Chapter 71: Emergency Nursing

Chapter 71: Emergency Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

 

 

 

 

1. Which patient would the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined below?
2. A) A patient with a blunt chest trauma with some difficulty breathing
3. B) A patient with a sore neck that was immobilized in the field on a backboard with a cervical collar
4. C) A patient with a possible fractured tibia with adequate pedal pulses
5. D) A patient with confusion

 

Ans:  A

Chapter:  71

Client Needs:  A-1

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  2

Page and Header:  2158, Principles of Emergency Care

 

Feedback:  The patient with blunt chest trauma is possibly having a compromised airway. As stated, emergent is potentially a life-threatening situation. Therefore options B, C, and D are incorrect.

 

 

 

 

2. The nursing instructor is teaching the senior nursing students about the stages of crisis. The instructor uses the following example: The nurse notes that the family members of a patient who was injured in an accident are blaming each other for the circumstances leading up to the accident. The nurse appropriately lets the family members express their remorse, while explaining that there was probably little they could do to prevent the injury. What stage of crisis is this family in?
3. A) Anxiety and denial
4. B) Remorse and guilt
5. C) Anger
6. D) Grief

 

Ans:  B

Chapter:  71

Client Needs:  C

Cognitive Level:  Analysis

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  1

Page and Header:  2155, Scope and Practice of Emergency Nursing

 

Feedback:  Remorse and guilt are natural processes of the stages of a crisis and should be facilitated for the family members to process the crisis. Therefore options A, C, and D are incorrect.

 

 

 

 

3. A patient is brought to the emergency department by ambulance with a gunshot wound to the abdomen. The nurse knows that the most common hollow organ injured in this type of injury is what?
4. A) Liver
5. B) Small bowel
6. C) Stomach
7. D) Large bowel

 

Ans:  B

Chapter:  71

Client Needs:  D-4

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  3

Page and Header:  2165, Intra-Abdominal Injuries

 

Feedback:  Penetrating abdominal wounds have a high incidence of injury to hollow organs, especially the small bowel. Therefore options A, C, and D are incorrect.

 

 

 

 

4. A patient has been brought to the emergency department with multiple trauma after a motor vehicle accident. After immediate threats to life have been corrected in a patient with multiple trauma, the nurse and trauma team will what?
5. A) Perform a rapid physical assessment
6. B) Splint fractures
7. C) Perform a thorough physical examination
8. D) Establish the patient’s age

 

Ans:  A

Chapter:  71

Client Needs:  A-1

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  4

Page and Header:  2158, Principles of Emergency Care

 

Feedback:  Once immediate threats to life have been corrected, a rapid physical examination is done to identify injuries and priorities of treatment. Options B, C, and D are incorrect.

 

 

 

 

5. The nursing instructor is teaching the senior nursing class to assess a patient for heat stroke. The nursing instructor should tell the students that they would most likely assess which symptom in a patient with heat stroke?
6. A) Hypertension
7. B) Anhidrosis
8. C) Warm moist skin
9. D) Bradypnea

 

Ans:  B

Chapter:  71

Client Needs:  D-4

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  5

Page and Header:  2168, Heat Stroke

 

Feedback:  Heat stroke is manifested by anhidrosis confusion, bizarre behavior, coma, elevated body temperature, hot dry skin, tachypnea, hypotension, and tachycardia. Therefore options A, C, and D are incorrect.