Emergency Nursing Questionnaires 2

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Emergency nursing
questionnaires
Joan Delgado
Bina Bangsa School Pantai Indah Kapuk
Jul. 30, 2013 • 16 likes • 22,087 views
C.Thepatientmaydiscontinuetheprescribedcourseoforalantibioticsoncethesymptomshavecompletely
resolved.
D.Thepatientshouldcontinueuseoftheincentivespirometertokeepairwaysopenandfreeofsecretions.
3.AnurseiscaringforanelderlyVietnamesepatientintheterminalstagesoflungcancer.Manyfamily
membersareintheroomaroundtheclockperformingunusualritualsandbringingethnicfoods.Which
thefollowingactionsshouldthenursetake?
A.Restrictvisitinghoursandaskthefamilytolimitvisitorstotwoatatime.
B.Notifyvisitorswithasignonthedoorthatthepatientislimitedtoclearfluidsonlywithnosolidfoodallowe
C.Ifpossible,keeptheotherbedintheroomunassignedtoprovideprivacyandcomforttothefamily.
D.Contactthephysiciantoreporttheunusualritualsandactivities.
4.Thechargenurseonthecardiacunitisplanningassignmentsfortheday.Whichofthefollowingisthe
mostappropriateassignmentforthefloatnursethathasbeenreassignedfromlaboranddelivery?
A.Aone-weekpostoperativecoronarybypasspatient,whoisbeingevaluatedforplacementofapacemakerpric
todischarge.
B.Asuspectedmyocardialinfarctionpatientontelemetry,justadmittedfromtheEmergencyDepartmentand
scheduledforanangiogram.
C.Apatientwithunstableanginabeingcloselymonitoredforpainandmedicationtitration.
D.Apost-operativevalvereplacementpatientwhowasrecentlyadmittedtotheunitbecauseallsurgicalbeds
werefilled.
5.Anewlydiagnosed8-year-oldchildwithtypeIdiabetesmellitusandhismotherarereceivingdiabetes
educationpriortodischarge.ThephysicianhasprescribedGlucagonforemergencyuse.Themotherasks
thepurposeofthismedication.Whichofthefollowingstatementsbythenurseiscorrect?
A.Glucagonenhancestheeffectofinsulinincasethebloodsugarremainshighonehourafterinjection.
B.Glucagontreatshypoglycemiaresultingfrominsulinoverdose.
C.Glucagontreatslipoatrophyfrominsulininjections.
D.Glucagonprolongstheeffectofinsulin,allowingfewerinjections.
6.Apatientonthecardiactelemetryunitunexpectedlygoesintoventricularfibrillation.Theadvanced
cardiaclifesupportteampreparestodefibrillate.Whichofthefollowingchoicesindicatesthecorrect
placementoftheconductivegelpads?
A.Theleftclavicleandrightlowersternum.
B.Rightofmidlinebelowthebottomribandtheleftshoulder.
C.Theupperandlowerhalvesofthesternum.
D.Therightsideofthesternumjustbelowtheclavicleandleftoftheprecordium.
7.Thenurseperformsaninitialabdominalassessmentonapatientnewlyadmittedforabdominalpain.
Thenursehearswhatshedescribesas"clicksandgurglesinallfourquadrants"aswellas"swishingor
buzzingsoundheardinoneortwoquadrants."Whichofthefollowingstatementsiscorrect?
A.Thefrequencyandintensityofbowelsoundsvariesdependingonthephaseofdigestion.
B.Inthepresenceofintestinalobstruction,bowelsoundswillbelouderandhigherpitched.
C.Aswishingorbuzzingsoundmayrepresenttheturbulentbloodflowofabruitandisnotnormal.
D.Alloftheabove.
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1. 1. The nurse is triaging four clients injured in a train
derailment. Which client should receive priority treatment? A.
A 42-year-old with dyspnea and chest asymmetry B. A 17-year-
old with a fractured arm C. A 4-year-old with facial lacerations
D. A 30-year-old with blunt abdominal trauma 2. Direct
pressure to a deep laceration on the client’s lower leg has
failed to stop the bleeding. The nurse’s next action should be
to: A. Place a tourniquet proximal to the laceration. B. Elevate
the leg above the level of the heart. C. Cover the laceration
and apply an ice compress. D. Apply pressure to the femoral
artery. 3. A pediatric client is admitted a!er ingesting a bottle
of vitamins with iron. Emergency care would include
treatment with: A. Acetylcysteine B. Deferoxamine C. Calcium
disodium acetate D. British antilewisite 4. The nurse is
preparing to administer Ringer’s Lactate to a client with
hypovolemic shock. Which intervention is important in
helping to stabilize the client’s condition? A. Warming the
intravenous fluids B. Determining whether the client can take
oral fluids C. Checking for the strength of pedal pulses D.
Obtaining the specific gravity of the urine 5. The emergency
room sta" is practicing for its annual disaster drill. According
to disaster triage, which of the following four clients would be
cared for last? A. A client with a pneumothorax B. A client with
70% TBSA full thickness burns C. A client with fractures of the
tibia and fibula D. A client with smoke inhalation injuries 6. An
unresponsive client is admitted to the emergency room with a
history of diabetes mellitus. The client’s skin is cold and
clammy, and the blood pressure reading is 82/56. The first
step in emergency treatment of the client’s symptoms would
be:
2. A. Checking the client’s blood sugar B. Administering

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F-Dar, Focus Charting

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MCQ ON POSITION USED IN

Community health nursing

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