Emergency Nursing Flashcards

1
Q

A patient collapses in front of you and is in cardiac arrest. Which will give him the best chance of survival?
A) Waiting for the emergency service personnel to arrive
B) Immediate CPR and defibrillation within 5 minutes
C) Defibrillation in 10 minutes with no CPR
D) Immediate CPR and defibrillation within 10 minutes

A

B) Immediate CPR and defibrillation within 5 minutes

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2
Q

If you are alone and find a non-breathing and pulseless victim lying face down at the scene of an accident and you suspect that the victim has a back/neck injury, you should:
A) Turn the victim and begin CPR.
B) Turn the victim’s head to one side and begin CPR.
C) Do nothing and wait until help arrives.
D) Attempt to do CPR with the victim in the face-down position.

A

A) Turn the victim and begin CPR

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3
Q

The recovery position is used to:
A) Keep an unconscious victim comfortable.
B) To stop nerve damage to the shoulders.
C) To maintain a clear airway.
D) To minimize bruising in head injury.

A

C) To maintain a clear airway

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4
Q

The aims or objectives of first aid are:
A) To save lives, prevent trauma worsening, and promote recovery.
B) To get medical assistance as soon as possible.
C) To provide comfort and support.
D) All of the above

A

D) All of the above

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5
Q

Primary Assessment involves the following:
A) Eye care, spinal and neck injury, injury assessment, trauma management.
B) Arousal, airway, breathing, circulation, bleeding, shock.
C) Illness assessment, injury assessment, trauma management, and shock management.
D) CPR, rescue breathing, illness assessment, injury assessment and trauma management

A

B) Arousal, airway, breathing, circulation, bleeding, shock

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6
Q

The purpose of triage is:
A) To reassure the conscious patient.
B) To provide the emergency services with information.
C) To assess all patients immediate needs.
D) To provide assistance for unconscious patients.

A

C) To assess all patients immediate needs

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7
Q

The signs and symptoms of shock are:
A) Pale clammy skin, rapid shallow breathing, and rapid weak pulse.
B) Pale clammy skin, slow breathing, slow pulse.
C) Pale clammy skin, normal breathing, normal pulse.
D) Pale skin, abdominal pain, incontinence, difficulty in breathing.

A

A) Pale clammy skin, rapid shallow breathing, rapid weak pulse

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8
Q

The treatment of shock requires:
A) Brandy, a cigarette and a hot water bottle.
B) Brandy, no smoking and rapid warming.
C) No alcohol, no smoking or warming.
D) Elevation of legs, reassurance and treat cause.

A

D) Elevation of legs, reassurance and treat cause

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9
Q

Victims can be moved under the following circumstances:
A) If they cannot get enough oxygen due to too many bystanders.
B) If the ambulance is going to take more than ½ hour to arrive at the accident scene.
C) In the case of fire, chemical spills and traffic.
D) If it is raining or the weather deteriorates.

A

C) In the case of fire, chemical spills and traffic

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10
Q

Select two from the following…
An emergency is:
1) A situation that the victim perceives to be difficult
2) A situation that can usually be resolved
3) An unforeseen combinations of circumstances
4) A state in which normal procedures are suspended

A) 1 and 3
B) 3 and 4
C) 2 and 4
D) 2 and 3

A

B) 3 and 4

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11
Q

When crisis presents, an emergency assessment is performed to:
A) Seek consensus
B) Consider your choices
C) Identify a life threatening problem
D) To get your point across

A

C) Identify a life threatening problem

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12
Q

When on the ward when do you prepare for a crisis?
A) At the beginning of each shift
B) Prior to receiving a patient from ED
C) Upon receiving a new patient
D) All of the above

A

D) All of the above

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13
Q

Triage provides effective use of:
A) Large assembly areas and vehicles
B) Resources, staff, skills, facilities and time
C) Existentialism, spiritualism and staff
D) The available food, water and medical support

A

B) Resources, staff, skills, facilities and time

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14
Q

Two of the most significant early warning signs for the deteriorating patient are;
A) Respiration rate and heart rate
B) Systolic blood pressure and urine output
C) LOC and respiration rate
D) Temperature and heart rate

A

C) LOC and respiration rate

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15
Q

In a disaster, how long should you be prepared to look after yourself and your loved ones?
A) 3 hours
B) 3 days
C) 3 weeks
D) 1 week

A

B) 3 days

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16
Q

In a disaster, you need to have a minimum of how many litres of water per person per day available for use?
A) 1 litre
B) 3 litres
C) 6 litres
D) Depends how age and thirst

A

B) 3 Litres

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17
Q

To safely store water, how much household bleach do you add?
A) 20 drops per litre of water
B) Half a cup per 10 litres of water
C) Half of a teaspoon for 10 litres of water
D) 5 drops per cup of water

A

C) Half a teaspoon for 10 Litres of water

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18
Q

A nurse stopped at an accident scene and began to provide emergency care for the victims. This nurse’s actions are best labelled as:
A) Respect for persons
B) Beneficence
C) Non maleficence
D) Triage

A

B) Beneficence

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19
Q

3 steps of crisis

A

Clarify the type of crisis, help stabilise the situation, develop an action plan

20
Q

What does PRIME stand for?

A

Primary Response in Medical Emergency

21
Q

What is involved in prime nursing?

A

On call medical emergency care including primary assessment, essential resuscitation, rapid and safe delivery of patients to the appropriate place of care

22
Q

Do prime nurses administer emergency medications for life saving purposes?

A

Yes

23
Q

When checking the equipment in the hospital ward for ABCs, what are you checking?

A

A - suction
B - oxygen
C - pump, monitor, sats monitor, BP cuff

24
Q

When do we prepare for a crisis?

A

Prior to ED or theatre, beginning of each shift, receiving a new patient

25
Q

Why do we use a triage system?

A

To improve chances of survival and decrease the morbidity that may result from trauma or acute illness

26
Q

National triage classification system steps

A

Cat 1 - resuscitation require (dying)
Cat 2 - emergency 10 min (just about to die)
Cat 3 - urgent 30 min
Cat 4 - semi urgent 1 hr
Cat 5 - non urgent within 2 hours

27
Q

D and E from ABCDE stands for

A

D - disability neurologically (GCS)\
E - expose and examine (neck, chest, abdomen)

28
Q

5 H’s to consider and correct

A

Hypoxia
Hypovolaemia
Hypo/hyperkalemia
Hypo/hyperglycemia
Hypo/hyperthermia

29
Q

4 T’s to consider and correct

A

Tension pneumothorax
Tamponade
Toxicity
Thromboembolism

30
Q

First priority in any emergency situation

A

Airway

31
Q

Anaphylaxis

A

Severe anaphylactic reaction

32
Q

What is the risk associated with anaphylaxis?

A

Airway obstruction

33
Q

How do you manage anaphylaxis?

A

Support airway, document obs, ensure medical help, administer/prescribe medication, apply oxygen if required

34
Q

Man collapses and has a grand mal seizure, what is the first risk?

A

Airway obstruction, risk of injury secondary to collapse

35
Q

What to do if man collapsed having grand mal seizure?

A

Manage airway, assist in recovery once breathing, call for help, oxygen?, block area for low stimulation, find support

36
Q

Cardiac emergencies

A

Coronary artery disease, angina, heart attack

37
Q

Coronary artery disease

A

Plaque builds up in an artery, walls become damaged, harder for arteries to dilate

38
Q

What can cause a build up of plaque?

A

High cholesterol, fat, other substances

39
Q

Angina

A

Harder for blood to get through the artery

40
Q

Heart attack

A

Plaque cracks and blood clots block the artery

41
Q

What causes damage to heart walls?

A

Hypertension, smoking

42
Q

Typical symptoms of cardiac emergencies subjective to assessment

A

Central crushing of band-like chest pain, radiation to neck, jaw or upper limbs, associated nausea, shortness of breath

43
Q

Chest pain for women

A

Can be different to the usual symptoms

44
Q

Acute coronary syndrome

A

Life-threatening, ruptured atherosclerotic plaque and clot formation

45
Q

What does the ruptured atherosclerotic plaque in acute coronary syndrome cause?

A

Sudden complete or critical occlusion of coronary artery leading to reduction in blood flow to the myocardium and subsequent ischemia or necrosis

46
Q
A