Name: ________________________ Class: ___________________ Date: __________ ID: A
NUR265 Emergency Care Review
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An emergency room nurse assesses a client who has been raped. With which health care team member
should the nurse collaborate when planning this client’s care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
2. The emergency department team is performing cardiopulmonary resuscitation on a client when the
client’s spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the client’s spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the client’s spouse to the hospital’s crisis team.
3. While triaging clients in a crowded emergency department, a nurse assesses a client who presents with
symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
4. A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize
to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of
101° F
5. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired
with the level of the trauma center?
a. Level I – Located within remote areas and provides advanced life support within
resource capabilities
b. Level II – Located within community hospitals and provides care to most injured
clients
c. Level III – Located in rural communities and provides only basic care to clients
d. Level IV – Located in large teaching hospitals and provides a full continuum of
trauma care for all clients
1
,Name: ________________________ ID: A
6. Emergency medical technicians arrive at the emergency department with an unresponsive client who
has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
c. Place the client on a cardiac monitor.
d. Assess for the best neurologic response.
7. A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest.
Which action should the nurse take prior to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
8. A nurse is triaging clients in the emergency department. Which client should be considered “urgent”?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102° F
d. A 50-year-old male with new-onset confusion and slurred speech
9. An emergency department nurse is caring for a client who has died from a suspected homicide. Which
action should the nurse take?
a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the grieving family.
d. Communicate the client’s death to the family in a simple and concrete manner.
10. An emergency department (ED) case manager is consulted for a client who is homeless. Which
intervention should the case manager provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.
11. A nurse is triaging clients in the emergency department. Which client should the nurse classify as
“nonurgent?”
a. A 44-year-old with chest pain and diaphoresis
b. A 50-year-old with chest trauma and absent breath sounds
c. A 62-year-old with a simple fracture of the left arm
d. A 79-year-old with a temperature of 104° F
12. On a hot humid day, an emergency department nurse is caring for a client who is confused and has
these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min,
blood pressure 106/66 mm Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes.
2
, Name: ________________________ ID: A
13. While at a public park, a nurse encounters a person immediately after a bee sting. The person’s lips are
swollen, and wheezes are audible. Which action should the nurse take first?
a. Elevate the site and notify the person’s next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911.
14. A client presents to the emergency department after prolonged exposure to the cold. The client is
difficult to arouse and speech is incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client’s extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis.
15. An emergency department nurse assesses a client admitted after a lightning strike. Which assessment
should the nurse complete first?
a. Electrocardiogram (ECG)
b. Wound inspection
c. Creatinine kinase
d. Computed tomography of head
16. A nurse teaches a community health class about water safety. Which statement by a participant
indicates that additional teaching is needed?
a. “I can go swimming all by myself because I am a certified lifeguard.”
b. “I cannot leave my toddler alone in the bathtub for even a minute.”
c. “I will appoint one adult to supervise the pool at all times during a party.”
d. “I will make sure that there is a phone near my pool in case of an emergency.”
17. A provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite.
Which action should the nurse take prior to starting this treatment?
a. Administer intravenous morphine.
b. Wrap the limb with a compression dressing.
c. Massage the frostbitten areas.
d. Assess the limb for compartment syndrome.
18. A nurse assesses a client recently bitten by a coral snake. Which assessment should the nurse complete
first?
a. Unilateral peripheral swelling
b. Clotting times
c. Cardiopulmonary status
d. Electrocardiogram rhythm
19. A nurse plans care for a client admitted with a snakebite to the right leg. With whom should the nurse
collaborate?
a. The facility’s neurologist
b. The poison control center
c. The physical therapy department
d. A herpetologist (snake specialist)
3
NUR265 Emergency Care Review
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An emergency room nurse assesses a client who has been raped. With which health care team member
should the nurse collaborate when planning this client’s care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
2. The emergency department team is performing cardiopulmonary resuscitation on a client when the
client’s spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the client’s spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the client’s spouse to the hospital’s crisis team.
3. While triaging clients in a crowded emergency department, a nurse assesses a client who presents with
symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
4. A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize
to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of
101° F
5. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired
with the level of the trauma center?
a. Level I – Located within remote areas and provides advanced life support within
resource capabilities
b. Level II – Located within community hospitals and provides care to most injured
clients
c. Level III – Located in rural communities and provides only basic care to clients
d. Level IV – Located in large teaching hospitals and provides a full continuum of
trauma care for all clients
1
,Name: ________________________ ID: A
6. Emergency medical technicians arrive at the emergency department with an unresponsive client who
has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
c. Place the client on a cardiac monitor.
d. Assess for the best neurologic response.
7. A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest.
Which action should the nurse take prior to providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
d. Obtain a complete history from the paramedic.
8. A nurse is triaging clients in the emergency department. Which client should be considered “urgent”?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102° F
d. A 50-year-old male with new-onset confusion and slurred speech
9. An emergency department nurse is caring for a client who has died from a suspected homicide. Which
action should the nurse take?
a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family’s trauma.
c. Consult the bereavement committee to follow up with the grieving family.
d. Communicate the client’s death to the family in a simple and concrete manner.
10. An emergency department (ED) case manager is consulted for a client who is homeless. Which
intervention should the case manager provide?
a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.
11. A nurse is triaging clients in the emergency department. Which client should the nurse classify as
“nonurgent?”
a. A 44-year-old with chest pain and diaphoresis
b. A 50-year-old with chest trauma and absent breath sounds
c. A 62-year-old with a simple fracture of the left arm
d. A 79-year-old with a temperature of 104° F
12. On a hot humid day, an emergency department nurse is caring for a client who is confused and has
these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min,
blood pressure 106/66 mm Hg. Which action should the nurse take?
a. Encourage the client to drink cool water or sports drinks.
b. Start an intravenous line and infuse 0.9% saline solution.
c. Administer acetaminophen (Tylenol) 650 mg orally.
d. Encourage rest and re-assess in 15 minutes.
2
, Name: ________________________ ID: A
13. While at a public park, a nurse encounters a person immediately after a bee sting. The person’s lips are
swollen, and wheezes are audible. Which action should the nurse take first?
a. Elevate the site and notify the person’s next of kin.
b. Remove the stinger with tweezers and encourage rest.
c. Administer diphenhydramine (Benadryl) and apply ice.
d. Administer an EpiPen from the first aid kit and call 911.
14. A client presents to the emergency department after prolonged exposure to the cold. The client is
difficult to arouse and speech is incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position.
b. Administer warmed intravenous fluids to the client.
c. Wrap the client’s extremities in warm blankets.
d. Initiate extracorporeal rewarming via hemodialysis.
15. An emergency department nurse assesses a client admitted after a lightning strike. Which assessment
should the nurse complete first?
a. Electrocardiogram (ECG)
b. Wound inspection
c. Creatinine kinase
d. Computed tomography of head
16. A nurse teaches a community health class about water safety. Which statement by a participant
indicates that additional teaching is needed?
a. “I can go swimming all by myself because I am a certified lifeguard.”
b. “I cannot leave my toddler alone in the bathtub for even a minute.”
c. “I will appoint one adult to supervise the pool at all times during a party.”
d. “I will make sure that there is a phone near my pool in case of an emergency.”
17. A provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite.
Which action should the nurse take prior to starting this treatment?
a. Administer intravenous morphine.
b. Wrap the limb with a compression dressing.
c. Massage the frostbitten areas.
d. Assess the limb for compartment syndrome.
18. A nurse assesses a client recently bitten by a coral snake. Which assessment should the nurse complete
first?
a. Unilateral peripheral swelling
b. Clotting times
c. Cardiopulmonary status
d. Electrocardiogram rhythm
19. A nurse plans care for a client admitted with a snakebite to the right leg. With whom should the nurse
collaborate?
a. The facility’s neurologist
b. The poison control center
c. The physical therapy department
d. A herpetologist (snake specialist)
3
