Med Surg 2 Exam 5 Test Bank Exam
Questions and Answers
The nurse in the emergency department is caring for a patient with a partial-thickness
thermal burn. Which treatment should the nurse expect to be prescribed for this patient?
- Answer-Application of silver sulfadiazine cream
A patient who has ingested a corrosive product is vomiting. For which potential
complication should the nurse prepare to provide care to this client? - Answer-
Esophageal burns
The nurse is teaching a group of oilfield workers about care for a snake bite. Which
statement indicates an understanding of the teaching? - Answer-"I should clean the
area with soap and water."
The health care provider (HCP) tells the nurse that a patient has blood leaking into the
intrapleural space and has caused collapse of the lung. The nurse suspects which
diagnosis? - Answer-Hemothorax
The nurse is caring for a group of patients. Which patient should the nurse see first? -
Answer-A patient who received epinephrine for anaphylactic reaction and has wheezing
The nurse is caring for a patient with frostbite to the foot. Which intervention should the
nurse implement? - Answer-Elevate the foot at or above heart level
The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result
would be of most concern to the nurse? - Answer-Sodium 128 mEq/L
The nurse is caring for a patient with hypovolemic shock with a possible cause of
internal hemorrhage. Which order should the nurse prepare to implement first? -
Answer-Start a large bore IV
The nurse is performing a Glasgow coma scale (GCS) assessment for a patient with a
head injury. The patient opens eyes to pain, best verbal response is incomprehensible
sounds, and best motor response is withdrawal from pain. What is the patient's total
GCS score? - Answer-3
The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse
should anticipate the patient's inability to do what? - Answer-Extend and flex legs
Which of the following is a cause of an open penetrating injury? - Answer-A knife
, A patient tells the nurse she stepped on a nail when working on the yard. Which
question is most important for the nurse to ask? - Answer-"When was your last tetanus
shot?"
The nurse is working at a sporting event when a football player is injured. What action
by the nurse requires correction? - Answer-Assist the patient in sitting up slowly.
The nurse is caring for a patient who experienced a near-drowning. Which factors lead
to a better outcome? (Select all that apply.) - Answer-The water was clean.
The temperature was lukewarm
The nurse is caring for a patient diagnosed with botulism. Which interventions should
the nurse plan to implement? (Select all that apply.) - Answer-Assess gag reflex.
Monitor oxygen saturation
Infuse parenteral nutrition as prescribed.
The nurse is receiving a victim of a traumatic amputation in the emergency department.
What should the nurse do with the amputated limb? (Select all that apply.) - Answer-
Place on ice.
Rinse with saline
Wrap in sterile gauze.
Place in a sealed plastic bag
The nurse in an emergency department is helping triage victims of an explosion. Rank,
in order from 1 to 5, the following patients according to their need for priority treatment
according to disaster response protocols and best chance of survival.
1. A 15-year-old with a laceration to the foot that is bleeding slightly
2. A 36-year-old who has no pulse or respirations and has an open head injury
3. A 70-year-old with shortness of breath but no detectable cardiac arrhythmias
4. A 5-year-old with a suspected fracture of the humerus
5. A 58-year-old woman with a distended abdomen who reports severe abdominal pain
- Answer-70 year old
58 year old
5 year old
15 year old
36 year old
Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives
to the emergency department.
2. Breathing
3. Disability
4. Airway
5. Circulation - Answer-Airway
breathing
circulation
disability
Questions and Answers
The nurse in the emergency department is caring for a patient with a partial-thickness
thermal burn. Which treatment should the nurse expect to be prescribed for this patient?
- Answer-Application of silver sulfadiazine cream
A patient who has ingested a corrosive product is vomiting. For which potential
complication should the nurse prepare to provide care to this client? - Answer-
Esophageal burns
The nurse is teaching a group of oilfield workers about care for a snake bite. Which
statement indicates an understanding of the teaching? - Answer-"I should clean the
area with soap and water."
The health care provider (HCP) tells the nurse that a patient has blood leaking into the
intrapleural space and has caused collapse of the lung. The nurse suspects which
diagnosis? - Answer-Hemothorax
The nurse is caring for a group of patients. Which patient should the nurse see first? -
Answer-A patient who received epinephrine for anaphylactic reaction and has wheezing
The nurse is caring for a patient with frostbite to the foot. Which intervention should the
nurse implement? - Answer-Elevate the foot at or above heart level
The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result
would be of most concern to the nurse? - Answer-Sodium 128 mEq/L
The nurse is caring for a patient with hypovolemic shock with a possible cause of
internal hemorrhage. Which order should the nurse prepare to implement first? -
Answer-Start a large bore IV
The nurse is performing a Glasgow coma scale (GCS) assessment for a patient with a
head injury. The patient opens eyes to pain, best verbal response is incomprehensible
sounds, and best motor response is withdrawal from pain. What is the patient's total
GCS score? - Answer-3
The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse
should anticipate the patient's inability to do what? - Answer-Extend and flex legs
Which of the following is a cause of an open penetrating injury? - Answer-A knife
, A patient tells the nurse she stepped on a nail when working on the yard. Which
question is most important for the nurse to ask? - Answer-"When was your last tetanus
shot?"
The nurse is working at a sporting event when a football player is injured. What action
by the nurse requires correction? - Answer-Assist the patient in sitting up slowly.
The nurse is caring for a patient who experienced a near-drowning. Which factors lead
to a better outcome? (Select all that apply.) - Answer-The water was clean.
The temperature was lukewarm
The nurse is caring for a patient diagnosed with botulism. Which interventions should
the nurse plan to implement? (Select all that apply.) - Answer-Assess gag reflex.
Monitor oxygen saturation
Infuse parenteral nutrition as prescribed.
The nurse is receiving a victim of a traumatic amputation in the emergency department.
What should the nurse do with the amputated limb? (Select all that apply.) - Answer-
Place on ice.
Rinse with saline
Wrap in sterile gauze.
Place in a sealed plastic bag
The nurse in an emergency department is helping triage victims of an explosion. Rank,
in order from 1 to 5, the following patients according to their need for priority treatment
according to disaster response protocols and best chance of survival.
1. A 15-year-old with a laceration to the foot that is bleeding slightly
2. A 36-year-old who has no pulse or respirations and has an open head injury
3. A 70-year-old with shortness of breath but no detectable cardiac arrhythmias
4. A 5-year-old with a suspected fracture of the humerus
5. A 58-year-old woman with a distended abdomen who reports severe abdominal pain
- Answer-70 year old
58 year old
5 year old
15 year old
36 year old
Place in order, from 1 to 5, the primary survey a nurse conducts when a patient arrives
to the emergency department.
2. Breathing
3. Disability
4. Airway
5. Circulation - Answer-Airway
breathing
circulation
disability
