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EDAPT: Nursing Care: Trauma and
Emergency Questions and Correct
Answers/ Latest Update / Already Graded
A nurse is performing a primary survey in the emergency department
(ED). What are the components of the primary survey? Select all that
apply.
Ans: Disability
Breathing
Circulation
Alertness
Exposure
While conducting the primary survey, it may be necessary to gather
additional data. Which adjunct measures should be initiated? Select all
that apply.
Ans: Collect blood specimens for laboratory testing.
Determine pain level.
Initiate continuous cardiac monitoring.
Monitor oxygenation.
All rights reserved © 2025/ 2026 |
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A client presents to the emergency department with periorbital
bruising and a dysconjugate gaze (failure of the eyes to turn together
in the same direction). Which intervention is contraindicated?
Ans: Insert a nasogastric tube.
Review the four clients below and properly assign them the correct
emergency service index (ESI).
Ans: Client 1: 5
Client 2: 1
Client 3: 4
Client 4: 2
A client presents to the emergency department following a motor
vehicle accident with a compound fracture of the left femur. During the
primary survey, the nurse notes asymmetric chest wall movement and
absent breath sounds on the left side. Pulse is 125, and respiratory rate
is 36. What is the priority action of the nurse?
Ans: Administer 100% oxygen via bag-valve-mask device.
The body loses heat through four mechanisms: radiation, conduction,
convection, and evaporation. Match the type of heat loss to the
example.
All rights reserved © 2025/ 2026 |
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Ans: *Radiation* - Bed near a cold window
*Conduction* - Cold operating room table
*Convection* - Wind chill
*Evaporation* - Wet clothing
The nurse is caring for a client experiencing homelessness who arrives
to the emergency department via ambulance with a core body
temperature of 87ºF (30.5ºC). Which assessment findings should the
nurse anticipate? Select all that apply.
Ans: Bradypnea
Shivering
Kussmaul respirations
Hematocrit 55%
A catastrophic disaster occurred 3 miles from the hospital. As clients
begin to arrive at the facility, identify which color triage tag should be
placed on each.
Victim is walking around with minor lacerations on the arms, hands,
chest, and legs. All vital signs are normal, and the client can obey
simple commands. This victim should be tagged __________.
All rights reserved © 2025/ 2026 |
EDAPT: Nursing Care: Trauma and
Emergency Questions and Correct
Answers/ Latest Update / Already Graded
A nurse is performing a primary survey in the emergency department
(ED). What are the components of the primary survey? Select all that
apply.
Ans: Disability
Breathing
Circulation
Alertness
Exposure
While conducting the primary survey, it may be necessary to gather
additional data. Which adjunct measures should be initiated? Select all
that apply.
Ans: Collect blood specimens for laboratory testing.
Determine pain level.
Initiate continuous cardiac monitoring.
Monitor oxygenation.
All rights reserved © 2025/ 2026 |
, Page |2
A client presents to the emergency department with periorbital
bruising and a dysconjugate gaze (failure of the eyes to turn together
in the same direction). Which intervention is contraindicated?
Ans: Insert a nasogastric tube.
Review the four clients below and properly assign them the correct
emergency service index (ESI).
Ans: Client 1: 5
Client 2: 1
Client 3: 4
Client 4: 2
A client presents to the emergency department following a motor
vehicle accident with a compound fracture of the left femur. During the
primary survey, the nurse notes asymmetric chest wall movement and
absent breath sounds on the left side. Pulse is 125, and respiratory rate
is 36. What is the priority action of the nurse?
Ans: Administer 100% oxygen via bag-valve-mask device.
The body loses heat through four mechanisms: radiation, conduction,
convection, and evaporation. Match the type of heat loss to the
example.
All rights reserved © 2025/ 2026 |
, Page |3
Ans: *Radiation* - Bed near a cold window
*Conduction* - Cold operating room table
*Convection* - Wind chill
*Evaporation* - Wet clothing
The nurse is caring for a client experiencing homelessness who arrives
to the emergency department via ambulance with a core body
temperature of 87ºF (30.5ºC). Which assessment findings should the
nurse anticipate? Select all that apply.
Ans: Bradypnea
Shivering
Kussmaul respirations
Hematocrit 55%
A catastrophic disaster occurred 3 miles from the hospital. As clients
begin to arrive at the facility, identify which color triage tag should be
placed on each.
Victim is walking around with minor lacerations on the arms, hands,
chest, and legs. All vital signs are normal, and the client can obey
simple commands. This victim should be tagged __________.
All rights reserved © 2025/ 2026 |
