EMERGENCY NURSING |\ |\
COMPREHENSIVE EXAMINATION |\ |\
questions with answers |\ |\
1. The ED nurse is caring for a client diagnosed with multiple rib
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fractures. Which |\
data should the nurse include in the assessment?
|\ |\ |\ |\ |\ |\ |\
1. Level of orientation to time and place.
|\ |\ |\ |\ |\ |\ |\
2. Current use and last dose of medication.
|\ |\ |\ |\ |\ |\ |\
3. Symmetrical movement of the chest.
|\ |\ |\ |\ |\
4. Time of last meal the client ate. - CORRECT ANSWERS ✔✔3
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2. The nurse is caring for a client in the ED with abdominal trauma
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who has had |\ |\
peritoneal lavage. Which intervention should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\
the plan of care?
|\ |\ |\
1. Assess for the presence of blood, bile, or feces.
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Palpate the client for bilateral femoral pulses.
|\ |\ |\ |\ |\ |\ |\
3. Perform Leopold's maneuver every eight (8) hours.
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4. Collect information on the client's dietary history. - CORRECT
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ANSWERS ✔✔1 |\
3. The elderly client is brought to the ED complaining of cramps,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
headache, and |\
, weakness after working outside in the sun. The telemetry shows
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sinus tachycardia.
|\
Which intervention should the nurse implement?
|\ |\ |\ |\ |\
1. Determine if the client is experiencing any thirst.
|\ |\ |\ |\ |\ |\ |\ |\
2. Administer D5W intravenously at 250 mL/hr.
|\ |\ |\ |\ |\ |\
3. Maintain a cool environment to promote rest.
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4. Withhold the client's oral intake. - CORRECT ANSWERS ✔✔3
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4. The ED nurse is caring for a client who suffered a near-drowning.
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Which expected
|\ |\
outcome should the nurse include in the plan of care for this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client?
1. Maintain the client's cardiac function.
|\ |\ |\ |\ |\
2. Promote a continued decrease in lung surfactant.
|\ |\ |\ |\ |\ |\ |\
3. Warm rapidly to minimize the effects of hypothermia.
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4. Keep the oxygen saturation level above 93%. - CORRECT
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ANSWERS ✔✔4 |\
5. The nurse is assessing the client who suffered a near-drowning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
event. Which data |\ |\
require immediate intervention?
|\ |\
1. The onset of pink, frothy sputum.
|\ |\ |\ |\ |\ |\
2. An oral temperature of 97˚F.
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3. An alcohol level of 100 mg/dL.
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4. A heart rate of 100 beats/min. - CORRECT ANSWERS ✔✔1
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COMPREHENSIVE EXAMINATION |\ |\
questions with answers |\ |\
1. The ED nurse is caring for a client diagnosed with multiple rib
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fractures. Which |\
data should the nurse include in the assessment?
|\ |\ |\ |\ |\ |\ |\
1. Level of orientation to time and place.
|\ |\ |\ |\ |\ |\ |\
2. Current use and last dose of medication.
|\ |\ |\ |\ |\ |\ |\
3. Symmetrical movement of the chest.
|\ |\ |\ |\ |\
4. Time of last meal the client ate. - CORRECT ANSWERS ✔✔3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. The nurse is caring for a client in the ED with abdominal trauma
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who has had |\ |\
peritoneal lavage. Which intervention should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\
the plan of care?
|\ |\ |\
1. Assess for the presence of blood, bile, or feces.
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Palpate the client for bilateral femoral pulses.
|\ |\ |\ |\ |\ |\ |\
3. Perform Leopold's maneuver every eight (8) hours.
|\ |\ |\ |\ |\ |\ |\
4. Collect information on the client's dietary history. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1 |\
3. The elderly client is brought to the ED complaining of cramps,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
headache, and |\
, weakness after working outside in the sun. The telemetry shows
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sinus tachycardia.
|\
Which intervention should the nurse implement?
|\ |\ |\ |\ |\
1. Determine if the client is experiencing any thirst.
|\ |\ |\ |\ |\ |\ |\ |\
2. Administer D5W intravenously at 250 mL/hr.
|\ |\ |\ |\ |\ |\
3. Maintain a cool environment to promote rest.
|\ |\ |\ |\ |\ |\ |\
4. Withhold the client's oral intake. - CORRECT ANSWERS ✔✔3
|\ |\ |\ |\ |\ |\ |\ |\ |\
4. The ED nurse is caring for a client who suffered a near-drowning.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which expected
|\ |\
outcome should the nurse include in the plan of care for this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client?
1. Maintain the client's cardiac function.
|\ |\ |\ |\ |\
2. Promote a continued decrease in lung surfactant.
|\ |\ |\ |\ |\ |\ |\
3. Warm rapidly to minimize the effects of hypothermia.
|\ |\ |\ |\ |\ |\ |\ |\
4. Keep the oxygen saturation level above 93%. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔4 |\
5. The nurse is assessing the client who suffered a near-drowning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
event. Which data |\ |\
require immediate intervention?
|\ |\
1. The onset of pink, frothy sputum.
|\ |\ |\ |\ |\ |\
2. An oral temperature of 97˚F.
|\ |\ |\ |\ |\
3. An alcohol level of 100 mg/dL.
|\ |\ |\ |\ |\ |\
4. A heart rate of 100 beats/min. - CORRECT ANSWERS ✔✔1
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