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Which is a potentially life-threatening condition found during the primary triage survey that
would necessitate priority nursing care?
1) Cystitis
2) Concussion
3) Lacerated arm
4) Fractured femur - ANS ✔✔ANS: 2
A concussion, which is a type of head injury, is a potentially life-threatening condition found
during the primary triage survey that would necessitate priority nursing care.
The nurse is performing a primary survey on a patient who has just arrived in the ER after a
motor vehicle accident. Which behavior is associated with the primary survey?
1) Obtaining a full set of vital signs
2) Performing a brief neurological assessment
3) Allowing family members in the patient's room
4) Performing a head to toe assessment - ANS ✔✔ANS: 2
Performing a brief neurological assessment
A patient has admitted in acute alcohol withdraw. The doctor has ordered dextrose 5% IV
infusion at 125mL/hr. Which medication do you anticipate administering before beginning the
dextrose infusion?
, 1) Thiamine
2) Potassium
3) Magnesium
4) Haldol - ANS ✔✔ANS: 1
Thiamine
A patient arrives in the ER with a suspected overdose of Xanax. Which medication will the nurse
prepare to administer?
1) naloxone (Narcan)
2) Acetylcysteine (Mucomyst)
3) Activated charcoal
4) flumazenil (Romazicon) - ANS ✔✔ANS: 4
flumazenil (Romazicon)
The nurse is caring for a client with acute pancreatitis. The physician has ordered gentamicin, 3
mg/kg/day, in three divided doses. The patient weighs 264 lb. How many mg of gentamicin will
the patient receive per dose? Label your answer with just whole number. - ANS ✔✔120
A 17 year old patient sustained blunt abdominal trauma (hit in the abdomen with a baseball
bat). He is being discharged 24 hours after observation. His discharge planning includes which
teaching?
A. Self-defense maneuvers
B. Antibiotic teaching
C. Education on signs and symptoms of increased pain and tenderness
D. Limit solid food intake - ANS ✔✔Answer: C