Emergencies/Disaster UPDATED Exam Questions and CORRECT Answers
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Course
Emergencies/Disaster
Institution
Emergencies/Disaster
Emergencies/Disaster UPDATED Exam
Questions and CORRECT Answers
3
(Carbon monoxide poisoning develops when carbon monoxide combines with hgb. Carbon
monoxide binds quicker than O2 does, tissue anoxia results. The nurse should admin 100%
O2 by mask to reduce the half life of carboxyhemoglobi...
Emergencies/Disaster UPDATED Exam
Questions and CORRECT Answers
3
(Carbon monoxide poisoning develops when carbon monoxide combines with hgb. Carbon
monoxide binds quicker than O2 does, tissue anoxia results. The nurse should admin 100%
O2 by mask to reduce the half life of carboxyhemoglobin.
WRONG: #1 gastric lavage is for ingested poisons
#2 metabolism with anoxia is reduced, which lowers the temp, so warming would be
required.
#4 WHAT? maybe if they did it on purpose but this ? does not say that and it would not be
first) - Correct Answer- 1 A client is admitted to the ED with a headache, weakness, and
slight confusion. The HCP diagnoses carbon monoxide poisoning. What should the nurse do
first?
1. Initiate gastric lavage
2. Maintain body temp
3. Admin 100% O2 by mask
4. Obtain a psychiatric referral
2
( Says 3 hours ago, open fracture, and degree of contamination via ditch the risk of infection
is VERY high. The nurse should be aware of s/s of infection or early signs of infections such
as debris in the wound site, temp abnormalities, results of lab studies, CBC and wound
cultures, or heat or redness around the wound.
WRONG: #1,#3,#4 : VS are WNL and cardiovascular status are stable. so hemorrhage is not
the primary concern. The client is talking coherently which does not suggest shock. The nurse
should continue to assess for s/s of hemorrhage and shock, but right now they are good. There
will be surgery asap minimizing the risk of deformity) - Correct Answer- 2 Three hours ago a
client was thrown from a car into a ditch and is now admitted to the ED in a stable condition
with VS wnl, alert, oriented, with good coloring, and an open fracture of the R tibia. For
which sign should the nurse be especially alert?
1. hemorrhage
2 infection
,3 deformity
4. shock
3
(First admin O2 in atrial fibrillation, the workload of the heart is increased as is myocardial
O2 demand. WRONG #1 Heparin may be prescribed, but not clear how long client is in a-fib,
and critical to determine before tx initiated.#2  BB and cardioversion are not primary
interventions and it is important to determine first if the client is hemodynamically stable and
the length of time client has been in a-fib) - Correct Answer- 3 A client admitted to the ED
with atrial fibrillation has a HR of 160. The nurse should implement which prescription first?
1. Admin a heparin bolus
2. Admin a beta blocker
3. Admin O2 via nc
4. Prepare the client for immediate cardioversion
3,4,5
(Clients who experience a-fib for more than 48 hrs are at an increased risk of developing
blood clots due to stasis of blood in the atria. Initially it will be important to maintain a
ventricular HR <100 bpm and prevent complications related to clot formation including an
embolic stroke. Decreasing HR will help to increase exercise intolerance. A fib causes a
decrease in cardiac output, and a goal of therapy would be to increase cardiac output. It is
imperative to determine the time client has been in a-fib prior to performing a cardioversion.
If a client has a-fib longer than 48 hrs and a cardioversion is performed a clot may be
dislodged and find its way to brain, lungs or coronary arteries) - Correct Answer- 4 A client is
admitted to the ED with atrial fibrillation and does not recall how long the rapid pulse and
irreg heart rate has been occurring The nurse should include which goals of care at this time?
SATA
1.. Convert the HR to sinus rhythm
2. Decrease cardiac output and workload
3. Increase exercise tolerance
4. Maintain a ventricular response below 100 bpm
5.. Prevent an embolic stroke
2
(Infection prevention!!
, Although rest and diet rich in fiber to prevent straining is important, these are lower priority
than infection control to get to surgery) - Correct Answer- 5. The nurse is discharging a client
who had a fish hook embedded in the eye. The fish hook was removed surgically in the ED.
but the surgeon has informed the client that a corneal transplant may restore some vision but
the surgery cannot be performed for 6-8 weeks and only if no infection occurs. A priority in
the teaching includes:
1. resting to reduce strain to the eye and promote healing after surgery
2. washing hands carefully to keep the area clean and decrease risk of infection
3. verbalize feelings regarding vision loss
4 eating a healthy diet to promote healing and prevent constipation
3
(Give them a mask and tissues. dispose of tissues correctly. Not appropriate to make others
move away, but the nurse can ask the pt to stay 3 ft from others in waiting room if there is
room ) - Correct Answer- 6. A client is admitted to the ED with sneezing and coughing. The
client is in the triage area waiting to be seen by the HCP. To prevent spreading the infection to
others in the area and to the healthcare staff, the nurse should:
1. place the client in an isolation room
2. ask the others in the area to move away from the client
3. give the client a surgical mask to wear
4. ask the client to wash the hands before being examined
2
(The middle aged female is likely in SHOCK. She is classified as a triage level I, requiring
immediate care.
WRONG: #1 The child with moderate trauma is classified as triage level III, urgent and can
be treated within 30 mins.
#3 The man with asthma and the man with severe headache are classified as level II and can
be transported by ambulance and reach the hospital within 15 mins.) - Correct Answer- 7.
There has been a car accident that involved four vehicles on a remote highway. The nearest
emergency dept is 15 mins away. Which victim should be transported by helicopter rather
than an ambulance to the nearest hospital?
1. A 10 year old with a simple fracture of the femur who is crying and cannot find his parents
2. a middle aged female with cold clammy skin, HR 120, and is unconscious
3. middle aged male with severe asthma, HR 120, and is having difficulty breathing
4. An older adult with severe headache, but conscious
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