Emergency Nursing 1

Triage is the sorting of patients by which of the following?

• Arrival time

• Complaint of long waiting time

• Insurance

• Injury severity

The Primary Survey performed by the ED nurse is

• ABC

• ABCDE

• SAMPLE

• AMPLE

What is the assessment to determine a victim to have a stable airway and breathing pattern?

• Measuring of blood pressure

• Skin color assessment

• Pupillary assessment

• Range of motion (ROM)

What is the first action to take when a patient is unconscious?

• Call for help

• Hand hygiene

• Check vital signs

• circulation, airways, breathing

While assessing neurological status in an emergency client, what would you be looking for?

(Choose more than 1)

• Level of consciousness

• Pupil reaction to light

• Blood pressure reading

• Bowel sound

During the Primary survey, emphasis is placed upon assessment for:(select more than 1)

• LOC using APVU

• Airway Patency

• Cervical stabilization

• External bleeding

Treatment of Rib fractures includes: (choose more than 1)

• Pain management with NSAIDS, Opioids

• Early ambulation

• Deep breathing exercise

• Monitoring pulse oxymetry

Assessment finding specific to a flail chest

• Dyspnea

• Tracheal deviation

• Hypoxemia

• Paradoxical breathing

Which of the following statements re: a Pneumothorax is true?

• Treated by intubation and mechanical ventilation

• No treatment, only observation

• Treated by insert chest tube

• Apply pelvic binder

Every ED pt. receives a primary survey. What does the D stand for in the acronym ABCDE?

• Data

• Death

• Disability

• Damage