Question 1

The nurse is caring for a patient suspected of having heatstroke.Which findings are consistent with this diagnosis?

Accepted Answer

A)  Bradycardia 
B)  Tachycardia 
C)  Irregular pulse patterns 
D)  Visual disturbances 
E)  Increased urinary output 
A)  Bradycardia 
B)  Tachycardia 
C)  Irregular pulse patterns 
D)  Visual disturbances 
E)  Increased urinary output B,C,D

Question 2

The emergency department nurse is attempting to revive an unconscious,shivering person with extreme hypothermia (rectal temperature of 94° F).The nurse should be most alarmed with which change?

Accepted Answer

A)  The patient's cold ears turn red. 
B)  The patient stops shivering. 
C)  The patient's hands clench. 
D)  The patient's reflexes return. 
A)  The patient's cold ears turn red. 
B)  The patient stops shivering. 
C)  The patient's hands clench. 
D)  The patient's reflexes return. B

Question 3

The nurse is teaching a CPR class.During the class,the nurse correctly includes which statement when discussing the Good Samaritan Law?

Accepted Answer

A)  The Good Samaritan Law only protects medical professionals from liability. 
B)  The Good Samaritan Law protects all people from liability. 
C)  The Good Samaritan Law limits the liability of a medical professional. 
D)  The Good Samaritan Law defines specific situations in which no liability will occur. 
A)  The Good Samaritan Law only protects medical professionals from liability. 
B)  The Good Samaritan Law protects all people from liability. 
C)  The Good Samaritan Law limits the liability of a medical professional. 
D)  The Good Samaritan Law defines specific situations in which no liability will occur. B

Question 4

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order.

-Step 1

Accepted Answer

A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) . 
A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) .

Question 5

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order.

-Step 2

Accepted Answer

A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) . 
A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) .

Question 6

The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it.

-Administration of epinephrine

Accepted Answer

A) Cardiogenic shock 
B) Hypovolemic shock 
C) Anaphylactic shock 
D) Neurogenic shock 
E) Insulin shock 
A) Cardiogenic shock 
B) Hypovolemic shock 
C) Anaphylactic shock 
D) Neurogenic shock 
E) Insulin shock

Question 7

The nurse recognizes which indications of respiratory distress?

Accepted Answer

A)  Gasping 
B)  Wheezing 
C)  Stridor 
D)  Choking 
E)  Stupor 
A)  Gasping 
B)  Wheezing 
C)  Stridor 
D)  Choking 
E)  Stupor

Question 8

Which physiological differences explain why the older adult is prone to hypothermia?

Accepted Answer

A)  Decreasing appetite with less food intake 
B)  Increasing subcutaneous fat 
C)  Decreasing metabolism 
D)  Increased likelihood of atherosclerosis 
E)  Decreasing activity level 
A)  Decreasing appetite with less food intake 
B)  Increasing subcutaneous fat 
C)  Decreasing metabolism 
D)  Increased likelihood of atherosclerosis 
E)  Decreasing activity level

Question 9

An 80-year-old woman is brought to the emergency department after being found unconscious in her garage sitting in her car.Which assessment finding is most concerning to the nurse?

Accepted Answer

A)  Temperature, 97.6° F; pulse, 98; and blood pressure, 110/60 
B)  Oxygen (O2) saturation of 78% 
C)  Cherry red mucous membranes 
D)  Cold extremities 
A)  Temperature, 97.6° F; pulse, 98; and blood pressure, 110/60 
B)  Oxygen (O2) saturation of 78% 
C)  Cherry red mucous membranes 
D)  Cold extremities

Question 10

The first responder to an automobile accident finds a victim with a sucking chest wound.What action should the responder take?

Accepted Answer

A)  Tightly bind the injury with a folded magazine and the patient's belt. 
B)  Place a plastic sandwich bag over the wound and tape on three sides to make a flutter dressing. 
C)  Turn the patient to the affected side and instruct the patient to deep breathe. 
D)  Place the patient's hand over the wound and tell the patient to press down. 
A)  Tightly bind the injury with a folded magazine and the patient's belt. 
B)  Place a plastic sandwich bag over the wound and tape on three sides to make a flutter dressing. 
C)  Turn the patient to the affected side and instruct the patient to deep breathe. 
D)  Place the patient's hand over the wound and tell the patient to press down.

Question 11

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order.

-Step 3

Accepted Answer

A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) . 
A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) .

Question 12

A delivery man comes to the emergency department with dog bites on his legs.He states that the dog ran away after the attack and could not be identified.After treating the bites,the nurse educates the man about which next step?

Accepted Answer

A)  Notification of Animal Control 
B)  Receipt of immune globulin for passive immunity 
C)  Receipt of the first of five rabies vaccination injections 
D)  Infusion of IV fluids 
A)  Notification of Animal Control 
B)  Receipt of immune globulin for passive immunity 
C)  Receipt of the first of five rabies vaccination injections 
D)  Infusion of IV fluids

Question 13

A drowning victim is brought to shore and is semiconscious and breathing.The camp counselor recognizes that which positioning is the most appropriate for this victim?

Accepted Answer

A)  Supine to receive CPR 
B)  Supine with knees flexed 
C)  On the side in recovery position 
D)  Prone with head turned to side 
A)  Supine to receive CPR 
B)  Supine with knees flexed 
C)  On the side in recovery position 
D)  Prone with head turned to side

Question 14

Treatment for frostbite includes which actions?

Accepted Answer

A)  Chafing the hands and fingers gently to reestablish circulation. 
B)  Immersion of hands and feet in warm water. 
C)  Wrapping hands in mitten-like dressings to retain warmth. 
D)  Administering opioids to reduce pain. 
E)  Elevating affected limbs. 
A)  Chafing the hands and fingers gently to reestablish circulation. 
B)  Immersion of hands and feet in warm water. 
C)  Wrapping hands in mitten-like dressings to retain warmth. 
D)  Administering opioids to reduce pain. 
E)  Elevating affected limbs.

Question 15

________________ are the organisms most commonly associated with infections leading to sepsis and septic shock.

Accepted Answer

Bacteria
Bacteria ar

Question 16

A worker in a department store fell through a plate glass window,causing a deep laceration on the right mid-thigh that is pumping bright red arterial blood.Which initial action is most important for the first responder to take?

Accepted Answer

A)  Elevate the leg. 
B)  Bunch up the worker's shirt and press it against the wound. 
C)  Press the palm of hand in the groin to compress the femoral artery. 
D)  Tie the worker's belt tightly around his upper thigh to stop bleeding. 
A)  Elevate the leg. 
B)  Bunch up the worker's shirt and press it against the wound. 
C)  Press the palm of hand in the groin to compress the femoral artery. 
D)  Tie the worker's belt tightly around his upper thigh to stop bleeding.

Question 17

The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it.

-Administration of vasoconstrictors

Accepted Answer

A) Cardiogenic shock 
B) Hypovolemic shock 
C) Anaphylactic shock 
D) Neurogenic shock 
E) Insulin shock 
A) Cardiogenic shock 
B) Hypovolemic shock 
C) Anaphylactic shock 
D) Neurogenic shock 
E) Insulin shock

Question 18

A restaurant patron sitting at a next table begins to choke and cough.The patron yells,"I'm choking! I can't breathe!" What action should the first responder take?

Accepted Answer

A)  Initiate the Heimlich maneuver immediately. 
B)  Strike the victim sharply between the scapulae. 
C)  Encourage the patient to cough and deep-breathe. 
D)  Offer him a small sip of fluid. 
A)  Initiate the Heimlich maneuver immediately. 
B)  Strike the victim sharply between the scapulae. 
C)  Encourage the patient to cough and deep-breathe. 
D)  Offer him a small sip of fluid.

Question 19

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order.

-Step 5

Accepted Answer

A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) . 
A) Tell neighbor's wife to call 911. 
B) Assess for heartbeat. 
C) Initiate CPR if no respiration or circulation can be assessed. 
D) Assess for signs of breathing. 
E) Shake patient and call name to assess for level of consciousness (LO
C) .

Question 20

The nurse is caring for a patient with frostbite.Which assessment findings would lead the nurse to conclude that the patient has second-degree frostbite?

Accepted Answer

A)  Reddened skin with hard white plaques 
B)  Waxy skin with sensory deficits 
C)  Reddened skin with milky fluid-filled blisters 
D)  Waxy skin with blood-filled blisters 
A)  Reddened skin with hard white plaques 
B)  Waxy skin with sensory deficits 
C)  Reddened skin with milky fluid-filled blisters 
D)  Waxy skin with blood-filled blisters

Exam 44: Care of Patients with Emergencies, Trauma, and Shock

The nurse is caring for a patient suspected of having heatstroke.Which findings are consistent with this diagnosis?

The emergency department nurse is attempting to revive an unconscious,shivering person with extreme hypothermia (rectal temperature of 94° F).The nurse should be most alarmed with which change?

The nurse is teaching a CPR class.During the class,the nurse correctly includes which statement when discussing the Good Samaritan Law?

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order. -Step 1

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order. -Step 2

The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it. -Administration of epinephrine

The nurse recognizes which indications of respiratory distress?

Which physiological differences explain why the older adult is prone to hypothermia?

An 80-year-old woman is brought to the emergency department after being found unconscious in her garage sitting in her car.Which assessment finding is most concerning to the nurse?

The first responder to an automobile accident finds a victim with a sucking chest wound.What action should the responder take?

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order. -Step 3

A delivery man comes to the emergency department with dog bites on his legs.He states that the dog ran away after the attack and could not be identified.After treating the bites,the nurse educates the man about which next step?

A drowning victim is brought to shore and is semiconscious and breathing.The camp counselor recognizes that which positioning is the most appropriate for this victim?

Treatment for frostbite includes which actions?

________________ are the organisms most commonly associated with infections leading to sepsis and septic shock.

A worker in a department store fell through a plate glass window,causing a deep laceration on the right mid-thigh that is pumping bright red arterial blood.Which initial action is most important for the first responder to take?

The nurse differentiates the types of treatment that are appropriate for each type of shock.Match the type of shock with the type of treatment associated with it. -Administration of vasoconstrictors

A restaurant patron sitting at a next table begins to choke and cough.The patron yells,"I'm choking! I can't breathe!" What action should the first responder take?

A neighbor is found slumped over the lawn mower and is unconscious.Arrange the interventions made by the first responder in appropriate order. -Step 5

The nurse is caring for a patient with frostbite.Which assessment findings would lead the nurse to conclude that the patient has second-degree frostbite?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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