Exam (elaborations)
NUR 2790 / NUR2790 Exam 2: Professional Nursing III Exam 2 / PN3 Exam 2 (Latest 2021/2022) Rasmussen
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- Rasmussen College
NUR2790 PROFESSIONAL NURSING III EXAM 2
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Rasmussen CollegeNUR 2790: Professional Nursing 3 Exam 2
▪A hospital responds to a local mass casualty event. Which action
should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event?
a.Provide water and healthy snacks for energy throughout the event.
b.Schedule 16-hour shifts to allow for greater rest between shifts.
c.Encourage counseling upon deactivation of the emergency response plan.
d.Assign staff to different roles and units within the medical facility.
▪A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond?
a.Do you need something for pain right now?
b.Please stop yelling. I brought dinner as soon as I could.
c.I suggest that you get control of yourself.
d.You seem upset. I have time to talk if you’d like.
▪A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?
a.Dislocated right hip and an open fracture of the right lower leg
b.Large contusion to the forehead and a bloody nose
c.Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath
▪An emergency department (ED) charge nurse prepares to receive clients from a mass casualty within the community. What is the role of this nurse during the event?
a.Ask ED staff to discharge clients from the medical-surgical units in order to make room for critically injured victims.
b.Call additional medical-surgical and critical care nursing staff to come to the hospital to assist when victims are brought in.
c.Inform the incident commander at the mass casualty scene about how many victims may be handled by the ED.
d.Direct medical-surgical and critical care nurses to assist with
clients currently in the ED while emergency staff prepare to receive
the mass casualty victims. ▪The hospital administration arranges for critical incident stress
debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?
a.You are free to express your feelings; whatever is said here stays here.
b.Lets evaluate what went wrong and develop policies for future
incidents.
c.This session is only for nursing and medical staff, not for ancillary personnel.
d.Lets pass around the written policy compliance form for everyone.
▪A nurse is caring for a client whose wife died in a recent mass casualty accident. The client says, I cant believe that my wife is gone and I am left to raise my children all by myself. How should the nurse respond?
a.Please accept my sympathies for your loss.
b.I can call the hospital chaplain if you wish.
c.You sound anxious about being a single parent.
d.At least your children still have you in their lives.
▪A nurse cares for clients during a community-wide disaster drill. Once of the
clients asks, Why are the individuals with black tags not receiving any care? How should the nurse respond?
a.To do the greatest good for the greatest number of people, it is necessary to sacrifice some.
b.Not everyone will survive a disaster, so it is best to identify those people early and move on.
c.In a disaster, extensive resources are not used for one person at the expense of many others.
d.With black tags, volunteers can identify those who are dying and can give them comfort care.
▪A nurse wants to become part of a Disaster Medical Assistance Team (DMAT) but is concerned about maintaining licensure in several different states. Which statement best addresses these concerns?
a.Deployed DMAT providers are federal employees, so their licenses are good in all 50 states.
b.The government has a program for quick licensure activation wherever you are deployed.
c.During a time of crisis, licensure issues would not be the governments
priority concern. d.If you are deployed, you will be issued a temporary license in the state in which you are working.
▪After a hospitals emergency department (ED) has efficiently triaged, treated, and transferred clients from a community disaster to appropriate units, the hospital incident command officer wants to stand down from the emergency plan. Which question should the nursing supervisor ask at this time?
a.Are you sure no more victims are coming into the ED?
b.Do all areas of the hospital have the supplies and personnel they need?
c.Have all ED staff had the chance to eat and rest recently?
d.Does the Chief Medical Officer agree this disaster is under control?
▪A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Which intervention should the nurse complete first?
a.Provide a calm location for the family to cope and discuss needs.
b.Call the hospital chaplain to stay with the family and pray for the deceased.
c.Do not allow visiting of the victims until the bodies are prepared.
d.Provide privacy for law enforcement to interview the family.
▪An emergency department charge nurse notes an increase in sick calls and bickering among the staff after a week with multiple trauma incidents. Which action should the nurse take?
a.Organize a pizza party for each shift.
b.Remind the staff of the facilitys sick-leave policy. c. Arrange for critical incident stress debriefing.
d. Talk individually with staff members.
▪A hospital prepares to receive large numbers of casualties from a
community disaster. Which clients should the nurse identify as appropriate
for discharge or transfer to another facility? (Select all that apply.)
a.Older adult in the medical decision unit for evaluation of chest pain
b.Client who had open reduction and internal fixation of a femur fracture 3
days ago
c.Client admitted last night with community-acquired pneumonia
d.Infant who has a fever of unknown origin
e. Client on the medical unit for wound care ▪A client presents to the emergency department after prolonged exposure to
the cold. The client is difficult to arouse and speech is incoherent. Which action should the nurse take first?
a.Reposition the client into a prone position.
b.Administer warmed intravenous fluids to the client.
c.Wrap the clients extremities in warm blankets.
▪An emergency department nurse cares for a middle-aged mountain climber who is confused and exhibits bizarre behaviors. After administering oxygen, which priority intervention should the nurse implement?
a.Administer dexamethasone (Decadron).
b.Complete a minimental state examination.
c.Prepare the client for computed tomography of the brain.
d.Request a psychiatric consult.
▪An emergency department nurse assesses a client admitted after a lightning strike. Which assessment should the nurse complete first?
a.Electrocardiogram (ECG)
b.Wound inspection
c.Creatinine kinase
d.Computed tomography of head
▪A nurse teaches a community health class about water safety. Which statement by a participant indicates that additional teaching is needed?
a. I can go swimming all by myself because I am a certified lifeguard.
b.I cannot leave my toddler alone in the bathtub for even a minute.
c.I will appoint one adult to supervise the pool at all times during a party.
d.I will make sure that there is a phone near my pool in case of an emergency.
▪A provider prescribes a rewarming bath for a client who presents
with partial-thickness frostbite. Which action should the nurse take
prior to starting this treatment?
a.Administer intravenous morphine.
b.Wrap the limb with a compression dressing.
c.Massage the frostbitten areas.
d.Assess the limb for compartment syndrome.
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