NUR 258
NUR 258 EXAM 3 Study Questions and
Answers Graded A+ 2026
Emergency management
urgent + critical needs
what is an emergency?
whatever the patient/family considers it to be
why do people go to the ER with non emergent issues?
one place where pt without health insurance or the money to pay out of pocket for an
office visit
ER nurse responsibilites
-specialized training + education
-experience + expertise
-thrives in crisis situations
-able to continuously assess + monitor
-able to prioritize
-works interdependently with ED provider
-good at team work
what is the patient population in the ER?
newborn
teenage
middle age
elderly
documentation of consent + privacy
consent MUST be obtained as long as patient is conscious + cognitively aware
federal law states that you use provide privacy per HIPPA
how to assess and unconscious patient?
assess , document , have a second nurse wittness
Transfer of patient
NUR 258
,NUR 258
-patient consent if able
-accepting facility + provider
-appropriate method of transportation
limiting exposure to health risks
-standard precautions for all patients
-HEPA filter masks for airborne illness
ER nursing Covid 19 considerations
-strict standard precautions
-universal screening measures
-hand hygiene + social distancing
-PPE
-N95 respirators
causes of violence in the ER
-crowded conditions
-long wait times
-emotional volatility
-fear + anger
-under the influence (Drugs + alcohol)
-mental health issues
-verbal + physical threats
preventing violence in the ER
-keep objects out of pts reach
-avoid opportunities for pt to grab staff
-mask pts to prevent spitting
-safety courses
-never put pt between u and the door
safety aspects of the ER
security + off duty police present
If there is gunfire in the ER , what should you do?
protecting yourself is the priority
Use of restraints in the ER
NUR 258
,NUR 258
-strict documentation (reason for restraint)
-maintain dignity of pts
-monitor for safety (adequate circulation )
Care of incarcerated pts in the ER
-guard at bedside
-handcuffed to bedframe
restraints are not taken off for prisoners
if they have tried to elope there will be 2 guards at bedside
Holistic care
patient + families
assessment of psychologica function , concerns , fear , guilt , anxiety , and remorse
Nursing interventions for ER pts
-provide reassurance
-use touch
-act confidently + competently
Nursing interventions for unconscious pts
treat pt as if they are conscious
-talk to them
-tell them what you are doing
Nursing interventions for pts regaining conciousness
reorient them repeatedly
sentinel events
Unexpected occurrences involving death or serious physical or psychological injury, or
the risk thereof.
Root causes of sentinel events
-understaffing
-high pt volume
-specialty availability
solutions to preventing sentinel events
NUR 258
, NUR 258
-proper staffing
-availability of specialists
-leadership + teamwork
-rapid diagnostics + results
family focused interventions
-keep family updated
-encourage family to stay w pt
-allow family to stay during CPR
-allow them to vent
why is it good for family to be at bedside during CPR?
they have greater acceptance of the event wether the outcome was good or bad
how to help grieving family?
provide support and coping mechanisms
involve chaplain + social services
What is likely to occur if a pt is present during their family members code?
PTSD from the event
family facilitator
provides support to families during sentinel events
caring for ER staff
compassion fatigue due to continuous exposure to suffering + injury without having
downtime to reenergize
all can be caused by high pressure + continual action
critical incident stress management (CISM)
debriefing after serious events
3 steps:
-defusing
-debriefing
-follow up
Key principle of ER Nursing
NUR 258
NUR 258 EXAM 3 Study Questions and
Answers Graded A+ 2026
Emergency management
urgent + critical needs
what is an emergency?
whatever the patient/family considers it to be
why do people go to the ER with non emergent issues?
one place where pt without health insurance or the money to pay out of pocket for an
office visit
ER nurse responsibilites
-specialized training + education
-experience + expertise
-thrives in crisis situations
-able to continuously assess + monitor
-able to prioritize
-works interdependently with ED provider
-good at team work
what is the patient population in the ER?
newborn
teenage
middle age
elderly
documentation of consent + privacy
consent MUST be obtained as long as patient is conscious + cognitively aware
federal law states that you use provide privacy per HIPPA
how to assess and unconscious patient?
assess , document , have a second nurse wittness
Transfer of patient
NUR 258
,NUR 258
-patient consent if able
-accepting facility + provider
-appropriate method of transportation
limiting exposure to health risks
-standard precautions for all patients
-HEPA filter masks for airborne illness
ER nursing Covid 19 considerations
-strict standard precautions
-universal screening measures
-hand hygiene + social distancing
-PPE
-N95 respirators
causes of violence in the ER
-crowded conditions
-long wait times
-emotional volatility
-fear + anger
-under the influence (Drugs + alcohol)
-mental health issues
-verbal + physical threats
preventing violence in the ER
-keep objects out of pts reach
-avoid opportunities for pt to grab staff
-mask pts to prevent spitting
-safety courses
-never put pt between u and the door
safety aspects of the ER
security + off duty police present
If there is gunfire in the ER , what should you do?
protecting yourself is the priority
Use of restraints in the ER
NUR 258
,NUR 258
-strict documentation (reason for restraint)
-maintain dignity of pts
-monitor for safety (adequate circulation )
Care of incarcerated pts in the ER
-guard at bedside
-handcuffed to bedframe
restraints are not taken off for prisoners
if they have tried to elope there will be 2 guards at bedside
Holistic care
patient + families
assessment of psychologica function , concerns , fear , guilt , anxiety , and remorse
Nursing interventions for ER pts
-provide reassurance
-use touch
-act confidently + competently
Nursing interventions for unconscious pts
treat pt as if they are conscious
-talk to them
-tell them what you are doing
Nursing interventions for pts regaining conciousness
reorient them repeatedly
sentinel events
Unexpected occurrences involving death or serious physical or psychological injury, or
the risk thereof.
Root causes of sentinel events
-understaffing
-high pt volume
-specialty availability
solutions to preventing sentinel events
NUR 258
, NUR 258
-proper staffing
-availability of specialists
-leadership + teamwork
-rapid diagnostics + results
family focused interventions
-keep family updated
-encourage family to stay w pt
-allow family to stay during CPR
-allow them to vent
why is it good for family to be at bedside during CPR?
they have greater acceptance of the event wether the outcome was good or bad
how to help grieving family?
provide support and coping mechanisms
involve chaplain + social services
What is likely to occur if a pt is present during their family members code?
PTSD from the event
family facilitator
provides support to families during sentinel events
caring for ER staff
compassion fatigue due to continuous exposure to suffering + injury without having
downtime to reenergize
all can be caused by high pressure + continual action
critical incident stress management (CISM)
debriefing after serious events
3 steps:
-defusing
-debriefing
-follow up
Key principle of ER Nursing
NUR 258
