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Emergency Nursing and Disaster Post Test

SITUATION: Medical Emergency is a medical condition where in there’s an existing medical problem that suddenly
manifest an emergency signs and symptoms.

1. Mr. Liaoanag, a 50 years old business seeks immediate medical attention due tightness of his chest,
constricting pain, feeling of nausea and severe sweating. Pain scale reveals a 9/10 lasting for less than 10
minutes. What would the nurse suspect for this condition?
a. Pulmonary embolism c. Myocardial infarction
b. Angina pectoris d. Cardiac tamponade

2. Upon receiving the patient in the Emergency Unit, the nurse must initiate?
a. Intravenous infusion of fluids c. Give nitroglycerin patch
b. Put the patient in semi sitting position d. Provide oxygen supplement at 2 liters/ minute

3. Which among the following is not true regarding angina pectoris?

a. Can be treat by simple nitroglycerin c. Can’t be relieved by rest
b. Must be monitor frequently d. Oxygen is indicated

4. Myocardial infarction is a condition where in the myocardial cell turns into a necrotic tissue due to the
insufficient or loss of oxygenated blood supply. The nurse has the knowledge that this condition can be worsen
by?
a. Giving constant amount of oxygen c. Minimal Valsalva
b. Frequent positioning d. Administration of lactulose

5. Following Nitroglycerin administration, it is important for the nurse to ensure the following except?
a. Monitor patient response every 30 minutes c. Wear disposable gloves if nitro patch is indicated
b. Give the medication if BP is greater than 90mm/hg d. Must be given in 3 doses

SITUATION: Heat stroke is an environmental emergency that affects the mortality rate among summer. It is caused by
inability of the thermoregulatory function failure of the body.

6. Mr. Bo, is suspected of having a heat stroke. Which among the following risk factors is not true about his
condition?
a. Extremely age c. Taking certain medications
b. Unable to care for themselves d. Acclimatized to heat

7. The following are the intervention that the nurse must take except?
a. Ensure patent airway c. Monitor urine output
b. Massage vigorously d. Use of cool sheets and blankets

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SITUATION: Mr. Kendrick, a foreign motorcycle racer accidentally had a motorcycle breakdown, he had a minor abrasion
at his left arm and left knee but a large diameter of hematoma in his chest is the consideration of the nurse.

8. Upon assessment, which result would give the nurse to the conclusion of hypoperfusion?
a. RR: 29 b. PR: 109bpm c. BP: 90/80 mm/hg d. U.O: 15cc/hr

9. Which intervention that the nurse must do to manage patient on a state of shock?
a. Intravenous infusion of normal saline solution c. Put patient in a modified trendelenburg
b. Provide oxygen supplement at 2 lpm d. Refer to the physician

10. Among the different types of shock, which among the following is the most common type of shock?
a. Distributive shock c. Hypovolemic shock
b. Neurogenic shock d. Septic Shock

SITUATION: Trauma Emergency varies different mechanism of injury, maybe be created by environmental factors or
sometimes human factor contributes to the major occurrence of this condition.

11. For which of the following would the nurse prioritize after a multiple bus collision?
a. a 12 year-old child with fracture of the right fibula and complains of severe pain
b. a 16 year-old female with laceration on the Left arm
c. a 24-year-old male with a head wound
d. a 22 year old female with a RR of 24 with no radial pulse

12. . Upon attending to scenario, the nurse has the knowledge to initiate?
a. Application of C- collar for immobilization c. Apply direct pressure to the bleeding site
b. Check for his responsiveness d. Do quick assessment of the environment

SITUATION: Ms. Chai, a botanist decided to call for medical service from the EMS unit to attend to her complaint of
difficulty of breathing, wheezing, watery secretions from the nose and generalized appearance of rashes.

13. Upon taking the history of Ms. Julie, the nurse found out that she had an experiment somewhere in her
garden and she was accidentally sting by a bee. What is the possible cause of her condition?
a. Infection b. Poisoning c. Anaphylactic reaction d. Absorbed reaction

14. The nurse has the knowledge that the removal of the sting from the patients skin will be?
a. Wash with sterile water c. Use of identification card to scrape the sting
b. Use clamp to remove the sting d. Aspirate with 2cc syringe

15. What specific medication is used to treat mild allergic reaction?

a. Hydrocortisone b. Epinephrine c. Diphenhydramine d. Steroids

SITUATION: Emergency medication is another focus of providing emergency that the nurse must have to know, it
requires understanding and good judgment upon giving it to a patient.

16. Sir Daryl, as seen by the nurse on duty with systemic distribution of rashes, inspiratory wheezes and obvious
severe difficulty of breathing creates an instinct to the nurse to give?
a. Theophylline c. Lidocaine
b. Diphenhydramine d. Epinephrine
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 17. Based on question # 21 the nurse should monitor for any changes in patients?
a. Blood pressure b. Heart rate c. Temperature d. Respiratory rate

SITUATION: Basic Life Support ability is a vital role of all medical professionals. They must have enough knowledge and
skills in performing the discipline of this practice.

18. Following Mouth to Mouth resuscitation, the nurse has the knowledge that the amount of oxygen received by
the patient would be?
a. 10% b. 15% c. 17% d. 20%

19. All but one is true regarding mouth to mouth resuscitation?

a. It contains 20% of oxygen and 4% of carbon dioxide
b. Introduce air by simply opening the nose and mouth of the patient
c. Can only utilize by trained professionals
d. Has the same ration of mouth to barrier

20. After rescue breathing is initiated, pulse must be done every?

a. 1 minute b. 2 minutes c. 3 minutes d. 4 minutes

SITUATION: Nurse Audrey, outgoing from her night shift duty accidentally encounter a Bar fight along the way. One of
the victim is holding his abdomen with a knife in place, observable bleeding and shouting for help.

21. In order for Nurse Audrey to help, her initial action for this scenario will be:
a. Call a police or authority c. Control possible bleeding and injury
b. Immediately attend the victim to help d. Ignore the events

22. The best intervention of Nurse Audrey upon attending patient with a stabbed wound will be:
a. Initiate 500cc infusion of PNSS c. Stabilized the knife with bulky padding
b. Monitor vital signs and possible complications d. Remove the knife and apply direct pressure

SITUATION : In a disaster there must be a chain of command in place that defines the roles of each member of the
response team. Within the health care group there are pre-assigned roles based on education, experience and training
on disaster.

23. There are important principles that should guide the triage team in disaster management that you have to
know if you were to volunteer as part of the triage team. The following principles should be observed in
disaster triage, EXCEPT:
a. any disaster plan should have resource available to triage at each facility and at the disaster site if possible
b. make the most efficient use of available resources
c. training on disaster is not important to the response in the event of a real disaster because each disaster is
unique in itself
d. do the greatest good for the greatest number of casualties

24. Which of the following categories of conditions should be considered first priority in a disaster?
a. Intracranial pressure and mental status c. Respiratory infection
b. Lower gastrointestinal problems d. Trauma

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25. A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT?
a. perfusion b. locomotion c. respiration d. Mentation

26. The most important component of neurologic assessment is:

a. pupil reactivity c. cranial nerve assessment
b. vital sign assessment d. level of consciousness/responsiveness

SITUATION: Because of the serious consequences of severe burns management requires a multi disciplinary
approach. You have important responsibilities as a nurse.

27. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt burst into flames. The most effective way
to extinguish the flames with as little further damage as possible is to:
a. log roll on the grass/ground c. remove the burning clothes
b. slap the flames with his hands d. pour cold liquid over the flames

28. Once the flames are extinguished, it is most important to:

a. cover Sergio with a warm blanket c. calculate the extent of his burns
b. give him sips of water d. assess the Sergio's breathing

29. Sergio is brought to the Emergency Room after the barbecue grill accident. Based on the assessment of the
physician, Sergio sustained superficial partial thickness bums on his trunk, right upper extremities ad right
lower extremities. His wife asks what that means. Your most accurate response would be:
a. Structures beneath the skin are damaged c. Epidermis and dermis are both damaged
b. Dermis is partially damaged d. Epidermis is damaged

30. In different types of burn, which among the following is the most fatal?
a. Thermal burn b. Chemical burn c. Mechanical burn d. Electrical burn

31. According to the degree of burn, the nurse has the idea that the priority intervention for 3 rd and 4th degree
burn is?
a. Initiate intravenous infusion of fluids c. Put silver nitrate directly in the burn site
b. Prevent infections d. Pain management

***END OF TEST***
Review your answers 

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