Category Archives: Emergency Nursing & Triage NCLEX Practice

Emergency Nursing & Triage Q 31

You are preparing a child for IV conscious sedation before the repair of a facial laceration. What information should you report immediately to the physician?        A. The child suddenly pulls out the IV     B. The parent is not sure regarding the child’s tetanus immunization status     C. The parent wants information about the… Read More »

Emergency Nursing & Triage Q 32

A 15-year-old male client arrives at the emergency department. He is conscious, coherent, and ambulatory, but his shirt and pants are covered with blood. He and his hysterical friends are yelling and trying to explain that they were goofing around and he got poked in the abdomen with a stick. Which of the following comments… Read More »

Emergency Nursing & Triage Q 33

The emergency medical service has transported a client with severe chest pain. As the client is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and unpalpable pulse. Which of the following task is appropriate to delegate to the nursing assistant?        A. Assisting with the intubation     B. Placing the defibrillator… Read More »

Emergency Nursing & Triage Q 34

A prisoner, with a known history of alcohol abuse, has been in police custody for 48 hours. Initially, anxiety, sweating, and tremors were noted. Now, disorientation, hallucination, and hyper-reactivity are observed. The medical diagnosis is delirium tremens. What is the priority nursing diagnosis?        A. Risk for Injury related to seizures     B. Risk for… Read More »