Emergency Post Test

3/11/24, 10:39 AM EMERGENCY POST TEST
EMERGENCY POST TEST

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1. During a mass casualty, which injury receives care FIRST? *
A. Abdominal evisceration
B. Open fracture of the left forearm
C. Sprained ankle
D. Sucking chest wound
2. You're working as a triage nurse during a disaster situation. Based on the *

triage color code tags placed on each of the wounded, which tag color represents
the wounded who have the HIGHEST priority of being treated FIRST?
A. Green
B. Yellow
C. Red
D. Black
3. The nurse is assisting the triage team at an earthquake site. Which client does *
the nurse refer to as the "walking wounded?"
A. Client with several bruises and a closed fracture of the elbow
B. Client with third degree burns on 80% of the body
C. Client with bleeding wounds from shrapnel and an open fracture
D. Conscious client with a bleeding head injury
4. When conducting a primary survey on a trauma patient, which of the following *

is considered one of the priority elements of the primary survey?
A. Initiation of pulse oximetry
B. Complete set of vital signs.
C. Client's allergy history.
D. Brief neurologic assessment.
5. The nurse in a disaster is triaging the following clients. Which client should be *
triaged as an Expectant Category, priority 4, and color black?
A. The client with a sucking chest wound who is alert.
B. The client with a head injury who is unresponsive.
C. The client with an abdominal wound and stable vital signs.
D. The client with a sprained ankle which may be fractured
6. You respond to a call for help from the ED waiting room. There is an elderly *
patient lying on the floor. List the order for the actions that you must perform.
1. Call for help and activate the code team.
2. Instruct a nursing assistant to get the emergency cart.
3. Initiate cardiopulmonary resuscitation (CPR).
4. Perform the chin lift or jaw thrust maneuver.
5. Establish unresponsiveness.
A. 5, 2, 4, 3, 1
B. 1, 5, 2, 4, 3
C. 1, 2, 5, 4, 3
D.5, 1, 4, 3, 2
7. What color would you tag a patient open fractures of long bones? *
A. Yellow
B. Red
C. Green
D. Black
8. What color would you tag a patient soft tissue injuries *
A. Yellow
B. Green
C. Black
D. Red
9. What color would you tag a patient maxillofacial wounds without airway *
compromise
A. Black
B. Green
C. Yellow
D. Red
10. What color would you tag a patient most eye and central nervous system *
injuries
A. Yellow
B. Green
C. Black
D. Red
11. What color would you tag a patient genitourinary tract disruption *
A. Yellow
B. Red
C. Green
D. Black
12. What color would you tag a patient behavioral disorders or psychological *
disturbances
A. Black
B. Green
C. Yellow
D. Red
13. A nurse who is working as part of a disaster response team is performing *

triage at a mass casualty incident. One of the victims has a sucking chest wound.
The nurse would triage this client using which color-coded tag?
A. Yellow
B. Red
C. Green
D. Black
14. While waiting for a feedback from the nurse supervisor regarding the patient's *
desire to go home, Nurse Valerie opted to check on the on fire. Sequence thing
the room, she discovers that the waste basket is nurse's actions in the options
below.
I. Rescue the patient.
II. Activate the fire alarm.
III. Close the door to confine the fire.
IV. Put of the fire with fire extinguisher.
A. IV, II, and I
B. I, II, III, and IV
C. I, II and IV
D. II, IV and I
15. In emergency situation when a patient is unable to give consent for life saving *
treatment, what type of consent allows to assume APPROPRIATE medical
treatment ?
A. Implied consent
B. Informed consent
C. Express consent
D. Involuntary consent
16. During a mass casualty, which injury receives care FIRST? *
A. Abdominal evisceration
B. Open fracture of the left forearm
C. Sprained ankle
D. Sucking chest wound
17. A patient is admitted to the emergency department with signs of respiratory *

depression following self-injection with hydromorphone. The nurse knows that
the antidote that will reverse respiratory depression cause by opiates toxicity
is_____?
A. Fentanyl
B. Naloxone
C. Butorphanol
D. Sufenta
SITUATION:
Nurse Emma is working in the
ER when a strong earthquake shook the city. Fifteen minutes Later, a
number of patients have been starting to arrive in the ER.
18. As the triage Nurse, which of the following will be Emma's priority? *
A. A non-responsive patient with sunken skull.
B. The patient with facial wounds and fracture.
C. Patient with sucking chest wound.
D. A man with over 50 percent second and third-degree burns.
19. Patients brought in who are unresponsive with penetrating head wounds are *
tagged by the triage nurse in which color?
A. Black
B. Red
C. Green
D. Yellow
20. Those who suffered stable abdominal wounds without significant *

bleeding will be tagged
A. green
B. red
C. black
D. yellow
21. The ED nurse receives a victim with severe life-threatening injuries and most *
likely will not survive. The victim would be triaged as:
A. green
B. red
C. black
D. yellow
22. You are a staff nurse in the Neurology Unit of the Hospital. You failed to report *
to duty due to typhoon Yolanda that hit your place causing massive destruction.
Whatever sentinel event that may happen at the time of your absence, you may be
exonerated from any liability under the legal doctrine of _____.
a. Captain of the ship
b. Force majeure
C. Justice
D. Respect for person
23. The neurosurgeon performs a neurological assessment on the client. based *

on the Glasgow coma’ scale, the client has a total score of 8 nurse Elma
recognized this score to indicate which type of injury
a. Severe injury
b. Moderate injury
C. Minor injury
D. No injury
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24. An elderly patient presents in triage with left-sided chest pain, diaphoresis, *
and dizziness. This patient should be prioritized into which category?
A. High urgent
C. Non-urgent
C. Urgent
D. Emergent
25. As she comes to the triage area with left-sided chest pain, diaphoresis, and *
dizziness. What is the priority action?
A. Initiate continuous electrocardiographic monitoring.
B. Administer oxygen via nasal cannula.
C. Notify the ED physician.
D. Establish IV access.
26. The nurse is assisting a triage team at the site of a multiple motor vehicle *
crash. Which client does the nurse identify with a green tag?
A. Unconscious woman with a weak pulse
B. Young man with burns over 70% of his body
C. Older man with a cut on the forearm
D. Young woman with a spinal injury
27. Which essential item is NOT added to a personal-readiness supplies "go *

bag?"
A. Fruits and vegetables
B. Potable water
C. Battery operated radio
D. 2 Batteries
28. The triage nurse is part of an emergency team at the site of an earthquake. *
Which client does the nurse identify as being in the "expectant" category?
A. Young lady with multiple fractures in the leg
B. Unconscious man with agonal breathing
C. Baby with no visible wounds, crying aloud
D. Young man with abdominal injury
29. The nurse is assisting with triage in the field after a large airplane crash. She *
is assessing a victim who has an open tibial fracture and a large laceration to his
head, but is otherwise stable. What is the appropriate color tag for the victim?
A. Red
B. Black
C. Green
D. Yellow
30. after the crash of a 747 airplane at the local airport, the nurse is performing *
disaster triage. which patient would be given a black tag?
A. 42-year-old male, screaming, full-thickness burns to torso, upper and lower

extremities
B. 38-year-old male, left hand injury, moaning
C. 26-year-old male with an open femur fracture
D. 52-year-old female, crying, with facial lacerations
31. A woman has just been admitted to the ED and reports feeling dizzy. As the *
nurse asks the patient her name, the patient suddenly falls unconscious. What is
the priority nursing action?
A. Obtain vital signs
B. Ask the husband to leave the room.
C. Evaluate the patient's level of consciousness.
D. Establish a patent airway by positioning, suctioning, and administering oxygen, as

needed
32. The ED nurse is assigned to five clients waiting for orders to be implemented. *
Which client does the nurse assess first?
A. 60 year old client waiting transport to the OR for an emergency appendectomy
B. 25 year old with a closed femur fracture who received pain meds 10 minutes ago
C. 30 year old w/ N/V who has IV fluids infusing and is now sleeping
D. 28 year old with a laceration to the arm that is waiting to be sutured
33. 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
34. 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.
35. Emergency medical services (EMS) brings a large number of clients to the *
emergency department following a mass casualty incident. The nurse identifies
the clients with which injuries with yellow tags? Which one is NOT tag as yellow
A. Partial-thickness burns covering both legs
B. Open fractures of both legs with absent pedal pulses
C. Neck injury and numbness of both legs
D. Small pieces of shrapnel embedded in both eyes
36. A nurse triages clients arriving at the hospital after a mass casualty. Which *
clients is correctly tag?
A. A 35-year-old female with severe chest pain: red tag
B. A 42-year-old male with full-thickness body burns: green tag
C. A 55-year-old female with a scalp laceration: black tag
D. A 60-year-old male with an open fracture with distal pulses: red tag
37. The emergency department nurse is triaging patients. Which patient should *
be prioritized?
A. An adult patient experiencing mild chest pain
B. An adolescent patient with a possible fractured wrist
C. An older adult patient with a hip fracture who is in pain
D. A school-age patient with asthma presenting with dyspnea
38. Which is a potentially life-threatening condition found during the primary *

triage survey that would necessitate priority nursing care?
A. Cystitis
B. Concussion
C. Lacerated arm
D. Fractured femur
39. Which treatment should the nurse prepare to administer when providing care *
to a toddler who presents after an accidental overdose of aspirin?
A. Gastric lavage
B. Activated charcoal
C. Protamine injection
D. Vitamin D injection
40. The nurse is a first responder for a health-care organization for a mass *
casualty incident. Which injury would the nurse tag as yellow during the triage
process?
A. Ankle sprain
B. Hypovolemic shock
C. Open femur fracture
D. Massive head trauma
41. Which public health risk became a major focus for hospitals after the *
September 11, 2001 terrorist attacks?
A. Anthrax exposure
B. Multi-casualty incident
C. Mass casualty incidents
D. Weapons of mass destruction
42. The nurse is conducting triage under mass casualty conditions. Which tag *
should the nurse use for a patient who is experiencing hypovolemic shock due to
a penetrating wound?
A. Red
B. Black
C. Green
D. Yellow
43. Which patient injury would receive a black tag by the triage nurse during a *
mass casualty incident?
A. Concussion
B. Ankle sprain
C. Open femur fracture
D. Full-thickness body burns
44. the wounded victim is unable to walk, has respiratory rate of 12, capillary refill *
is 8 seconds, and is unresponsive. The wounded victim is assigned what tag
color?
A. Green
B. Red
C. Yellow
D. Black
45. The wounded victim is unable to walk, respiratory rate is absent but when *
airway is repositioned breathing is noted. The wounded victim is assigned what
tag color?
A. Red
B. Black
C. Green
D. Yellow
46. A 65-year-old patient arrived at the triage area with complaints of diaphoresis, *
dizziness, and left-sided chest pain. This patient should be prioritized into which
category?
A. Non-urgent.
B. Urgent.
C. Emergent
D. High urgent.
47. 1Which one of the following is the appropriate method to remove a tick that is *
embedded in the skin?
A. Burn the tick with a match to kill it, then pull it out with a tweezer
B. Remove the tick by grabbing the head with tweezers and pulling upward with
steady pressure
C. Drown the tick with running water and then scape it off the skin with a flat plastic
card
D. Apply petroleum jelly/vasaline over the tick and wait 24 hours for it to release its
self from the skin
48. What is the appropriate way to remove a bee or wasp stinger from the skin? *
A. Use a tweezer to remove the stinger and venom sac
B. Use a flat plastic card to scrape and lift the stinger from the skin
C. Have the injured person suck the stinger out with their mouth
D. Gently squeeze the skin around the bite to push out the stinger
49. What is the appropriate care for a jellyfish sting? *
A. Rinse skin with ocean water
B. Apply rubbing alcohol wash off tentacles
C. Rinse with fresh water
D. Apply a pressure bandage
50. The nurse assists in administering first aid to a client who has been bitten by *
a snake on the right leg. The nurse should take which action?
A. Apply a tourniquet.
B. Apply ice to the site of the bite.
C. Elevate the leg above the level of the heart.
D. Ensure that the victim is lying down, and remove restrictive items.
SITUATION:
Nurse Marko is assigned in a disaster-prone province
somewhere inVisayas. He is aware that with the increase frequency of disaster
happening, he has to respond quickly and efficiently to assist the population
affected by calamities.
51. Which of the following BEST defines a disaster? *
A. Any event that results in multiple deaths.
B. Devastation that covers a broad geographical area.
C. Devastation that cannot be relieved without assistance.
D. The event results in multiple injuries, deaths and property damage.
52. When does disaster management begin? *
A. Before the disaster occurs
B. During the disaster
C. Immediately following the disaster
D. During the recovery period
53. Nurse Marko is guided by the ICN framework of disaster nursing *

competencies. This framework consists of four areas in the continuum of
disaster management that corresponds to the four stages of disaster. What
consist of the FIRST stage?
A. Response
B. Preparedness
C. Prevention
D. Recovery
54. Nurse Marko has invited several agencies in the community to a meeting to *
discuss the disaster plan for the community. Which of the following BEST
describes the purpose of this meeting? To _____________.
A. enhance communication among agencies in the community
B. increase stability in the community
C. manage response to disasters in the community
D. improve overall community functioning
55. Nurse Marko adapts professional nursing skills in recognizing and meeting *
the physical and emotional needs resulting from a disaster. For people who are
willing to talk ensuing a disaster, which of the following is the MOST appropriate
approach?
A. “I am with you. It is good you are trying to release your distress by crying. It will
make you feel better.”
B. “What you need to do now is to wait for instructions and services to provide.”
C. “Don’t feel bad. Others are in the same situation as yours.”
D. “You need to cry. You need to move on and build your life again.”
56. As he passed by a road going to an evacuation center, Nurse Marko *

encountered a flash flood. A flash flood _______________.
A. occurs suddenly and for a short duration
B. is caused by the blocking of drains
C. is caused by heavy rains
D. occurs in urban areas
SITUATION:
A
landslide had occurred in Bontoc Mountain province due to persistent and heavy
rainfall. According to information received by the emergency department staff,
there were about 150 people injured.
57. The nurse prepares the department to receive the injured. This situation would *
be BEST classified as a/an:
A. Unnatural calamity
B. Natural calamity
C. Mass casualty incident
D. Accidental disaster
58. The first responders to the scene of disaster would MOST likely use which of *
the following tools to separate victims for easy recognition of those in need of
immediate care.
A. Number codes
B. Category tags
C. Triage tag
D. SALT triage
59. Should a terrorist attack occur, nurses need to be ready, not only in providing *
quality care for the victims but ensuring their own safety as well. During a mass
disaster drill simulating a terrorist attack, the nurse must triage numerous
severely ill persons. The client who should receive PRIORITY care is:
A. Cyanotic and not breathing.
B. Apneic and has an apical rate of 50.
C. Having seizures and urine incontinence.
D. Gasping for breath and are conscious.
60. The nurse is considering how best to educate the community about the *
potential threats to health from terrorism. What are the BEST ways to accomplish
this?
1. Hold public forum to educate the community about coping with psychological
effects.
2. Raise community awareness about increased immigrants to the population.
3. Teach the community about sealing windows and doors in the event of a
chemical attack.
4. Raise community awareness about the signs and symptoms of potential

biologic agents.
A. 2 and 4
B. 1 and 3
C. 2 and 3
D. 1 and 4
61. A group of passenger enters the emergency room with complaints of cough, *
tightness in the throat, and extreme periorbital swelling. There is a strong odor
that exudes from their clothes. They report exposure to a "bomb" that was placed
in the bus terminal. What is the priority action of the ER nurse?
A. Direct clients to the clean zone for immediate treatment
B. Assist clients in the decontamination area
C. Readily transfer patients and visitors from the area
D. Check vital signs and auscultate lung sound
SITUATION:
Nurse
Stephanie just finished her emergency and disaster training for one month in
the Disaster and Risk Reduction Management conducted by the Department of
Health.
62. To Nurse Stephanie’s knowledge, the key difference between emergencies *

and disaster is that:
A. Emergencies can typically be handled by avoidable emergency services
B. Disaster results from man-made error
C. Disasters typically involve local emergency services and no other agencies
D. Emergencies are controlled
63. Which of the following best defines a disaster? *
A. Any event that results in multiple deaths
B. Devastation that cannot be relieved without assistance
C. Devastation that covers a broad geographical area
D. When the event results in multiple injuries and deaths as well as property damage
64. Which type of leadership style is MOST helpful in emergency situations? *
A. authoritarian.
B. coaching.
C. delegative.
D. democratic.
65. Nurse Stephanie understand that emergency is any actual threat to public *
safety or public health. Which of the following is NOT applicable?
A. "Hostage crisis in JoloSulo last December 2018"
B. "My son has not come home from school"
C. "I cannot find my mobile phone"
D. "A plane is about to crash"
66. During earthquake, the impact is greatest at areas close to the epicenter. *
Injuries arise primarily from falling objects and collapsing buildings. Direct impact
on health includes high mortality from severe crash injuries. Stephanie arrives at
the scene as the first responder. Which action is MOST appropriate to assure
safety?
A. Clear the walking wounded using verbal instructions. "If you can walk, move over
there"
B. Give priority to dying victims
C. Tag patients
D. Stop at each victim and quickly assess their respiration
67. You approach a person who is apparently choking. What should you do *
FIRST?
A. Sweep the person’s mouth with your finger
B. Apply sharp upward thrusts over the person ‘s sternum
C. Determine if the person can make any verbal sounds.
D. Hit the middle of the person’s back firmly
68. You prepare to perform the Heimlich maneuver on the conscious adult male *
what are the steps to be followed? Arrange the procedure in sequence
1. Place the thumb side of the first just above the umbilicus and well below the
xiphoid process.
2. Make a first
3. Stand behind the victim
4. Place arms around the victim’s waist
5. Perform 5 quick in and up thrusts (between the umbilicus and xiphoid

process)
A. 2,5,3,4,1
B. 1,2,3,4,5
C.4,3,1,2,5
D. 3,4,2,1,5
69. If the victim is unconscious, the sequence is: *
1. Placed the heel of one hand on top of the other between the umbilicus and
xiphoid process.
2. Straddle the victim’s thighs.
3. Give five thrusts in and up with the heel of the bottom hand.
4. Make a first
A. 1,2,3
B. 1,2.3,4
C. 2,1,3
D. 2,4,1,3
70. When you perform abdominal thrusts during the Heimlich maneuver, you are *
trying to?
A. Produce a burp to expel the foreign body
B. Pump the heart to push air out of the lungs
C. Produce a rush of air that expels the foreign body
D. Put pressure on the stomach to expel the foreign body
71. If the victim is pregnant or obese, which modification of the Heimlich *

maneuver would be appropriate for this person?
A. Thrust against the middle of the sternum rather than between the umbilicus and
xiphoid process
B. Perform thrust gently, rather than forcefully, and discontinue the thrusts after 6
tries, if unsuccessful.
C. Place the fist with the pinkie finger, rather than the thumb against the person’s
body.
D. Perform the thrusts with the person in the supine, rather than standing position.
SITUATION:
Nurse
Anne is part of the emergency team of Regional hospital .She collaborates with
other members of the health team to provide quality care to patients.
72. Nurse Anne understands that collaborative interventions are therapies that *
require the participations of health professionals. Which of the following
personnel participates in collaborative efforts? The ________.
A. Physician and the nurse's intervention
B. Patient and the nurse's, intervention
C. Patient and the physician's intervention
D. Multiple health care professionals
73. Nurse Anne understands that health care professionals have a role in *
collaboration. Which of the following statements BEST explains the role of the
nurse in the plan of care for patients? The nurse _________.
A. Collaborates with colleagues and the patients family to provide combined

expertise in planning care.
B. Works independently to plan and deliver care and should not depend on other
staff members for assistance
C. Depends on the latest literature to complete and excellent plan of care for patients
D. Consult the physician for direction in establishing goals for the patient
74. In one of her shifts, Nurse Anne admits a 35 years old female for head injury *
sustained in a car accident. Nurse Anne notifies the neurosurgeon. The later
assess the condition of the patient using the Glasgow Coma Scale. Nurse Anne
understands that the scale provides objective measurement of three essential
components of a neurological examination. Which of the following responses is
NOT an essential component?
A. Best non-verbal response
B. Best motor response
C. Spontaneity of eye opening
D. Best verbal response
75. The neurosurgeon determine that the patient has increasing intracranial *
pressure. Which of the following interventions would be MOST appropriate for
nurse Anne to perform? She should
A. Provide quiet, brightly lit environment
B. Elevate the head 15 to 30 degrees
C. Encourage the victim to drink clear fluids
D. Teach controlled coughing and deep breathing
76. The patient was assessed to have a Glasgow Coma Scale score of 3. In order *
to protect the Airway, Nurse Anne collaborates with the health care team to assist
with which of the following?
A. Endotracheal intubation
B. Assessment of bowel sounds
C. Questioning the patient regarding DOB
D. Monitoring oxygen saturation
77. The nurse writes a nursing diagnosis for the child which is the basis of care *
for the first 24 hours of admission. The MOST appropriate nursing diagnosis
would be ________.
A. Fear and anxiety
B. Disturbed body image
C. Risk for infection
D. Impaired mobility
78.The physician writes an order for the client. Infuse D5 Water 500 cc to run for 8 *
hours. The micro set delivers 60 drops per ml. how many drops should the nurse
regulate the flow and record it in the client’s chart?
A. 50 drops per minute
B. 62 drops per minute
C. 35 drops per minute
D. 30 drops per minute
79. The nurse commits an error in documenting the care of the burnt child. She *
consults the charge nurse to find out if the hospital has an established policy on
correcting documentation errors. Which of the following is an accepted form for
correcting errors?
A. Enclose in parenthesis is the erroneous statement, draw a line across the

statement , and make the correct entry above the I drawn.
B. Correct the error by applying correction fluid or tape and write the correct entry
over
C. Cross through the erroneous word or statement with a double line, affix your initial
write the phrase “mistaken entry” then write the correct information.
D. Use the slide rule, method. Cross through the erroneous word of statement with a
single line, affix your initials, write the date and time the correction was made, then
write the correct information.
SITUATION:
Nurse
Roland, a triage nurse admits client in the emergency Department (ED) of X
Hospital. The following are situations in the ED Nurse Roland encounters.
80. Four victims are bought to the ED after a motor vehicle crash. Who among *
the following victims require the highest PRIORITY for treatment?
A. 22 year- old male with fracture of the face and jaw
B. 20 year-old female with a misaligned right leg
C. 62 year-old female with palpitation and chest pain
D. 35 year-old complaining of abdominal pain
81. Four victims of a car crash are brought to the ED. Nurse Roland assesses the *
victims. Select who among the following has the highest PRIORITY for
treatment?
a. An open femur fracture with profuse bleeding
b. Severe bleeding of facial and head lacerations
c. Absence of peripheral pulses
d. A suckling chest wound
82. Nurse Roland performs primary assessment on one of the trauma victims, *
and determines the client has a patent airway. The NEXT assessment by nurse
Roland should be to________.
a. Palpate for the presence of peripheral pulses
b. Check the level of consciousness
c. Examine the client for any external bleeding
d. Observe /assess client’s breathing or respiratory effort
83. A 45 year-old male client was brought in the ED with head and neck trauma *
sustained in motorcycle accident. The first action of nurse Roland is to _________.
A. Suction of the mouth and oropharynx
B. Immobilize the cervical spine
C. Obtain venous access
D. Administer oxygen
84. A patient has experienced blunt abdominal trauma from a motor vehicle *
accident. The nurse should explain to the patient the purpose of:___________
A. magnetic resonance imaging (MRI).
B. peritoneal lavage.
C. ultrasonography.
D. NGT placement.
85. Jerome 65 years old who works as carpenter fell off from ladder while fixing *
the roof of a neighbor. He was brought to the ED by family members. He is
unconscious . nurse Roland does a primary assessment on client Jerome which
is to_________________
A. Ask the family about Jerome’s medical conditions.
B. Obtain a Glasgow Coma Scale Score.
C. Assess the vital signs.
D. Attach cardiac ECG monitor
SITUATION:
nurse
Elma specialize in emergency nursing. She collaborate: with the ED physician,
triage team and other members of the health team provide care to clients of all
age-groups with various illness or injuries coming to the emergency department
86. When clients are wheeled in to the ED, nurse applies a triage priority rating *
system. When a client must be treated immediately otherwise the client’s life,
limb or vision are threatened, the category is _______.
A. Low urgent
B. Urgent
C. Emergent
D. Non urgent
87. A client with spinal cord injury due to trauma is brought to the ED by EMS *
personnel. Nurse Elma assesses the client. which of the following will the nurse
suspect the client to manifest
A. Tachycardia
B. Pain
C. Diaphoresis
D. Temporary loss of reflex function
88. Nurse Elma writes a nursing diagnosis. Which of the following diagnoses is a *
PRIORITY nursing diagnosis for a client with spinal cord injury?
A. Risk for infection
B. Dysreflexia
C. ineffective airway clearance
D. Ineffective breathing pattern
89. The neurosurgeon determines the client’s spinal cord injury is at the level of *
T5. Nurse Elma is alerted when the client complains of severe headache,
diaphoretic, and head and neck appear to be flushed. She takes the vital signs.
Pulse rate is 47 beats per minute and blood pressure is 220/114 mmHg. Based
on the assessment data, nurse Elma concludes that the client needs IMMEDIATE
treatment for_____.
A. Spinal shock
B. Autonomic dysreflexia
C. Pulmonary embolism
D. Malignant hypertension
SITUATION:
Nurse Gloria is assigned in the emergency
department and takes care of patients with different cases
90. A client with multiple injuries is rushed after head on car collision. Which *
assessment Nurse Gloria takes priority?
A. Unequal pupils
B. Irregular apical pulse
C. A deviated trachea
D. Ecchymosis in the flank area
91. The ambulance has transported a male client with severe chest pain. As the *
client is being transferred to the emergency stretcher Gloria noted that the client
is unresponsive not breathing and no palpable pulse. Which of the following
emergency measures will Nurse Gloria anticipates to do?
A. Starting bag valve mask ventilation
B. Performing chest compressions
C. Placing the defibrillator pads
D. Aiding with oral intubation
92. A child with fever has seen admitted to the emergency department for several *
hours. Cooling measures are ordered by the physician in order for the
temperature to come down. Which task should be appropriate for Nurse Gloria to
do?
a. Educate the need for giving cool fluids
b. Prepare and administer a tepid bath
c. Tell the parent to use acetaminophen instead of aspirin
d. Assist the child in removing outer garments
93. When Gloria conducts primary assessment on a trauma patient. Which of the *
following is considered one of the priority elements?
A. Complete vital signs
B. Brief neurologic assessment
C. Initiation of pulse oximetry
D. Client`s allergy history
94. Triage is the process of determining the priority of patients treatments based *
on the severity of their condition. The purpose of reverse triage is to ______.
a. Save those persons who are in the critical condition
b. Save scare resources for future use
c. Do the greatest good to the greatest number with limited resources
d. The first responders on the triage classification category
95. It is the summer season, and clients with signs and symptoms of heat-related *
illness come to the Emergency room. Which client needs attention first?
A. Elderly person with reports of dizziness and syncope after standing in the sun for
several hours to view a parade
B. Marathon runner who reports severe leg cramps and nausea, and shows
tachycardia, diaphoresis, pallor, and weakness
C. Relatively healthy homemaker who reports that the air conditioner has been
broken for days and who manifests tachypnea, hypotension, fatigue, and profuse
diaphoresis
D. Homeless person with altered mental status, poor muscle coordination, and hot,
dry, ashen skin; and whose duration of heat exposure is unknown
SITUATION:
During
summer season incidence of heat stroke rises. As a community health nurse you
should disseminate information on this as part of your role as a health
educator
96. A patient came in with signs of heat stroke. Which of the following are *
signs/symptoms of profound CNS dysfunction?
A. Elevated temperature
B. Hot, dry skin
C. Tachypnea hypotension, tachycardia
D. Confusion, delirium, bizarre behavior
97. Which of the following is a primary goal in the care of patient with a heat *
stroke?
A. To maintain cardiac functions
B. To reduce immediately the high temperature
C. To restore normal body temperature
D. To prevent further complication
98. Which of the following is the best advice you would give to an athlete to *
prevent heat stoke?
A. To monitor fluid losses and weight loss during workout activities and to replace
fluids
B. To avoid immediate exposure to high temperature
C. To maintain adequate fluid intake
D. To avoid planning outdoor activities between 10 a.m and 2 p.m
99. To prevent heat stroke ‘ the following pieces of advice are given to the *
community, EXCEPT:
A. Always drink plenty of water
B. Just stay at home and relax
C. Avoid direct exposure to the sun especially late in the morning
D. Use a hat or an umbrella when going out of the house
100. Which of the following would be your best advice to the community people *
during summer time to prevent dehydration?
A. Use a hat or an umbrella when going out of the house
B. Just stay at home and relax
C. Drink plenty fluids
D. Wear light-colored clothing
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3/11/24, 10:39 AM EMERGENCY POST TEST

EMERGENCY POST TEST

cernechez1989@gmail.com Switch account

* Indicates required question

PARTIAL GROUP NLE & SPLE

NON PACKAGE (PACKAGE 1)

1. During a mass casualty, which injury receives care FIRST? *

B. Open fracture of the left forearm

D. Sucking chest wound

2. You're working as a triage nurse during a disaster situation. Based on the *

A. Client with several bruises and a closed fracture of the elbow

B. Client with third degree burns on 80% of the body

C. Client with bleeding wounds from shrapnel and an open fracture

D. Conscious client with a bleeding head injury

4. When conducting a primary survey on a trauma patient, which of the following *

A. Initiation of pulse oximetry

B. Complete set of vital signs.

C. Client's allergy history.

D. Brief neurologic assessment.

A. The client with a sucking chest wound who is alert.

B. The client with a head injury who is unresponsive.

C. The client with an abdominal wound and stable vital signs.

D. The client with a sprained ankle which may be fractured

8. What color would you tag a patient soft tissue injuries *

13. A nurse who is working as part of a disaster response team is performing *

I. Rescue the patient.

II. Activate the fire alarm.

III. Close the door to confine the fire.

IV. Put of the fire with fire extinguisher.

A. IV, II, and I

B. I, II, III, and IV

16. During a mass casualty, which injury receives care FIRST? *

B. Open fracture of the left forearm

D. Sucking chest wound

17. A patient is admitted to the emergency department with signs of respiratory *

A. A non-responsive patient with sunken skull.

B. The patient with facial wounds and fracture.

C. Patient with sucking chest wound.

D. A man with over 50 percent second and third-degree burns.

20. Those who suffered stable abdominal wounds without significant *

a. Captain of the ship

D. Respect for person

23. The neurosurgeon performs a neurological assessment on the client. based *

A. Initiate continuous electrocardiographic monitoring.

B. Administer oxygen via nasal cannula.

C. Notify the ED physician.

A. Unconscious woman with a weak pulse

B. Young man with burns over 70% of his body

C. Older man with a cut on the forearm

D. Young woman with a spinal injury

27. Which essential item is NOT added to a personal-readiness supplies "go *

A. Fruits and vegetables

C. Battery operated radio

A. Young lady with multiple fractures in the leg

B. Unconscious man with agonal breathing

C. Baby with no visible wounds, crying aloud

D. Young man with abdominal injury

A. 42-year-old male, screaming, full-thickness burns to torso, upper and lower

B. 38-year-old male, left hand injury, moaning

C. 26-year-old male with an open femur fracture

D. 52-year-old female, crying, with facial lacerations

A. Obtain vital signs

B. Ask the husband to leave the room.