WITH 26 ACTUAL PREP QUESTIONS & CORRECT 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 answer- 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 answer-
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 answer- 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 answer- 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 answer- 1