NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
1. An emergency room nurse assesses a client who has been raped. With which health care
team member
should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
!@#$%^&*()_
c. Forensic nurse examiner
d. Psychiatric crisis nurse - (ANSWER)ANS: C
All other members of the health care team listed may be used in the management of this
clients care. However,
the forensic nurse examiner is educated to obtain client histories and collect evidence
dealing with the assault,
and can offer the counseling and follow-up needed when dealing with the victim of an
assault.
DIF: Understanding/Comprehension REF: 118
KEY: Interdisciplinary team| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. The emergency department team is performing cardiopulmonary resuscitation on a
client when the clients
spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team. - (ANSWER)ANS: B
If resuscitation efforts are still under way when the family arrives, one or two family
members may be given
,NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
the opportunity to be present during lifesaving procedures. The other options do not give
the spouse the
opportunity to be present for the client or to begin to have closure.
DIF: Applying/Application REF: 126
KEY: Death| emergency nursing MSC: Integrated Process: Caring
!@#$%^&*()_
NOT: Client Needs Category: Psychosocial Integrity
3. 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 - (ANSWER)ANS: C
The client with pale, cool, clammy skin is in shock and needs immediate medical attention.
The mother does
not have injuries and so would be the lowest priority. The other two people need medical
attention soon, but
not at the expense of a person in shock.
DIF: Applying/Application REF: 129
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. 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?
,NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
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. - (ANSWER)ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens should be
!@#$%^&*()_
placed in a negativepressure room to prevent contamination of staff, clients, and family
members in the crowded emergency
department.
DIF: Applying/Application REF: 120
KEY: Infection control| Transmission-Based Precautions| emergency nursing| staff safety
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
5. A nurse is triaging clients in the emergency department (ED). Which client should the
nurse prioritize to
receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 F -
(ANSWER)ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and
would be triaged
immediately to a treatment room in the ED. The other clients are more stable.
DIF: Applying/Application REF: 123
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
, NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
6. A nurse is evaluating levels and functions of trauma centers. Which function is
appropriately paired with the
level of the trauma center?
!@#$%^&*()_
a. Level I Located within remote areas and provides advanced life support within resource
capabilities
b. Level II Located within community hospitals and provides care to most injured clients
c. Level III Located in rural communities and provides only basic care to clients
d. Level IV Located in large teaching hospitals and provides a full continuum of trauma care
for all clients - (ANSWER)ANS: B
Level I trauma centers are usually located in large teaching hospital systems and provide a
full continuum of
trauma care for all clients. Both Level II and Level III facilities are usually located in
community hospitals.
These trauma centers provide care for most clients and transport to Level I centers when
client needs exceed
resource capabilities. Level IV trauma centers are usually located in rural and remote
areas. These centers
provide basic care, stabilization, and advanced life support while transfer arrangements to
higher-level trauma
centers are made.
DIF: Remembering/Knowledge REF: 127
KEY: Trauma center| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. Emergency medical technicians arrive at the emergency department with an
unresponsive client who has an
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
1. An emergency room nurse assesses a client who has been raped. With which health care
team member
should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
!@#$%^&*()_
c. Forensic nurse examiner
d. Psychiatric crisis nurse - (ANSWER)ANS: C
All other members of the health care team listed may be used in the management of this
clients care. However,
the forensic nurse examiner is educated to obtain client histories and collect evidence
dealing with the assault,
and can offer the counseling and follow-up needed when dealing with the victim of an
assault.
DIF: Understanding/Comprehension REF: 118
KEY: Interdisciplinary team| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. The emergency department team is performing cardiopulmonary resuscitation on a
client when the clients
spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team. - (ANSWER)ANS: B
If resuscitation efforts are still under way when the family arrives, one or two family
members may be given
,NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
the opportunity to be present during lifesaving procedures. The other options do not give
the spouse the
opportunity to be present for the client or to begin to have closure.
DIF: Applying/Application REF: 126
KEY: Death| emergency nursing MSC: Integrated Process: Caring
!@#$%^&*()_
NOT: Client Needs Category: Psychosocial Integrity
3. 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 - (ANSWER)ANS: C
The client with pale, cool, clammy skin is in shock and needs immediate medical attention.
The mother does
not have injuries and so would be the lowest priority. The other two people need medical
attention soon, but
not at the expense of a person in shock.
DIF: Applying/Application REF: 129
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. 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?
,NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
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. - (ANSWER)ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens should be
!@#$%^&*()_
placed in a negativepressure room to prevent contamination of staff, clients, and family
members in the crowded emergency
department.
DIF: Applying/Application REF: 120
KEY: Infection control| Transmission-Based Precautions| emergency nursing| staff safety
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
5. A nurse is triaging clients in the emergency department (ED). Which client should the
nurse prioritize to
receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 F -
(ANSWER)ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and
would be triaged
immediately to a treatment room in the ED. The other clients are more stable.
DIF: Applying/Application REF: 123
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
, NR 341/ NR341 COMPLEX ADULT HEALTH LATEST FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALE |A+ GRADE
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
6. A nurse is evaluating levels and functions of trauma centers. Which function is
appropriately paired with the
level of the trauma center?
!@#$%^&*()_
a. Level I Located within remote areas and provides advanced life support within resource
capabilities
b. Level II Located within community hospitals and provides care to most injured clients
c. Level III Located in rural communities and provides only basic care to clients
d. Level IV Located in large teaching hospitals and provides a full continuum of trauma care
for all clients - (ANSWER)ANS: B
Level I trauma centers are usually located in large teaching hospital systems and provide a
full continuum of
trauma care for all clients. Both Level II and Level III facilities are usually located in
community hospitals.
These trauma centers provide care for most clients and transport to Level I centers when
client needs exceed
resource capabilities. Level IV trauma centers are usually located in rural and remote
areas. These centers
provide basic care, stabilization, and advanced life support while transfer arrangements to
higher-level trauma
centers are made.
DIF: Remembering/Knowledge REF: 127
KEY: Trauma center| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. Emergency medical technicians arrive at the emergency department with an
unresponsive client who has an
