NCLEX Emergency And Disaster Nursing Quiz
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Prepare for the challenges of emergency and disaster nursing with our comprehensive NCLEX Emergency and Disaster Nursing Quiz. This quiz is tailored to help nursing students and professionals enhance their understanding of critical concepts and protocols in emergency healthcare settings.
Designed to mimic the format and difficulty level of the NCLEX exam, our quiz covers a wide range of topics including triage, trauma management, disaster preparedness, and response strategies. By engaging with realistic scenarios and thought-provoking questions, participants can assess their knowledge, identify areas for improvement, and build confidence for the exam.
Our quiz offers a valuable opportunity to test Read moreyour readiness in emergency and disaster nursing. With a focus on evidence-based practice and real-world scenarios, this quiz provides a practical and effective way to reinforce your understanding of emergency nursing principles.
NCLEX Emergency and Disaster Nursing Questions and Answers
- 1.
Nurse Ejay is assigned to telephone triage. A client called who was stung by a honeybee and is asking for help. The client reports pain and localized swelling but has no respiratory distress or other symptoms of anaphylactic shock. What is the appropriate initial action the nurse should direct the client to perform?
- A.
Removing the stinger by scraping it.
- B.
Applying a cold compress.
- C.
Taking an oral antihistamine.
- D.
Calling 911.
Correct Answer
A. Removing the stinger by scraping it.Explanation
When a person is stung by a honeybee, the stinger may remain lodged in the skin, continuing to release venom. Therefore, the first step is to remove the stinger as quickly as possible. Scraping the stinger out with a flat object like a credit card is recommended to prevent squeezing it, which could release more venom. This action helps to minimize the amount of venom injected into the skin and can help alleviate symptoms such as pain and swelling.Rate this question:
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- 2.
Nurse Anna is an experienced travel nurse who was recently employed and is assigned to the emergency unit. In her first week on the job. Which of the following area is the most appropriate assignment for her?
- A.
Ambulatory section.
- B.
Triage
- C.
Trauma team
- D.
Psychiatric care
Correct Answer
B. TriageExplanation
Triage involves assessing and prioritizing patients based on the severity of their condition. As an experienced nurse, Nurse Anna is likely accustomed to making quick assessments and decisions. Triage allows her to use her skills to efficiently evaluate patients as they arrive in the emergency unit, ensuring that those who need immediate attention receive it promptly. This role also provides her with an opportunity to become familiar with the unit's workflow and gain insight into the types of cases commonly seen in the emergency department.Rate this question:
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- 3.
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.
Irregular pulse.
- B.
Ecchymosis in the flank area.
- C.
A deviated trachea.
- D.
Unequal pupils.
Correct Answer
C. A deviated trachea.Explanation
A deviated trachea can indicate a potentially life-threatening condition such as tension pneumothorax or a massive mediastinal shift, both of which can compromise breathing and circulation. It suggests a serious injury to the chest or neck area, which requires immediate attention to ensure adequate airway, breathing, and circulation. Therefore, assessing for a deviated trachea is crucial in identifying and managing any underlying conditions that could rapidly deteriorate the client's condition.Rate this question:
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- 4.
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.
Complete history taking.
- B.
Administer oxygen therapy via nasal cannula.
- C.
Notify the physician.
- D.
Put the client on ECG monitoring.
Correct Answer
D. Put the client on ECG monitoring.Explanation
The client's symptoms, including mid-sternal chest pain, dizziness, and diaphoresis, are indicative of a potential cardiac event, such as a heart attack. Placing the client on ECG monitoring allows for immediate assessment of the client's cardiac rhythm and detection of any abnormalities, such as ST-segment elevation indicative of myocardial infarction. This action enables rapid identification and initiation of appropriate interventions, including notifying the physician and administering oxygen therapy, if necessary, based on the ECG findings.Rate this question:
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- 5.
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.
Direct the clients to the decontamination area.
- B.
Direct the clients to the cold or clean zone for immediate treatment.
- C.
Measure vital signs and auscultate lung sounds.
- D.
Immediately remove other clients and visitors from the area.
Correct Answer
A. Direct the clients to the decontamination area.Explanation
Given the reported exposure to a potentially hazardous substance (the "gas bomb") and the symptoms described, there is a concern for chemical exposure or contamination. Directing the clients to the decontamination area ensures that any harmful substances on their skin or clothing are removed promptly to prevent further absorption or spread. This action prioritizes the safety and well-being of both the affected individuals and the healthcare providers by minimizing the risk of secondary exposure and contamination within the emergency unit.Rate this question:
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- 6.
When an unexpected death occurs in the emergency department, which task is the most appropriate to delegate to a nursing assistant?
- A.
Help the family to collect belongings.
- B.
Assisting with postmortem care.
- C.
Facilitate meetings between the family and the organ donor specialist.
- D.
Escorting the family to a place of privacy.
Correct Answer
B. Assisting with postmortem care.Explanation
Postmortem care involves preparing the deceased individual's body for transfer to the morgue or for release to the funeral home. This task typically includes tasks such as cleaning the body, changing linens, and ensuring the deceased is appropriately covered and positioned. While facilitating meetings between the family and organ donor specialist, helping the family to collect belongings, and escorting the family to a place of privacy are important tasks, assisting with postmortem care requires specific training and expertise that nursing assistants are often qualified to perform under the guidance of registered nurses.Rate this question:
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- 7.
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 the child in removing outer clothing.
- D.
Advise the parent to use acetaminophen (Tylenol) instead of aspirin.
Correct Answer
C. Assist the child in removing outer clothing.Explanation
Assisting the child in removing outer clothing is a task that can be safely delegated to a nursing assistant. This action helps facilitate cooling measures, such as improving air circulation around the child's body, which can aid in reducing body temperature. Preparing and administering a tepid sponge bath may require more specialized knowledge and assessment skills and is typically performed by licensed nursing staff. Explaining the need for giving cool fluids and advising the parent about medication choices involve providing education and guidance, which are typically within the scope of registered nurses or nurse practitioners.Rate this question:
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- 8.
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 parent wants information about IV conscious sedation.
- B.
The parent is not sure about the child’s tetanus immunization status.
- C.
The child suddenly pulls out the IV.
- D.
The parent’s refusal of the administration of the IV sedation.
Correct Answer
D. The parent’s refusal of the administration of the IV sedation.Explanation
When a parent refuses a medical intervention like IV sedation for their child, it's crucial to inform the physician immediately. This refusal can affect the planned procedure and potentially pose risks to the child's safety and well-being. The physician needs to be aware so they can address the situation promptly, discuss concerns with the parent, explore alternative options, or assess whether proceeding with the procedure is still advisable given the circumstances. Delaying this communication could compromise the child's care and lead to further complications.Rate this question:
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- 9.
The emergency medical service has transported a client with severe chest pain. When 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 pads.
- C.
Doing chest compressions.
- D.
Initiating bag valve mask ventilation.
Correct Answer
C. Doing chest compressions.Explanation
The appropriate task to delegate to the nursing assistant in this situation is to perform chest compressions. Chest compressions are a crucial component of cardiopulmonary resuscitation (CPR) aimed at maintaining blood circulation when the heart has stopped beating. By performing chest compressions, the nursing assistant can help provide essential circulation to vital organs, thereby increasing the chances of survival for the client. This task can be delegated to the nursing assistant under the supervision of a registered nurse or physician.Rate this question:
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- 10.
The nursing manager decides to form a committee to address the issue of violence against ED personnel. Which combination of employees would be best suited to fulfill this assignment?
- A.
RNs, LPNs, and nursing assistants.
- B.
At least one representative from each group of ED personnel.
- C.
Experienced RNs and experienced paramedics.
- D.
ED physicians and charge nurses.
Correct Answer
B. At least one representative from each group of ED personnel.Explanation
Forming a committee with at least one representative from each group of ED personnel ensures diverse perspectives and insights into the issue of violence against ED personnel. This approach promotes inclusivity and collaboration, allowing for comprehensive discussions and effective problem-solving. Each group, including RNs, LPNs, nursing assistants, paramedics, physicians, and charge nurses, brings valuable experiences and knowledge to the table, facilitating the development of strategies and policies to address the issue effectively.Rate this question:
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Current Version
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Mar 23, 2024Quiz Edited by
ProProfs Editorial Team -
Oct 17, 2017Quiz Created by
Santepro
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