Deck 70: Emergency,trauma,and Environmental Injuries

Question 1

Which is a potentially life-threatening condition found during the primary triage survey that would necessitate priority nursing care?

A) Cystitis
B) Concussion
C) Lacerated arm
D) Fractured femur

Answer 1

Concussion

Question 2

A medical-surgical unit is expecting a large volume of patient admissions after a train derailment.Which member of the nursing care team will prioritize care for the unit?

A) Charge nurse
B) Nurse supervisor
C) Licensed practical nurse
D) Unlicensed assistive personnel

Answer 2

Charge nurse

Question 3

A patient recovering from a motor vehicle crash develops hypotension and jugular distension with a tracheal deviation.Based on this data,which should the nurse suspect occurred?

A) Hemorrhage
B) Compensatory shock
C) Hypovolemic shock
D) Tension pneumothorax

Answer 3

Tension pneumothorax

Question 4

Which nursing action is appropriate when conducting a secondary survey during the emergency assessment?

A) Maintaining privacy
B) Having suction available
C) Giving supplemental oxygen
D) Assigning a nurse to support family members

Question 5

The nurse is providing care to several patients in the emergency department.Which patient is the priority when using the three-tiered triage system?

A) A patient with a simple fracture
B) A patient experiencing renal colic
C) A patient with severe abdominal pain
D) A patient with chest pain and diaphoresis

Question 6

Which are the priority nursing actions after the completion of the secondary survey when providing care for a trauma patient with a penetrating wound?

A) Documenting the patient's care
B) Formulating the patient's plan of care
C) Reassessing the patient's level of consciousness
D) Transferring the patient to the general medical unit

Question 7

The registered nurse (RN)is the team leader for a group of patients using the functional model of nursing.The team of nurses includes two licensed practical nurses (LPNs)and an unlicensed assistive personnel (UAP).Which task will the RN delegate to the UAP?

A) Taking vital signs
B) Providing wound care
C) Conducting discharge teaching
D) Administering oral medications

Question 8

Which assessment data indicates the patient is experiencing a late symptom associated with chronic aspirin overdose?

A) Emesis
B) Nausea
C) Tinnitus
D) Ecchymosis

Question 9

Which member of the health-care team,when using the team nursing approach,is responsible for prioritizing patient care?

A) Team leader
B) Charge nurse
C) Licensed practical nurse
D) Unlicensed assistive personnel

Question 10

What should the nurse do to assist a patient brought to the emergency department as a victim of a gunshot wound?

A) Ask the patient who shot him
B) Bathe the patient and provide a clean gown
C) Ask the patient where the weapon is
D) Preserve the chain of evidence

Question 11

The nurse is conducting a primary survey during an emergency assessment.Which is the priority nursing action related to breathing in response to this assessment?

A) Having suction available
B) Assessing pupil size and reactivity
C) Immobilizing any obvious deformities
D) Obtaining blood samples for type and crossmatch

Question 12

Which is the essential nursing skill for the triage process in the emergency department?

A) Evaluating care
B) Setting priorities
C) Formulating diagnoses
D) Implementing interventions

Question 13

Which observation indicates that interventions provided to a patient with neck injuries from a motor vehicle crash have been successful?

A) Urine is clear and odorless from indwelling catheter
B) Moves all four extremities independently,feeds self,and participates in partial bath
C) Unable to move independently in bed
D) Rests in bed with lights and television turned off

Question 14

The nurse is conducting a primary survey during the emergency assessment.Which nursing action is appropriate during the breathing assessment?

A) Assessing for edema
B) Counting respiratory rate
C) Checking for foreign bodies
D) Monitoring for respiratory distress

Question 15

The nurse is conducting a secondary survey as part of the emergency assessment.Which is the priority nursing action during the health history portion of the assessment?

A) Determining drug allergies
B) Noting the general appearance
C) Examining the neck for stiffness
D) Auscultating for heart and lung sounds

Question 16

A patient is brought into the emergency department after being assaulted.It is suspected that the patient has a spinal cord injury.Which diagnostic test does the nurse anticipate based on the data collected?

A) Computed tomography (CT)scan
B) X-ray
C) Ultrasound
D) Magnetic resonance imaging (MRI)

Question 17

The nurse is providing care to several patients in the emergency department.Which patient would require priority care from the nurse?

A) An adult patient with an ankle sprain
B) An infant with a rash of unknown origin
C) An adult patient with unstable vital signs and chest pain
D) A pediatric patient with multiple fractures following a motor vehicle accident

Question 18

A nurse is developing a plan of care for a patient with traumatic injuries from a motor vehicle crash.Which nursing intervention does the nurse include in the plan of care to reduce the risk of integumentary complications?

A) Provide active or passive exercises at least once every eight hours
B) Encourage coughing,deep breathing,and incentive spirometry
C) Assist the patient in turning at least every two hours
D) Assist the patient in turning at least every eight hours

Question 19

The emergency department nurse is triaging patients.Which patient should be prioritized?

A) An adult patient experiencing mild chest pain
B) An adolescent patient with a possible fractured wrist
C) An older adult patient with a hip fracture who is in pain
D) A school-age patient with asthma presenting with dyspnea

Question 20

Which intervention would be a priority when providing care to a patient recovering from thoracic injuries sustained from a motor vehicle crash?

A) Monitor urine output
B) Assess vital signs
C) Perform passive range of motion to all extremities
D) Assist to deep breathe and cough every two hours

Question 21

Which assessment data related to the patient's airway would indicate the need for priority intervention by the nurse?

A) Eupnea
B) Tachycardia
C) Hypotension
D) Agonal breaths

Question 22

Which treatment should the nurse prepare to administer when providing care to a toddler who presents after an accidental overdose of aspirin?

A) Gastric lavage
B) Activated charcoal
C) Peritoneal dialysis
D) Vitamin D injection

Question 23

Which is the priority nursing action when providing care to a patient with a penetrating abdominal wound?

A) Assessing bowel sounds
B) Stabilizing the impaled object
C) Administering prescribed pain medication
D) Scheduling a CT scan to determine retroperitoneal bleeding