NURS 370 – Midterm Exam Questions and Correct Answers
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Course
NUR 370
Institution
NUR 370
In ABCDE what is included in A (airway)? (select all that apply)
a. voice b. RR c. breath sounds d. pulse oximetry e. chest wall movement a, c
In ABCDE what is included in B (breathing)? (select all that apply)
a. RR b. chest wall movements c. voice d. chest percussion e. lung auscultation f. sp...
NURS 370 – Midterm Exam Questions
and Correct Answers
In ABCDE what is included in A (airway)? (select all that apply)
a. voice
b. RR
c. breath sounds
d. pulse oximetry
e. chest wall movement ✅a, c
In ABCDE what is included in B (breathing)? (select all that apply)
a. RR
b. chest wall movements
c. voice
d. chest percussion
e. lung auscultation
f. sputum examination
g. pulse oximetry
h. breath sounds ✅a, b, d, e, g
What is included in circulation (C) of ABCDE? (select all that apply)
a. skin colour
b. sweating
c. cap refill time
d. pulse rate
e. heart auscultation
f. fluid balance
g. blood pressure
h. ECG monitoring ✅a, b, c, d, e, g, h
What is included in disability (D) of ABCDE? (select all that apply)
a. LOC (GCS)
b. limb movements
c. pupillary light reflex
d. temperature
e. blood glucose ✅a, b, c, e
What is included in exposure (E) of ABCDE? (select all that apply)
,a. expose skin
b. temperature
c. blood glucose
d. skin reactions
e. needle marks ✅a, b, d, e
A mass casualty event has occurred in your local region of residency. An explosion
occurred at a football game where hundreds of individuals were injured. A half an hour
after the explosion, two passenger trains collided resulting in more injuries. You have
been called in to work via the emergency call tree. Once at work, you were assigned to
one of the 4 triage tents in the parking lot of the hospital. Note that you have limited
resources and limited operation rooms. Place the following patients in order of
importance using the color-coded mass causality system.
1. 24 year old female, with a forehead laceration from flying debris. She had no loss of
consciousness.
2. 38 year old male, with crushing injuries to bilateral legs, HR 112, Resp 22, BP 90/50.
3. 65 year old female patient with palpitations. Heart rate is 125 bpm. Patient is not
diaphoretic and not short of breath Resp 16.
4. 18 year old female with bila ✅2, 3, 1, 4
A 4-year-old is brought to Emergency by his parents, who report he swallowed a small
toy. What symptom suggests complete airway obstruction by a foreign body?
A. Gagging
B. Coughing
C. Inability to speak
D. Rapid respirations ✅c
The adult client is newly admitted to the ward following surgery. Which assessment
finding should be the RN's priority?
A. The surgical site dressing has a scant amount of bright red blood.
B. The client is sleeping but easily arouses when touched.
C. The client's respirations are 6 to 8 breaths per minute.
D. The client's blood pressure is 100/68 mm Hg. ✅c
The nurse is caring for a client who had a total hip replacement four days ago. Which
assessment requires the nurse's immediate attention?
A. "I have bad pain in my lower leg"
B. "I just can't 'catch my breath'"
C. "I have to use the bedpan to pee at least every hour."
D. "The pain medication is not working today." ✅b
, There has been a train derailment and four people are injured. Which patient should the
RN see first?
A. Client who is 20 years of age who has unequal pupils and is tachypneic
B. Client who is 80 years old complaining of a "racing heart" and has a laceration on his
arm
C. Client who is 10 years old with a swollen wrist
D. Client who is 25 years old with an open chest wall wound ✅d
The client just returned to the nursing unit following surgery. Which observation by the
RN requires the most immediate intervention?
A. The client is sleepy
B. The client coughed up blood-tinged sputum
C. Oxygen saturation level is 82%
D. Jackson-Pratt wound drain is half full ✅c
Operational health literacy ✅Ability to utilize tools, procedures, techniques for handline
language proficiently. Reading, writing, speaking, and numeracy skills.
Interactive health literacy ✅Ability to optimize prevention and self-management to
improve health
Autonomous health literacy ✅personal empowerment - self-awareness to assume
responsibility for health related decisions
Informational health literacy ✅ability to determine authority and currency of health
information
Contextual health literacy ✅mastery of environment
Cultural health literacy ✅ability to interpret the meaning of social practices
What is acute bronchitis? ✅inflammation of the bronchi in the lower respiratory tract
usually caused by infection
What are signs and symptoms of acute bronchitis? ✅persistent cough, production of
clear sputum (some may have purulent sputum), fever, headache, malaise, and
shortness of breath on exertion.
What breath sounds can be heard with acute bronchitis? ✅either normal or expiratory
wheeze
What is the treatment for acute bronchitis? ✅supportive care (fluids, rest, anti-
inflammatories)
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