Td)
C. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only
D. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap)
- answers-D
A 20 year old patient arrives in the emergency department several
hours after taking "25 to 30" acetaminophen tablets. Which action
will the nurse plan to take?
A. Give N-acetylcysteine (Mucomyst)
B. Discuss the use of chelation therapy
C. Start oxygen using a non-rebreather mask
D. Have the patient drink large amounts of water - answers-A
A 22 year old patient who experience a near drowning accident in
a local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most
important for the nurse to take during the observation period?
, A. Auscultate heart sounds
B. Palpate peripheral pulses
C. Auscultate breath sounds
D. Check pupil reaction to light - answers-C
A family in the emergency department is overwhelmed at the loss
of several family members due to a shooting incident in the
community. Which intervention should the nurse complete first?
a. Provide a calm location for the family to cope and discuss
needs.
b. Call the hospital chaplain to stay with the family and pray for
the deceased.
c. Do not allow visiting of the victims until the bodies are
prepared.
d. Provide privacy for law enforcement to interview the family. -
answers-A
