MULTIPLE CHOICE
1. An emergency department nurse assesses a client who has been raped. With which health care
team member would the nurse collaborate when planning this client’s care?
a. Primary health care provider
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 10: Concepts of Emergency and Trauma Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. An emergency department nurse assesses a client who has been raped. With which health care
team member would the nurse collaborate when planning this client’s care?
a. Primary health care provider
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
ANS: C
All other members of the health care team listed may be used in the management of this
client’s care. However, the forensic nurse examiner is educated to obtain client histories and
collect evidence dealing with the assault, and can offer the counseling and follow-up needed
when dealing with the victim of an assault.
DIF: Understanding TOP: Integrated Process: Nursing Process: Planning
KEY: Emergency nursing, Interprofessional team
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. The emergency department team is performing cardiopulmonary resuscitation on a client
when the client’s spouse arrives. Which action would the nurse take first?
a. Request that the client’s spouse sit in the waiting room.
b. Ask the spouse if he or she wishes to be present during the resuscitation.
GRto
c. Suggest that the spouse begin ADpray
ESLfor ABthe
.Cpatient.
OM
d. Refer the client’s spouse to the hospital’s crisis team.
ANS: B
If resuscitation efforts are still under way when the family arrives, one or two family members
may be given the opportunity to be present during lifesaving procedures. The other options do
not give the spouse the opportunity to be present for the client or to begin to have closure.
3. An emergency department nurse is triaging victims of a multi-casualty event. Which client
would receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48 year old with a simple fracture of the lower leg
ANS: C
The client with pale, cool, clammy skin may be in shock and needs immediate medical
attention. The mother does not have injuries and so would be the lowest priority. The other
two people need medical attention soon, but not at the expense of a person in shock.
, Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. While triaging clients in a crowded emergency department, a nurse assesses a client who
presents with symptoms of tuberculosis. Which action would the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens would be placed
in a negative-pressure room to prevent contamination of staff, clients, and family members in
the crowded emergency department. The client may or may not need oxygen or an IV. A
sputum culture would be obtained but is not the priority.
DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Emergency nursing, Transmission-Based Precautions
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
5. A nurse is triaging clients in the emergency department (ED). Which client would the nurse
prioritize to receive care first?
a. A 22 year old with a painful and swollen right wrist
b. A 45 year old reporting chest pain and diaphoresis
c. A 60 year old reporting difficulty swallowing and nausea
d. An 81 year old, respiratory rate 28 breaths/min and temperature of 101° F (38.8°
C)
ANS: B GRADESLAB.COM
A client experiencing chest pain and diaphoresis would be classified as emergent and would
be triaged immediately to a treatment room in the ED. The other clients are more stable.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning
KEY: Emergency nursing, Triage
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
6. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately
paired with the level of the trauma center?
a. Level I—located within remote areas and provides advanced life support within
resource capabilities
b. Level II—located within community hospitals and provides care to most injured
clients
c. Level III—located in rural communities and provides only basic care to clients
d. Level IV—located in large teaching hospitals and provides a full continuum of
trauma care for all clients
ANS: B
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