Medical-surgical Emergencies (Exam Mode) By Rnpedia.Com
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- 1.You are the charge nurse in an emergency department (ED) and must assign two staff members to cover the triage area. Which team is the most appropriate for this assignment?
- A.
An advanced practice nurse and an experienced LPN/LVN
- B.
An experienced LPN/LVN and an inexperienced RN
- C.
An experienced RN and an inexperienced RN
- D.
An experienced RN and a nursing assistant
- 2.You are working in the triage area of an ED, and four patients approach the triage desk at the same time. List the order in which you will assess these patients. a. An ambulatory, dazed 25-year-old male with a bandaged head wound b. An irritable infant with a fever, petechiae, and nuchal rigidity c. A 35-year-old jogger with a twisted ankle, having pedal pulse and no deformity d. A 50-year-old female with moderate abdominal pain and occasional vomiting _____, _____, _____, _____
- 3.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.
Complete set of vital signs
- B.
Palpation and auscultation of the abdomen
- C.
Brief neurologic assessment
- D.
Initiation of pulse oximetry
- 4.A 56-year-old patient presents in triage with left-sided chest pain, diaphoresis, and dizziness. This patient should be prioritized into which category?
- A.
High urgent
- B.
Urgent
- C.
Non-urgent
- D.
Emergent
- 5.You respond to a call for help from the ED waiting room. There is an elderly patient lying on the floor. List the order for the actions that you must perform. a. Perform the chin lift or jaw thrust maneuver. b. Establish unresponsiveness. c. Initiate cardiopulmonary resuscitation (CPR). d. Call for help and activate the code team. e. Instruct a nursing assistant to get the crash cart. _____, _____, _____, _____, _____
- 6.The emergency medical service (EMS) has transported a patient with severe chest pain. As the patient is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and no palpable pulse. Which task is appropriate to delegate to the nursing assistant?
- A.
Chest compressions
- B.
Bag-valve mask ventilation
- C.
Assisting with oral intubation
- D.
Placing the defibrillator pads
- 7.The physician has ordered cooling measures for a child with fever who is likely to be discharged when the temperature comes down. Which of the following would be appropriate to delegate to the nursing assistant?
- A.
Assist the child to remove outer clothing.
- B.
Advise the parent to use acetaminophen instead of aspirin.
- C.
Explain the need for cool fluids.
- D.
Prepare and administer a tepid bath.
- 8.It is the summer season, and patients with signs and symptoms of heat-related illness present in the ED. Which patient needs attention first?
- A.
An elderly person complains of dizziness and syncope after standing in the sun for several hours to view a parade
- B.
A marathon runner complains of severe leg cramps and nausea. Tachycardia, diaphoresis, pallor, and weakness are observed.
- C.
A previously healthy homemaker reports broken air conditioner for days. Tachypnea, hypotension, fatigue, and profuse diaphoresis are observed.
- D.
A homeless person, poor historian, presents with altered mental status, poor muscle coordination, and hot, dry, ashen skin. Duration of exposure is unknown.
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