Question: A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
Answer Options: Clean the wound, Elevate the limb and apply ice, Apply a tourniquet just below the elbow, Apply direct pressure over the wound.
Answer: Apply direct pressure over the wound
Question: A nurse witnesses a motor vehicle crash and finds a client who is not breathing. The nurse suspects the client has a cervical vertebrae fracture. Which of the following actions should the nurse take first?
Answer Options: Place the client in a rigid cervical collar, Evaluate the client for other injuries, Complete a neurological check on the client, Open the client’s airway using the jaw-thrust maneuver.
Answer: Open the client’s airway using the jaw-thrust maneuver
Question: A nurse is caring for a client who has a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
Answer Options: Paraplegia, Paresthesia, Quadriplegia, Hemiplegia
Answer: Paraplegia
Question: A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse’s priority when assessing the severity of the client’s burns?
Answer Options: Cause of the burn, Associated medical history, Location of the burn, Age of the client
Answer: Location of the burn
Question: The nurse is caring for a patient with an electrical burn injury. The nurse understands that this patient is at a high risk for acute kidney injury secondary to which of the following conditions?
Answer Options: Hypervolemia from burn resuscitation, Nephrotoxic antibiotics for prevention of infection, Increased incidence of ureteral stones, Release of myoglobin from injured tissues.
Answer: Release of myoglobin from injured tissues
Question: Physician orders are: Increase Dextrose 5% Lactated R at 150 mL/hour, Vancomycin 1 gram over 12 hours, Acetaminophen 650 milligrams by mouth as needed for temperatures> 101 degrees Fahrenheit, and blood cultures X2 if temperature> 101 degrees F. A client has the following vital signs: temperature 101.4 degrees F, blood pressure 88/54, pulse 128 beats/minute, and respirations 34 breaths/minute. The nurse first intervenes by:
Answer Options: Initiate D5LR to the prescribed rate, Providing acetaminophen for the elevated temperature, Obtaining the blood cultures, Administering the Vancomycin.
Answer: Initiate D5LR to the prescribed rate
Question: A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?
Answer Options: Brisk pupillary reaction to light, Increased sleeping, Tachycardia, Depressed fontanels
Answer: Depressed fontanels
Question: A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
Answer Options: NPO until dysphagia subsides, Supplements via nasogastric tube, Initiation of total parenteral nutrition, Soft residue diet
Answer: NPO until dysphagia subsides
Question: A nurse enters an adult client’s room and finds him unresponsive. After determining that the client is not breathing and does not have a pulse, which of the following actions should the nurse take first?
Answer Options: Summon the code team, Administer rescue breathing, Begin chest compressions, Open the client’s airway.
Answer: Open the client’s airway
Question: A nurse on the intensive care unit is caring for a client who has severe traumatic brain injury and a cerebral perfusion pressure (CPP) of 59 mm Hg. Which of the following actions should the nurse take?
Answer Options: Adjust the client’s head of bed, Flex the client’s hip, Hyperextend the client’s neck, Provide warming measures for the client.
Answer: Adjust the client’s head of bed
Question: A nurse is caring for a preschooler who has a partial-thickness burn on their right forearm. Which of the following findings should the nurse expect? (Select all that apply)
Answer Options: Intact epidermis, Wound blanches with pressure, Sensitive to touch, Dry surface, Blisters
Answer: Wound blanches with pressure, Sensitive to touch, Blisters
Question: A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his chest, abdomen, and upper arms. What is the nurse’s priority intervention for this client during the resuscitation phase of injury?
Answer Options: Medicate for pain, Maintain the airway, Insert an indwelling urinary catheter, Initiate fluid resuscitation.
Answer: Maintain the airway
Question: A nurse is assessing a client who is brought to the emergency room with burns. The client has a deep partial-thickness burn. Which of the following findings should the nurse identify as a deep partial-thickness burn?
Answer Options: The burned area is pink in color with blisters present, The burned area is yellow in color with severe edema, The burned area is black in color and pain is absent, The burned area is red in color with eschar present.
Answer: The burned area is red in color with eschar present
Question: Rank the four aspects of hepatic (liver) function from largest to smallest level of organization.
Answer Options: A. B > C > A > D B. B > C > D > A C. C > B > A > D D. C > B > D > A
Answer: [Incomplete answer as the answer explanation was cut off.]
Question: Which of the following is NOT true about the U.S. healthcare system?
Answer Options: A. Health care is provided less efficiently than in similar countries. B. The U.S. has worse health outcomes than similar countries. C. Administrative costs of the U.S. healthcare system are the highest of peer countries. D. The United States has the second highest life expectancy among peer countries.
Answer: D. The United States has the second highest life expectancy among peer countries.
Question: In reference to NHE, Professional Services include payments to medical device makers.
Answer Options: True False
Answer: False
Question: Which of the following terms refers to a measure of whether healthcare produced desired results?
Answer Options: A. Clinical efficiency B. Equity of healthcare C. Patient safety D. Clinical effectiveness
Answer: D. Clinical effectiveness