Question 1

The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.

Accepted Answer

The answer of The acronym RICE directs the nurse in...

Question 2

When treating an infant choking on a foreign body,the nurse should use a combination of back _________ and chest thrusts.

Accepted Answer

The answer of When treating an infant choking on a...

Question 3

When assessing a patient who has suffered a burn injury,the nurse classifies the burn as a deep partial-thickness burn.What is this observation most likely based upon?

Accepted Answer

A)  Painful reddened skin 
B)  Charred skin with milky-white areas 
C)  Erythema and blisters 
D)  Erythema,pain,and swelling 
A)  Painful reddened skin 
B)  Charred skin with milky-white areas 
C)  Erythema and blisters 
D)  Erythema,pain,and swelling

Question 4

CPR has been initiated at an accident site.When can CPR be terminated?

Accepted Answer

A)  Victim is clinically dead. 
B)  Victim is brain dead. 
C)  Paramedics arrive. 
D)  Rescuer perceives CPR is futile. 
A)  Victim is clinically dead. 
B)  Victim is brain dead. 
C)  Paramedics arrive. 
D)  Rescuer perceives CPR is futile.

Question 5

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or $1 ^1 /_{ 2}$ in.

Accepted Answer

The answer of When performing _________ on an infant,the breastbone...

Question 6

The Good Samaritan law will protect all people who offer assistance.What is necessary for this protection?

Accepted Answer

A)  A license 
B)  The person acts prudently 
C)  Licensed supervision 
D)  The patient improves 
A)  A license 
B)  The person acts prudently 
C)  Licensed supervision 
D)  The patient improves

Question 7

The patient is admitted to the emergency department,having suffered frostbite to the hands,which are grayish-white in color.What action should the nurse implement when attempting to warm the hands?

Accepted Answer

A)  Have the patient rub the hands together briskly. 
B)  Wipe the hands vigorously with a warm towel. 
C)  Run tepid water over the hands to warm slowly. 
D)  Wrap the hands in hot,moist towels. 
A)  Have the patient rub the hands together briskly. 
B)  Wipe the hands vigorously with a warm towel. 
C)  Run tepid water over the hands to warm slowly. 
D)  Wrap the hands in hot,moist towels.

Question 8

A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene.What will be the rescuer's priority action?

Accepted Answer

A)  Assessing blood loss 
B)  Assessing respiratory status 
C)  Obtaining vital signs 
D)  Organizing laypeople at the scene 
A)  Assessing blood loss 
B)  Assessing respiratory status 
C)  Obtaining vital signs 
D)  Organizing laypeople at the scene

Question 9

A nurse is assessing victims in an emergency situation.What will the nurse assess for first?

Accepted Answer

A)  Hemorrhage 
B)  Fractures 
C)  Mobility 
D)  Abnormal breathing 
A)  Hemorrhage 
B)  Fractures 
C)  Mobility 
D)  Abnormal breathing

Question 10

A machinist visits the industrial nurse's clinic with a deep laceration of the thigh.What should be the nurse's first action?

Accepted Answer

A)  Splint the thigh and apply tape to approximate the edges. 
B)  Apply ice and a pressure dressing to the thigh. 
C)  Give a tetanus booster injection. 
D)  Wash the laceration with an antiseptic. 
A)  Splint the thigh and apply tape to approximate the edges. 
B)  Apply ice and a pressure dressing to the thigh. 
C)  Give a tetanus booster injection. 
D)  Wash the laceration with an antiseptic.

Question 11

The patient with heatstroke has been undressed and treated with cold packs and a fan.The patient's temperature is now down to 101.2°F (38.4°C).The patient starts to shiver.What action should the emergency department nurse take?

Accepted Answer

A)  Raise the head of the bed. 
B)  Offer warm liquids. 
C)  Remove cold packs and fan. 
D)  Continue with cooling interventions. 
A)  Raise the head of the bed. 
B)  Offer warm liquids. 
C)  Remove cold packs and fan. 
D)  Continue with cooling interventions.

Question 12

The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54,P 102,RR 22.What does the nurse recognize that these symptoms indicate?

Accepted Answer

A)  Inadequate perfusion 
B)  Circulatory shock 
C)  Massive vasodilation 
D)  Heart failure 
A)  Inadequate perfusion 
B)  Circulatory shock 
C)  Massive vasodilation 
D)  Heart failure

Question 13

A patient who had taken a poisonous substance is brought to the emergency department.What is the first action the nurse should take?

Accepted Answer

A)  Give syrup of ipecac. 
B)  Contact the poison control center. 
C)  Give milk to coat the stomach. 
D)  Observe for symptoms. 
A)  Give syrup of ipecac. 
B)  Contact the poison control center. 
C)  Give milk to coat the stomach. 
D)  Observe for symptoms.

Question 14

A farm worker who has been kicked in the stomach by a mule passes a foul,black,tarry stool.What is this called?

Accepted Answer

A)  Loose stool 
B)  Melena 
C)  Hematuria 
D)  Hemoptysis 
A)  Loose stool 
B)  Melena 
C)  Hematuria 
D)  Hemoptysis

Question 15

When administering first aid in emergency situations,the nurse must first survey victims for severity of injuries.What term correctly describes this process?

Accepted Answer

A)  The Good Samaritan law 
B)  An emergency interview 
C)  Triage 
D)  Taking vital signs 
A)  The Good Samaritan law 
B)  An emergency interview 
C)  Triage 
D)  Taking vital signs

Question 16

The nurse determines clinical death and initiates CPR immediately.How long is resuscitation considered possible?

Accepted Answer

A)  If cardiopulmonary arrest has existed for no more 2 minutes 
B)  If cardiopulmonary arrest has existed for no more 3 minutes 
C)  If cardiopulmonary arrest has existed for no more 4 minutes 
D)  If cardiopulmonary arrest has existed for no more 5 minutes 
A)  If cardiopulmonary arrest has existed for no more 2 minutes 
B)  If cardiopulmonary arrest has existed for no more 3 minutes 
C)  If cardiopulmonary arrest has existed for no more 4 minutes 
D)  If cardiopulmonary arrest has existed for no more 5 minutes

Question 17

When a patient suddenly experiences respiratory difficulty in the cafeteria,the nurse begins assessment for foreign-body airway obstruction.What is the most appropriate question to ask the victim?

Accepted Answer

A)  "What did you swallow?" 
B)  "Are you choking?" 
C)  "Are you OK?" 
D)  "Can I help you?" 
A)  "What did you swallow?" 
B)  "Are you choking?" 
C)  "Are you OK?" 
D)  "Can I help you?"

Exam 16: Care of Patients Experiencing Urgent Alterations in Health

The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.

When treating an infant choking on a foreign body,the nurse should use a combination of back _________ and chest thrusts.

When assessing a patient who has suffered a burn injury,the nurse classifies the burn as a deep partial-thickness burn.What is this observation most likely based upon?

CPR has been initiated at an accident site.When can CPR be terminated?

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or 11/21 ^1 /_{ 2}11/2​ in.

The Good Samaritan law will protect all people who offer assistance.What is necessary for this protection?

The patient is admitted to the emergency department,having suffered frostbite to the hands,which are grayish-white in color.What action should the nurse implement when attempting to warm the hands?

A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene.What will be the rescuer's priority action?

A nurse is assessing victims in an emergency situation.What will the nurse assess for first?

A machinist visits the industrial nurse's clinic with a deep laceration of the thigh.What should be the nurse's first action?

The patient with heatstroke has been undressed and treated with cold packs and a fan.The patient's temperature is now down to 101.2°F (38.4°C).The patient starts to shiver.What action should the emergency department nurse take?

The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54,P 102,RR 22.What does the nurse recognize that these symptoms indicate?

A patient who had taken a poisonous substance is brought to the emergency department.What is the first action the nurse should take?

A farm worker who has been kicked in the stomach by a mule passes a foul,black,tarry stool.What is this called?

When administering first aid in emergency situations,the nurse must first survey victims for severity of injuries.What term correctly describes this process?

The nurse determines clinical death and initiates CPR immediately.How long is resuscitation considered possible?

When a patient suddenly experiences respiratory difficulty in the cafeteria,the nurse begins assessment for foreign-body airway obstruction.What is the most appropriate question to ask the victim?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

Filters

When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or $1 ^1 /_{ 2}$ in.