NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
Responsible for establishing, regulating, coordinating, and monitoring the components involved
in the provision of emergency care. - correct answer Emergency Medical Services
Also known as an ambulance technician, is a health professional that provides emergency
medical services. EMTs are most commonly found working in ambulances. They are also the
most common type of providers in all of EMS.
a. Emergency Medical Services
b. Emergency Medical Technician
c. Emergency Medical Technician Intermediates
d. Emergency Medical Technician Paramedics - correct answer b. Emergency Medical
Technician
They maintain a critical skill set that can often be life-saving to those involved in accidents,
emergencies, and complicated procedures.
a. Emergency Medical Services
b. Emergency Medical Technician
c. Emergency Medical Technician Intermediates
d. Emergency Medical Technician Paramedics - correct answer c. Emergency Medical
Technician Intermediates
They are the highest level of EMTs. They are advanced providers of emergency medical care
and are highly educated in anatomy and physiology, cardiology, medications, and medical
procedures.
a. Emergency Medical Services
b. Emergency Medical Technician
c. Emergency Medical Technician Intermediates
d. Emergency Medical Technician Paramedics - correct answer d. Emergency Medical
Technician Paramedics
What are the four basic steps of emergencies? - correct answer 1. Know your facility
2. Know your scope of emergency care
,NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
3. Know your patient
4. Stay prepared
Allows for the recognition of potentially life-threatening conditions and the correct
management to be implemented.
a. Primary assessment
b. Secondary assessment
c. Tertiary assessment - correct answer a. Primary assessment
It is used during primary assessment... - correct answer ABCDE
The most important component to be established and maintained to prevent hypoxia and
ultimately death
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer a. airway
How do you check for a patent airway? - correct answer Place a finger near one nostril to check
if it has air flow or moist.
Assessed after the airway. During times of acute injury and stress, the respiratory system can
be compromised.
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer b. breathing
is needed to maintain tissue perfusion and cellular oxygenation. This system involves the heart,
vessels, and blood volume.
,NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer c. circulation
How do we determine good circulation? - correct answer Assessing the O2 sat and capillary
refill.
A neurological assessment to assess for motor or sensory deficits is vital as a decrease in level
of consciousness can affect ABC.
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer d. disability
Once the patient is exposed for full body assessment, their privacy needs to be respected by
providing a gown and blanket.
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer e. exposure
Nurse Ejay is assigned to telephone triage. A client called who was stung by a honeybee and is
asking for help. The client reports pain and localized swelling but has no respiratory distress or
other symptoms of anaphylactic shock. What is the appropriate initial action that the nurse
should direct the client to perform?
, NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
A. Removing the stinger by scraping it
B. Applying a cold compress
C. Taking an oral antihistamine
D. Calling 911 - correct answer A. Removing the stinger by scraping it.
Since the stinger will continue to release venom into the skin, removing the stinger should be
the first action that the nurse should direct to the client. Within the first few minutes after the
sting, the stinger should be removed via scraping with a credit card rather than
squeezing/tweezing to avoid further venom exposure.
A client arrives at the emergency department who suffered multiple injuries from a head-on car
collision. Which of the following assessment should take the highest priority to take?
A. Unequal pupils
B. Irregular pulse
C. Ecchymosis in the flank area
D. A deviated trachea - correct answer D. A deviated trachea
A deviated trachea is a symptom of tension pneumothorax, which will result in respiratory
distress if left untreated. The first question in the ESI triage algorithm for triage nurses asks
whether "the patient requires immediate life-saving interventions" or simply "is the patient
dying?" The nurse determines this by looking to see if the patient has a patent airway, if the
patient is breathing, and does the patient has a pulse.
Nurse Kelly, a triage nurse encountered a client who complained of mid-sternal chest pain,
dizziness, and diaphoresis. Which of the following nursing action should take priority?
A. Administer oxygen therapy via nasal cannula
B. Notify the physician
C. Complete history taking
D. Put the client on ECG monitoring - correct answer A. Administer oxygen therapy via nasal
cannula.
18- Neurologic Emergencies, ENA: Neurologic Emergencies
Responsible for establishing, regulating, coordinating, and monitoring the components involved
in the provision of emergency care. - correct answer Emergency Medical Services
Also known as an ambulance technician, is a health professional that provides emergency
medical services. EMTs are most commonly found working in ambulances. They are also the
most common type of providers in all of EMS.
a. Emergency Medical Services
b. Emergency Medical Technician
c. Emergency Medical Technician Intermediates
d. Emergency Medical Technician Paramedics - correct answer b. Emergency Medical
Technician
They maintain a critical skill set that can often be life-saving to those involved in accidents,
emergencies, and complicated procedures.
a. Emergency Medical Services
b. Emergency Medical Technician
c. Emergency Medical Technician Intermediates
d. Emergency Medical Technician Paramedics - correct answer c. Emergency Medical
Technician Intermediates
They are the highest level of EMTs. They are advanced providers of emergency medical care
and are highly educated in anatomy and physiology, cardiology, medications, and medical
procedures.
a. Emergency Medical Services
b. Emergency Medical Technician
c. Emergency Medical Technician Intermediates
d. Emergency Medical Technician Paramedics - correct answer d. Emergency Medical
Technician Paramedics
What are the four basic steps of emergencies? - correct answer 1. Know your facility
2. Know your scope of emergency care
,NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
3. Know your patient
4. Stay prepared
Allows for the recognition of potentially life-threatening conditions and the correct
management to be implemented.
a. Primary assessment
b. Secondary assessment
c. Tertiary assessment - correct answer a. Primary assessment
It is used during primary assessment... - correct answer ABCDE
The most important component to be established and maintained to prevent hypoxia and
ultimately death
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer a. airway
How do you check for a patent airway? - correct answer Place a finger near one nostril to check
if it has air flow or moist.
Assessed after the airway. During times of acute injury and stress, the respiratory system can
be compromised.
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer b. breathing
is needed to maintain tissue perfusion and cellular oxygenation. This system involves the heart,
vessels, and blood volume.
,NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer c. circulation
How do we determine good circulation? - correct answer Assessing the O2 sat and capillary
refill.
A neurological assessment to assess for motor or sensory deficits is vital as a decrease in level
of consciousness can affect ABC.
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer d. disability
Once the patient is exposed for full body assessment, their privacy needs to be respected by
providing a gown and blanket.
a. airway
b. breathing
c. circulation
d. disability
e. exposure - correct answer e. exposure
Nurse Ejay is assigned to telephone triage. A client called who was stung by a honeybee and is
asking for help. The client reports pain and localized swelling but has no respiratory distress or
other symptoms of anaphylactic shock. What is the appropriate initial action that the nurse
should direct the client to perform?
, NCM 118 FINALS, Disaster nursing- NCLEX, Elsevier Emergency Nursing: GI Emergencies, EMT- Chapter
18- Neurologic Emergencies, ENA: Neurologic Emergencies
A. Removing the stinger by scraping it
B. Applying a cold compress
C. Taking an oral antihistamine
D. Calling 911 - correct answer A. Removing the stinger by scraping it.
Since the stinger will continue to release venom into the skin, removing the stinger should be
the first action that the nurse should direct to the client. Within the first few minutes after the
sting, the stinger should be removed via scraping with a credit card rather than
squeezing/tweezing to avoid further venom exposure.
A client arrives at the emergency department who suffered multiple injuries from a head-on car
collision. Which of the following assessment should take the highest priority to take?
A. Unequal pupils
B. Irregular pulse
C. Ecchymosis in the flank area
D. A deviated trachea - correct answer D. A deviated trachea
A deviated trachea is a symptom of tension pneumothorax, which will result in respiratory
distress if left untreated. The first question in the ESI triage algorithm for triage nurses asks
whether "the patient requires immediate life-saving interventions" or simply "is the patient
dying?" The nurse determines this by looking to see if the patient has a patent airway, if the
patient is breathing, and does the patient has a pulse.
Nurse Kelly, a triage nurse encountered a client who complained of mid-sternal chest pain,
dizziness, and diaphoresis. Which of the following nursing action should take priority?
A. Administer oxygen therapy via nasal cannula
B. Notify the physician
C. Complete history taking
D. Put the client on ECG monitoring - correct answer A. Administer oxygen therapy via nasal
cannula.
