Question 1

The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim?

Accepted Answer

A)  Apply dressings 
B)  Cover with a blanket 
C)  Cool the burn immediately 
D)  Apply topical ointment 
A)  Apply dressings 
B)  Cover with a blanket 
C)  Cool the burn immediately 
D)  Apply topical ointment C

Question 2

When treating an infant choking on a foreign body, the nurse should use a combination of ______ _________ and chest thrusts.

Accepted Answer

back blows
If the nurse is assisting a child who has aspirated a foreign body, the nurse may treat the child in a manner similar to the adult with performance of abdominal thrusts. However, there is a potential for injury if the nurse uses this maneuver in the infant. The nurse should use a combination of back blows and chest thrusts with an infant.

Question 3

The worried mother of an accident victim asks the nurse how much circulating blood an average adult male is supposed to have.What will the nurse reply?

Accepted Answer

A)  8 pints 
B)  10 pints 
C)  12 pints 
D)  14 pints 
A)  8 pints 
B)  10 pints 
C)  12 pints 
D)  14 pints C

Question 4

CPR has been initiated at an accident site. When can CPR be terminated?

Accepted Answer

A)  Victim is clinically dead 
B)  Victim is brain dead 
C)  Paramedics arrive 
D)  Rescuer perceives CPR is futile 
A)  Victim is clinically dead 
B)  Victim is brain dead 
C)  Paramedics arrive 
D)  Rescuer perceives CPR is futile

Question 5

A nurse is assessing victims in an emergency situation. What will the nurse assess for first?

Accepted Answer

A)  Hemorrhage 
B)  Fractures 
C)  Mobility 
D)  Abnormal breathing 
A)  Hemorrhage 
B)  Fractures 
C)  Mobility 
D)  Abnormal breathing

Question 6

The nurse is teaching a patient with epistaxis about the best way to control bleeding. What information will the nurse relay to this patient?

Accepted Answer

A)  Place ice on the nose and pinch the nostrils 
B)  Maintain a flat position 
C)  Pack nostrils with cotton 
D)  Lean backward 
A)  Place ice on the nose and pinch the nostrils 
B)  Maintain a flat position 
C)  Pack nostrils with cotton 
D)  Lean backward

Question 7

The acronym RICE directs the nurse in the care of a sprain. The "C" in the acronym stands for ________.

Accepted Answer

compression
The acro

Question 8

The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound. What is the most effective initial treatment of this bleeding?

Accepted Answer

A)  Elevate the head 
B)  Apply direct pressure 
C)  Apply an ice pack 
D)  Apply indirect pressure 
A)  Elevate the head 
B)  Apply direct pressure 
C)  Apply an ice pack 
D)  Apply indirect pressure

Question 9

A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene. What will be the rescuer's priority action?

Accepted Answer

A)  Assessing blood loss 
B)  Assessing respiratory status 
C)  Obtaining vital signs 
D)  Organizing laypeople at the scene 
A)  Assessing blood loss 
B)  Assessing respiratory status 
C)  Obtaining vital signs 
D)  Organizing laypeople at the scene

Question 10

A visitor in the hospital slips and falls. The patient's arm appears dislocated and the visitor is unable to move it. What is the first action the nurse should implement?

Accepted Answer

A)  Apply cold packs 
B)  Check range of motion 
C)  Splint the arm 
D)  Apply an Ace bandage 
A)  Apply cold packs 
B)  Check range of motion 
C)  Splint the arm 
D)  Apply an Ace bandage

Question 11

The Good Samaritan law will protect all people who offer assistance. What is necessary for this protection?

Accepted Answer

A)  A license 
B)  The person acts prudently 
C)  Licensed supervision 
D)  The patient improves 
A)  A license 
B)  The person acts prudently 
C)  Licensed supervision 
D)  The patient improves

Question 12

CPR has been initiated on an adult patient. How will the nurse confirm the effectiveness of CPR?

Accepted Answer

A)  Assessing an EKG pattern with each compression 
B)  Assessing a palpable carotid pulse during each compression 
C)  Assuring a compression depth of $1 \frac { 1 } { 2 }$ to 2 inches 
D)  Observing pupils that change from pinpoint to dilated 
A)  Assessing an EKG pattern with each compression 
B)  Assessing a palpable carotid pulse during each compression 
C)  Assuring a compression depth of $1 \frac { 1 } { 2 }$ to 2 inches 
D)  Observing pupils that change from pinpoint to dilated

Question 13

The nurse is assessing a patient who is severely bleeding and at risk for hypovolemic shock. What can the nurse anticipate?

Accepted Answer

A)  Slow, labored breathing 
B)  Hot, flushed skin 
C)  Edematous extremities 
D)  Weak, thready pulse 
A)  Slow, labored breathing 
B)  Hot, flushed skin 
C)  Edematous extremities 
D)  Weak, thready pulse

Question 14

If a spinal injury is suspected, before the rescuer starts CPR, the trachea should be opened with a _______ _______ maneuver.

Accepted Answer

jaw thrust
The jaw t

Question 15

When other methods have failed to stop the bleeding and the victim's life is in danger, the rescuer at the scene applies a tourniquet to a young woman's leg above the knee. What is another step that is essential for the rescuer to follow?

Accepted Answer

A)  Never release the tourniquet 
B)  Wrap the tourniquet around the limb twice 
C)  Mark the patient with a "T" 
D)  Leave the limb elevated 
A)  Never release the tourniquet 
B)  Wrap the tourniquet around the limb twice 
C)  Mark the patient with a "T" 
D)  Leave the limb elevated

Question 16

The patient is admitted to the emergency department, having suffered frostbite to the hands, which are grayish-white in color. What action should the nurse implement when attempting to warm the hands?

Accepted Answer

A)  Have the patient rub the hands together briskly 
B)  Wipe the hands vigorously with a warm towel 
C)  Run tepid water over the hands to warm slowly 
D)  Wrap the hands in hot, moist towels 
A)  Have the patient rub the hands together briskly 
B)  Wipe the hands vigorously with a warm towel 
C)  Run tepid water over the hands to warm slowly 
D)  Wrap the hands in hot, moist towels

Question 17

When assessing a patient who has suffered a burn injury, the nurse classifies the burn as a deep partial-thickness burn. What is this observation most likely based upon?

Accepted Answer

A)  Painful reddened skin 
B)  Charred skin with milky-white areas 
C)  Erythema and blisters 
D)  Erythema, pain, and swelling 
A)  Painful reddened skin 
B)  Charred skin with milky-white areas 
C)  Erythema and blisters 
D)  Erythema, pain, and swelling

Question 18

The patient's lower chest has been punctured with a knife that is still in place. What should the nurse's first action be?

Accepted Answer

A)  Remove the knife 
B)  Apply an airtight dressing over the wound 
C)  Place the patient in a modified Trendelenburg position 
D)  Immobilize the knife with dressings and tape 
A)  Remove the knife 
B)  Apply an airtight dressing over the wound 
C)  Place the patient in a modified Trendelenburg position 
D)  Immobilize the knife with dressings and tape

Question 19

The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54, P 102, RR 22. What does the nurse recognize that these symptoms indicate?

Accepted Answer

A)  Inadequate perfusion 
B)  Circulatory shock 
C)  Massive vasodilation 
D)  Heart failure 
A)  Inadequate perfusion 
B)  Circulatory shock 
C)  Massive vasodilation 
D)  Heart failure

Question 20

The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?

Accepted Answer

A)  If cardiopulmonary arrest has existed for no more 2 minutes 
B)  If cardiopulmonary arrest has existed for no more 3 minutes 
C)  If cardiopulmonary arrest has existed for no more 4 minutes 
D)  If cardiopulmonary arrest has existed for no more 5 minutes 
A)  If cardiopulmonary arrest has existed for no more 2 minutes 
B)  If cardiopulmonary arrest has existed for no more 3 minutes 
C)  If cardiopulmonary arrest has existed for no more 4 minutes 
D)  If cardiopulmonary arrest has existed for no more 5 minutes

Exam 16: Care of Patients Experiencing Urgent Alterations in Health

The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim?

When treating an infant choking on a foreign body, the nurse should use a combination of ______ _________ and chest thrusts.

The worried mother of an accident victim asks the nurse how much circulating blood an average adult male is supposed to have.What will the nurse reply?

CPR has been initiated at an accident site. When can CPR be terminated?

A nurse is assessing victims in an emergency situation. What will the nurse assess for first?

The nurse is teaching a patient with epistaxis about the best way to control bleeding. What information will the nurse relay to this patient?

The acronym RICE directs the nurse in the care of a sprain. The "C" in the acronym stands for ________.

The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound. What is the most effective initial treatment of this bleeding?

A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene. What will be the rescuer's priority action?

A visitor in the hospital slips and falls. The patient's arm appears dislocated and the visitor is unable to move it. What is the first action the nurse should implement?

The Good Samaritan law will protect all people who offer assistance. What is necessary for this protection?

CPR has been initiated on an adult patient. How will the nurse confirm the effectiveness of CPR?

The nurse is assessing a patient who is severely bleeding and at risk for hypovolemic shock. What can the nurse anticipate?

If a spinal injury is suspected, before the rescuer starts CPR, the trachea should be opened with a _______ _______ maneuver.

When other methods have failed to stop the bleeding and the victim's life is in danger, the rescuer at the scene applies a tourniquet to a young woman's leg above the knee. What is another step that is essential for the rescuer to follow?

The patient is admitted to the emergency department, having suffered frostbite to the hands, which are grayish-white in color. What action should the nurse implement when attempting to warm the hands?

When assessing a patient who has suffered a burn injury, the nurse classifies the burn as a deep partial-thickness burn. What is this observation most likely based upon?

The patient's lower chest has been punctured with a knife that is still in place. What should the nurse's first action be?

The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54, P 102, RR 22. What does the nurse recognize that these symptoms indicate?

The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters

When treating an infant choking on a foreign body, the nurse should use a combination of ___ and chest thrusts.

If a spinal injury is suspected, before the rescuer starts CPR, the trachea should be opened with a _ _ maneuver.