NUR 258
NUR 258 Final Exam |Key Points |2026
Emergency Severity Index (ESI)
is a 5-level triage tool
green, yellow, red, black
Used to prioritize based on acuity and resources needed
green
minor
yellow
urgent but can wait
red
immediate/ life-threatening
Black
deceased/ expectant
Primary Survey (ABCDE)
ABCDE is the first approach to any trauma or emergency:
Airway, Breathing, Circulation, Disability (neuro), Exposure. Always stabilize C-spine in
trauma.
Assessing the patient: Disability - AVPU
A- Alert
V- Responds to Voice
P- Responds to Pain
U- Unresponsive
Maslow's Hierarchy of Needs
physiological (airway, breathing, circulation), safety, love/belonging, esteem, self-
actualization
ADPIE
Assessment
Diagnosis
Planning
NUR 258
, NUR 258
Implementation
Evaluation
What is a key characteristic of flail chest?
Paradoxical movement
What is a priority treatment for flail chest?
Oxygen (O2) administration
What is an important pain management step for flail chest?
Pain control
What may be necessary for severe cases of flail chest?
Possible intubation
What condition is associated with a femur fracture?
Fat Embolism Syndrome (FES) and infection (osteomyelitis)
What is a potential complication of trauma that requires a chest tube?
Pneumothorax or hemothorax
What are the shock priorities in trauma care?
ABCs and perfusion
Benzo antidote
Flumazenil
Opioid antidote
Naloxone (Narcan)
Acetaminophen antidote
acetylcysteine
When you have an accident with overdose, call __________ so they can help you with
your personal situation.
poison control
MCI Tagging
Mass casualty triage uses colored tags (red, yellow, green, black). Goal = greatest good
for greatest number. Incident commander directs response.
NUR 258
NUR 258 Final Exam |Key Points |2026
Emergency Severity Index (ESI)
is a 5-level triage tool
green, yellow, red, black
Used to prioritize based on acuity and resources needed
green
minor
yellow
urgent but can wait
red
immediate/ life-threatening
Black
deceased/ expectant
Primary Survey (ABCDE)
ABCDE is the first approach to any trauma or emergency:
Airway, Breathing, Circulation, Disability (neuro), Exposure. Always stabilize C-spine in
trauma.
Assessing the patient: Disability - AVPU
A- Alert
V- Responds to Voice
P- Responds to Pain
U- Unresponsive
Maslow's Hierarchy of Needs
physiological (airway, breathing, circulation), safety, love/belonging, esteem, self-
actualization
ADPIE
Assessment
Diagnosis
Planning
NUR 258
, NUR 258
Implementation
Evaluation
What is a key characteristic of flail chest?
Paradoxical movement
What is a priority treatment for flail chest?
Oxygen (O2) administration
What is an important pain management step for flail chest?
Pain control
What may be necessary for severe cases of flail chest?
Possible intubation
What condition is associated with a femur fracture?
Fat Embolism Syndrome (FES) and infection (osteomyelitis)
What is a potential complication of trauma that requires a chest tube?
Pneumothorax or hemothorax
What are the shock priorities in trauma care?
ABCs and perfusion
Benzo antidote
Flumazenil
Opioid antidote
Naloxone (Narcan)
Acetaminophen antidote
acetylcysteine
When you have an accident with overdose, call __________ so they can help you with
your personal situation.
poison control
MCI Tagging
Mass casualty triage uses colored tags (red, yellow, green, black). Goal = greatest good
for greatest number. Incident commander directs response.
NUR 258
