In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey? A. Brief neurologic assessment B. Client’s allergy history C. Initiation of pulse oximetry D. Complete set of vital signs Correct Answer: A. Brief… Read More »
In the work setting, what is the primary responsibility of the nurse in preparation for disaster management, that includes natural disasters and bioterrorism incidents? A. Being aware of the signs and symptoms of potential agents of bioterrorism B. Making ethical decisions regarding exposing self to potentially lethal substances C. Being aware of… Read More »
When attending a client with a head and neck trauma following a vehicular accident, the nurse’s initial action is to? A. Provide oxygen therapy B. Initiate intravenous access C. Immobilize the cervical area D. Do oral and nasal suctioning Correct Answer: C. Immobilize the cervical area Clients… Read More »
A client arrives at the emergency department who suffered multiple injuries from a head-on car collision. Which of the following assessment should take the highest priority to take? A. Unequal pupils B. Irregular pulse C. Ecchymosis in the flank area D. A deviated trachea Correct Answer: D.… Read More »
A 65-year-old patient arrived at the triage area with complaints of diaphoresis, dizziness, and left-sided chest pain. This patient should be prioritized into which category? A. Non-urgent B. Urgent C. Emergent D. High urgent Correct Answer: C. Emergent Chest pain is considered an emergent priority, which is… Read More »
Nurse Kelly, a triage nurse encountered a client who complained of mid-sternal chest pain, dizziness, and diaphoresis. Which of the following nursing action should take priority? A. Administer oxygen therapy via nasal cannula B. Notify the physician C. Complete history taking D. Put the client on ECG monitoring … Read More »
A group of people arrived at the emergency unit by a private car with complaints of periorbital swelling, cough, and tightness in the throat. There is a strong odor emanating from their clothes. They report exposure to a “gas bomb” that was set off in the house. What is the priority action? A. Instruct… Read More »
In caring for a victim of sexual assault, which task is most appropriate for an LPN/LVN? A. Provide emotional support and supportive communication B. Assess immediate emotional state and physical injuries C. Ensure that the “chain of custody” is maintained D. Collect hair samples, saliva swabs, and scrapings beneath fingernails … Read More »
When an unexpected death occurs in the emergency department, which task is the most appropriate to delegate to a nursing assistant? A. Assisting with postmortem care B. Facilitate meetings between the family and the organ donor specialist C. Escorting the family to a place of privacy D. Help the family to… Read More »
The physician has ordered cooling measures for a child with a fever who is likely to be discharged when the temperature comes down. Which task would be appropriate to delegate to a nursing assistant? A. Prepare and administer a tepid sponge bath B. Explain the need for giving cool fluids C. Assist… Read More »