Emergency nursing ( ER) study guide

Emergency nursing ( ER) study guide


Chapter 39,43,

NCLEX REVIEW QUESTIONS

1. What is the purpose of material safety data sheet ( MSDS )? : provide information about the hazardous material
2. The nurse notices that the client’s electric bed has a frayed electric cord. What nursing action should be completed first? : unplug the bed
3. A flood in the community area would be classified as : an external disaster
4. A client is smoking cigarette in a ‘’ no smoking’’ area. What action should the nurse take? : inform the client that this is no smoking area and he or she will need to extinguish the cigarette.
5. A fire is found in a client’s room. A coworker is removing the client. What action should you take? Sound the fire alarm
6. Which of the following interventions would be your priority when treating a victim suspected of being in shock? Establish, maintain, and monitor the airway
7. Most states have laws to protect emergency care rescuers from legal liability. These laws are called: good Samaritan laws
8. During which condition would heat injuries most likely occur? High humidity, high temp, and no breeze
9. A victim has fallen from a second story window and complains no pain in the right leg. Which action is most appropriate? Do not move the person
10. A nurse is caring for a left-handed client. What should the nurse consider when assisting the client out of bed or ambulating? :Provide the client with crutches
11. A nurse is caring for a client who is recovering from surgery. The nurse receives a signal at the central station. Where should the nurse expect to find the client?: client is in the bathroom
12. One of the floors in the healthcare facility is one fire. The nurses are evacuating clients to safer areas. Which of the following interventions should the nurse take in rescuing the clients? : lead clients who can walk to safer areas, drag immobile clients out of the room on a sheet, close all doors to confine the fire after evacuation.
13. A nurse manager is briefing a newly appointed nurse on the guidelines followed by the healthcare facility for using hazardous substances. Which of the following safety tips should the nurse manager inform the newly appointed nurse about?: avoid using substances that are not labeled, read labels carefully and note emergency information, use protective equipment when handling hazardous substances.
14. A member of the safety committee in a healthcare facility explains to a nurse the precautions to be taken to avoid a fire. Which of the following should the nurse be informed of by the safety committee member?: keep hallways clear and uncluttered.
15. A home nurse is caring for an elderly client with cataracts. Which of the following should the nurse consider to reduce the risk of fallings? Use of mobility devices, such as walker or cane, medications that may alter sensorium, placement of furniture and use of rugs.
16. What is the purpose of material safety data sheet ( MSDS) in a health care facility? : it provides information about the physical properties of products
17. A member of the disaster medical assistance team ( DMAT) is explaining the functioning of DMAT during an emergency. What is the role of a DMAT ?”: it provides relief when there is a shortage of workers
18. A member of the safety committee in a healthcare facility is training the nurse on safety measures at the facility. What guidelines should the trainer provide the nurses?: never turn appliances on when in contact with water.
19. A nurse has been asked to assist in triage in a disaster area. What should the nurses be prepared to do in this situation? : assist victims to proper places for treatment.
20. Which of the following actions would the emergency personnel perform when reporting an MVA? : note the vehicle’s condition, note areas of intrusion such as driver’s side, check for any gasoline spill.
21. A nurse is caring for a client with a nosebleed and a possible skull fracture. What basic steps should the nurse take to treat the nosebleed?: do not attempt to stop the bleeding
22. Which of the following procedures should the nurse follow to monitor the papillary responses of a client during an emergency? : PERRLA+C procedure
23. A nurse is assigned the responsibility of caring for a client in a home-care setting who has severe anxiety. What should be the nurse’s role for such a client? : avoid making any assumptions or judgments, encourage the client to remain calm, encourage the client to talk about the cause of anxiety.
24. A nurse is caring for a client with botulism. What steps can the nurse suggest to client’s relatives to prevent further poisoning from botulism? Do not use food from cans with bulging tops.
25. A client with excessive bleeding has been brought to the healthcare facility. How should the nurse stop the client’s bleeding? : place the client on the flat surface and slightly elevate the feet.
26. A nurse is assigned the responsibility of caring for a client who has been exposed to hazardous chemicals. Which of the following additional precautions should the nurse undertake for this client? : remove the client’s clothing and rinse off chemicals
27. What nursing interventions should the nurse perform for a client who has frostbite? : separate frozen fingers and toes with cotton wedges, loosen any tight clothing worn by the client, instruct the client to avoid walking if the foot is frostbitten.
28. What nursing interventions should the nurse perform for a client who has a fractures leg? : apply ice on the injury site
29. Which of the folowing compensatory actions should the nurse perform for a client who has gone into chock as a result of serious illness? : look for signs of changes in the client’s level of conciousness.