Unit 4 Emergency Flashcards
The nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment on the evening shift. The nurse should assign priority to which client?
A. A client complaining of muscle aches , a headache and history of Siezures
B. A client who twisted her ankle when rollerblading and is requesting medication for pain
C. A client with a minor laceration on the index finger sustained while cutting an eggplant
D. A client with chest pain who states that he just ate a pizza that was made with very spicy sauce
D. A client with chest pain who states that he just ate a pizza that was made with very spicy sauce
The nurse manager is discussing the facility protocol in the event of a tornado with the staff. Which instructions should the nurse manager include in the discussion? SATA
A. Open doors to client rooms
B. Move beds away from windows
C. Close window shades and curtains
D. Place blankets over clients who are confined to bed
E. Relocate ambulatory clients from the hall ways back into their rooms
B. Move beds away from windows
C. Close window shades and curtains
D. Place blankets over clients who are confined to bed
As an emergency nurse in an inner city ED, you are responsible for developing a trauma prevention program for your community. Who will be your priority patient population?
A. 10-to -34 year old African American males
B. 10 -to - 34 year old Caucasian females
C. 75+ year olds
D. 10- to - 34 year old Hispanics
A. 10-to -34 year old African American males
Which of the following statements best explains the relationship between MCI and a disaster ?
A. All disasters are mass casualty events
B. All mass casualty events are disasters
C. Mass casualty events are natural disasters
D. Mass casualty events are man-made disasters
B. All mass casualty events are disasters
The nurse understands priority prehospital interventions include which of the following ?
A. Transporting the patient as quickly as possible
B. Treating all injuries found and then transporting the patient
C. Notifying the local hospital of the transport of a trauma patient and transporting the patient quickly
D. Assessing the patient using ABC’s, treating life threatening conditions, then transport to the hospital
D. Assessing the patient using ABC’s, treating life threatening conditions, then transport to the hospital
The nurse caring for a trauma patient understands which team member will establish priorities for the patients care and authorize the interventions and procedures?
A. Trauma surgeon
B. Trauma team leader
C. Anesthesiologist
D. Radiologist
B. Trauma team leader
The nurse understands the purpose of damage control surgery is which of the following ? SATA
A. Control hemorrhage
B. Prevent renal failure
C. Prevent contamination
D. Avoid further surgery
E. Control hypoxia
70.4
A. Control hemorrhage
C. Prevent contamination
A 35 Y.O female driver who was in a front end , high speed MVC is admitted to the ED. She had a seat belt on, but the car did not have any air bags. There was a severe front end damage with spidering of the windshield in front of the drivers seat and a bent steering wheel. The nurse caring for this patient should anticipate and monitor for which injuries ?
A. Sternal/rib , T-spine, pelvic fracture
B. Head, cervical -spine (c-spine), sternal/rib, cardiac contusion, hallow abdominal organ injuries
C. Head, C-spine, solid abdominal organ injuries
D. Sternal/Rib, collarbone fracture, pelvic fracture , facial fracture injuries
70.5
B. Head, cervical -spine (c-spine), sternal/rib, cardiac contusion, hallow abdominal organ injuries
The trauma nurse anticipates which of the following complications when treating An intoxicated homeless patient after he was hit by a car in the snow? The patient is in a C-spine immobilization, has an open femur fracture, pelvic fracture, abdominal tenderness, and a GCS of 12. SATA
A. Decreased HGB and HCT
B. Decreased SpO2
C. Tension pneumothorax
D. Sepsis
E. Decreased PaCO2
70.6
A. Decreased HGB and HCT
B. Decreased SpO2
D. Sepsis
Which of the following factors contributes the most to positive patient outcomes in mass casualty disasters?
A. On-site patient treatment
B. Disaster triage
C. Transport all victims to the closest hospital
D. Availability of patient air transportation
71.2
B. Disaster triage
Which of the following is an example of a natural disaster?
A. The 1984 Bhopal, India methyl isocyanate release
B. The march 10th ,1995 Sarin indecent in Japan
C. The 2007 Virginia tech campus shooting
D. The 2011 earthquake in Japan
71.3
D. The 2011 earthquake in Japan
Several patients present to the triage nurse in an ED. They are complaining of skin redness, itching, vomiting and diarrhea. What does the nurse suspect the patient have been exposed to?
A. Radiation
B. Chemical agents
C. Influenza
D. Biotoxin agent
71.4
A. Radiation
An ICS is set up at the scene of a disaster. Who has the responsibility for keeping ahead of the disaster by evaluating the status of the resources and determining future resource needs?
A. Incident commander
B. Planning chief
C. Operations chief
D. logistics chief
71.5
B. Planning chief
Which of the following contributes to a successful hospital disaster response ?
A. Aggressive resuscitation efforts for patients without a pulse
B. Immediate response for patients as soon as they arrive to the ED
C. Appropriate PPE to protect staff from contamination
D. Decontamination area located within the ED
71.6
C. Appropriate PPE to protect staff from contamination
Which of the following items is an essential component of your personal disaster plan?
A. Water
B. Fresh fruit
C. Reading materials
D. Hazard flares
71.7
A. Water
