NUR 203 Mod E UPDATED ACTUAL Exam
Questions and CORRECT Answers
heat stroke - CORRECT ANSWER - Wet sheets and fan
heat cramps - CORRECT ANSWER - Drink Gatorade or sport drink
heat exhaustion - CORRECT ANSWER - Remove from physical activity and place in cool
environment
Snake bites - CORRECT ANSWER - Immobilize the extremity, swelling is indicative of
venom. DO NOT apply ice. Once on site, first thing you do is start large bore IV
Tarantulas - CORRECT ANSWER - Remove hairs with tape and rinse with saline
Spider bites - CORRECT ANSWER - Apply ice (to inhibit neurotoxicity) if black widow, give
antidote
Lyme disease - CORRECT ANSWER - Caused by tic
wasp sting - CORRECT ANSWER - Maintain airway (epi if needed)
Aspirin overdose - CORRECT ANSWER - Treat with lpecac syrup, OD will have hepatic
involvement
charcoal - CORRECT ANSWER - If no bowel sounds
Mannitol - CORRECT ANSWER - Use filtered needle
,Acute alcohol withdrawal - CORRECT ANSWER - Tremors, HTN
Chronic alcoholic - CORRECT ANSWER - Hepatomegaly
Alcohol withdrawal - CORRECT ANSWER - Restless, anxiety, insomnia, agitation, tremors,
htn
chronic tobacco use - CORRECT ANSWER - Causes cerebral vascular disease
Narcotic/opioids - CORRECT ANSWER - Antidote: Narcan
(Pinpoint pupils)
Cocaine - CORRECT ANSWER - Look for redness around nares or nasal deviation
GHB - CORRECT ANSWER - Suspect if unconscious teenager is brought to ER
increased ICP - CORRECT ANSWER - Do not turn head to side, no bearing down
CSF - CORRECT ANSWER - Look for glucose (will create a halo)
2 MD's can consent - CORRECT ANSWER - If pt. unconscious and needs treatment
Hypothermia - CORRECT ANSWER - shivering, mental slowness, cold extremities. Do not
put heat on. Warm slowly. (alcoholics more susceptible to this since not as aware of their
environment)
3rd degree hypothermia - CORRECT ANSWER - cool, numbness, doesn't blanch. Will know
treatment is effective when temp. rises above 95
,Abuse suspected - CORRECT ANSWER - ask if Anyone abusing them. Provide info. For safe
house
If injuries don't coincide with history being given suspect child abuse and report.
Vaccines - CORRECT ANSWER - to prevent small pox outbreaks
Child Poisoning - CORRECT ANSWER - 1. assess child 2. Stop absorption 3. Locate the
poison 4. identify the substance
Baby with possible poisoning - CORRECT ANSWER - assume swallowed corrosive
substance-look for swelling of larynx
Poison control center 1-800-222-1222 call if suspect child ingested a poison
shaken baby syndrome - CORRECT ANSWER - look for retinal hemorrhage
compartment syndrome - CORRECT ANSWER - severe pain in extremity
pulmonary edema - CORRECT ANSWER - can occur when fall into salt water due to pulls
H20 into lungs(water follows salt into the lungs)
triage nurse - CORRECT ANSWER - prioritizes care, and decides who goes first
Primary Survey - CORRECT ANSWER - 1. Airway 2. C-spine 3. Breathing 4. circulation 5.
disability 6. exposure
The emergency department team is performing cardiopulmonary resuscitation on a client when
the client's spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the client's spouse sit in the waiting room.
, b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the client's spouse to the hospital's crisis team. - CORRECT ANSWER -B
An emergency room nurse is triaging victims of a multi-casualty event. Which client should
receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg - CORRECT ANSWER -C
While triaging clients in a crowded emergency department, a nurse assesses a client who presents
with symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity. - CORRECT ANSWER -C
A nurse is triaging clients in the emergency department (ED). Which client should the nurse
prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101° F -
CORRECT ANSWER - B
Emergency medical technicians arrive at the emergency department with an unresponsive client
who has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
Questions and CORRECT Answers
heat stroke - CORRECT ANSWER - Wet sheets and fan
heat cramps - CORRECT ANSWER - Drink Gatorade or sport drink
heat exhaustion - CORRECT ANSWER - Remove from physical activity and place in cool
environment
Snake bites - CORRECT ANSWER - Immobilize the extremity, swelling is indicative of
venom. DO NOT apply ice. Once on site, first thing you do is start large bore IV
Tarantulas - CORRECT ANSWER - Remove hairs with tape and rinse with saline
Spider bites - CORRECT ANSWER - Apply ice (to inhibit neurotoxicity) if black widow, give
antidote
Lyme disease - CORRECT ANSWER - Caused by tic
wasp sting - CORRECT ANSWER - Maintain airway (epi if needed)
Aspirin overdose - CORRECT ANSWER - Treat with lpecac syrup, OD will have hepatic
involvement
charcoal - CORRECT ANSWER - If no bowel sounds
Mannitol - CORRECT ANSWER - Use filtered needle
,Acute alcohol withdrawal - CORRECT ANSWER - Tremors, HTN
Chronic alcoholic - CORRECT ANSWER - Hepatomegaly
Alcohol withdrawal - CORRECT ANSWER - Restless, anxiety, insomnia, agitation, tremors,
htn
chronic tobacco use - CORRECT ANSWER - Causes cerebral vascular disease
Narcotic/opioids - CORRECT ANSWER - Antidote: Narcan
(Pinpoint pupils)
Cocaine - CORRECT ANSWER - Look for redness around nares or nasal deviation
GHB - CORRECT ANSWER - Suspect if unconscious teenager is brought to ER
increased ICP - CORRECT ANSWER - Do not turn head to side, no bearing down
CSF - CORRECT ANSWER - Look for glucose (will create a halo)
2 MD's can consent - CORRECT ANSWER - If pt. unconscious and needs treatment
Hypothermia - CORRECT ANSWER - shivering, mental slowness, cold extremities. Do not
put heat on. Warm slowly. (alcoholics more susceptible to this since not as aware of their
environment)
3rd degree hypothermia - CORRECT ANSWER - cool, numbness, doesn't blanch. Will know
treatment is effective when temp. rises above 95
,Abuse suspected - CORRECT ANSWER - ask if Anyone abusing them. Provide info. For safe
house
If injuries don't coincide with history being given suspect child abuse and report.
Vaccines - CORRECT ANSWER - to prevent small pox outbreaks
Child Poisoning - CORRECT ANSWER - 1. assess child 2. Stop absorption 3. Locate the
poison 4. identify the substance
Baby with possible poisoning - CORRECT ANSWER - assume swallowed corrosive
substance-look for swelling of larynx
Poison control center 1-800-222-1222 call if suspect child ingested a poison
shaken baby syndrome - CORRECT ANSWER - look for retinal hemorrhage
compartment syndrome - CORRECT ANSWER - severe pain in extremity
pulmonary edema - CORRECT ANSWER - can occur when fall into salt water due to pulls
H20 into lungs(water follows salt into the lungs)
triage nurse - CORRECT ANSWER - prioritizes care, and decides who goes first
Primary Survey - CORRECT ANSWER - 1. Airway 2. C-spine 3. Breathing 4. circulation 5.
disability 6. exposure
The emergency department team is performing cardiopulmonary resuscitation on a client when
the client's spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the client's spouse sit in the waiting room.
, b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the client's spouse to the hospital's crisis team. - CORRECT ANSWER -B
An emergency room nurse is triaging victims of a multi-casualty event. Which client should
receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg - CORRECT ANSWER -C
While triaging clients in a crowded emergency department, a nurse assesses a client who presents
with symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity. - CORRECT ANSWER -C
A nurse is triaging clients in the emergency department (ED). Which client should the nurse
prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101° F -
CORRECT ANSWER - B
Emergency medical technicians arrive at the emergency department with an unresponsive client
who has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
