Chapter 10: Concepts of Emergency and Trauma Nursing

Chapter 10: Concepts of Emergency and Trauma Nursing

University

20 Qs

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Chapter 10: Concepts of Emergency and Trauma Nursing

Chapter 10: Concepts of Emergency and Trauma Nursing

Assessment

Quiz

Science

University

Easy

Created by

Katelynn Dunlap

Used 2+ times

FREE Resource

20 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

An emergency department nurse assesses a client who has been raped. With which health care team member would the nurse

collaborate when planning this client’s care?

Primary health care provider

Case manager

Forensic nurse examiner

Psychiatric crisis nurse

Answer explanation

All other members of the health care team listed may be used in the management of this client’s care. However, the forensic nurse

examiner is educated to obtain client histories and collect evidence dealing with the assault, and can offer the counseling and

follow-up needed when dealing with the victim of an assault.

2.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

The emergency department team is performing cardiopulmonary resuscitation on a client when the client’s spouse arrives. Which

action would the nurse take first?

Request that the client’s spouse sit in the waiting room.

Ask the spouse if he or she wishes to be present during the resuscitation.

Suggest that the spouse begin to pray for the patient.

Refer the client’s spouse to the hospital’s crisis team.

Answer explanation

If resuscitation efforts are still under way when the family arrives, one or two family members may be given the opportunity to be

present during lifesaving procedures. The other options do not give the spouse the opportunity to be present for the client or to

begin to have closure.

3.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

An emergency department nurse is triaging victims of a multi-casualty event. Which client would receive care first?

A 30-year-old distraught mother holding her crying child

A 65-year-old conscious male with a head laceration

A 26-year-old male who has pale, cool, clammy skin

A 48 year old with a simple fracture of the lower leg

Answer explanation

The client with pale, cool, clammy skin may be in shock and needs immediate medical attention. The mother does not have injuries

and so would be the lowest priority. The other two people need medical attention soon, but not at the expense of a person in shock.

4.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis.

Which action would the nurse take first?

Apply oxygen via nasal cannula.

Administer intravenous 0.9% saline solution.

Transfer the client to a negative-pressure room.

Obtain a sputum culture and sensitivity.

Answer explanation

A client with signs and symptoms of tuberculosis or other airborne pathogens would be placed in a negative-pressure room to

prevent contamination of staff, clients, and family members in the crowded emergency department. The client may or may not need

oxygen or an IV. A sputum culture would be obtained but is not the priority.

5.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

A nurse is triaging clients in the emergency department (ED). Which client would the nurse prioritize to receive care first?

A 22 year old with a painful and swollen right wrist

A 45 year old reporting chest pain and diaphoresis

A 60 year old reporting difficulty swallowing and nausea

An 81 year old, respiratory rate 28 breaths/min and temperature of 101° F

Answer explanation

A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment

room in the ED. The other clients are more stable.

6.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma

center?

Level I—located within remote areas and provides advanced life support within

resource capabilities

Level II—located within community hospitals and provides care to most injured

clients

Level III—located in rural communities and provides only basic care to clients

Level IV—located in large teaching hospitals and provides a full continuum of

trauma care for all clients

Answer explanation

Level I trauma centers are usually located in large teaching hospital systems and provide a full continuum of trauma care for all

clients. Both Level II and Level III facilities are usually located in community hospitals. These trauma centers provide care for

most clients and transport to Level I centers when client needs exceed resource capabilities. Level IV trauma centers are usually

located in rural and remote areas. These centers provide basic care, stabilization, and advanced life support while transfer

arrangements to higher level trauma centers are made.

7.

MULTIPLE CHOICE QUESTION

5 mins • 1 pt

Emergency medical technicians arrive at the emergency department with an unresponsive client who has an oxygen mask in place.

Which action would the nurse take first?

Assess that the client is breathing adequately.

Insert a large-bore intravenous line.

Place the client on a cardiac monitor.

Assess for the best neurologic response.

Answer explanation

After establishing an airway, the highest priority intervention in the primary survey is to establish that the client is breathing

adequately. Even though this client has an oxygen mask on, he or she may not be breathing, or may be breathing inadequately with

the device in place. Inserting an IV line and placing the client on a monitor would come after ensuring a patent airway and effective

breathing.

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