NSG 430 exam 3 | QUESTIONS AND ANSWERS | LATEST UPDATE
What is the increased intracranial pressure (ICP) a.Mannitol
treatment? MDH b.Dexamethasone (corticosteroid)
c. Hypertonic solution (0.9% NaCl preferred)
Patient with hemorrhage and is showing signs of hypov- a.Packed RBCs
olemic shock, what do you expect to do: (SATA): b.2 Large IV bore
c. Hct and Hbg
d.Colloid IV fluids
A patient who has had open reduction and internal Maintain leg in neutral position; remove anything tight and loosen it up and
fixation of leftlower leg fractures continues to prepare for imaging diagnostic
complain of severe pain in theleg 15 minutes after
receiving the prescribed IV morphine. Pulses are faintly
palpable and the foot is cool to the touch. Which
actionshould the nurse take next?
A patient with a complex pelvic fracture from a motor Abdomen is distended and bowel sounds are absent
vehiclecrash is on bed rest. Which nursing assessment
finding indicatesa potential complication of the
fracture?
The nurses discharge teaching for a patient who has How and when to cut the wires
had a repairof a fractured mandible will include
information about?
After the health care provider recommends "Tell me what you know about your options for treatment"
amputation for a patient who has non healing
ischemic foot ulcers, the patient tells the nurse that
he would rather die than have an amputation. Which
response by the nurse is best?
, Which information obtained by the nurse about a patient has been incontinent of urine and stool
patient with a lumbar vertebral compression fracture
requires an immediate report to the health care
provider?
When a patient arrives in the emergency department Use a cervical collar to stabilize the spine.
with a facial fracture, which action will the nurse take
first?
When caring for a patient who is using Buck's traction Ensure the weight for the traction is hanging freely.
after a hip fracture, which action can the nurse
delegate to unlicensed assistive personnel (UAP)?
Which assessment finding for a patient who has had Temperature 101.4 (38.6 C)
surgical reduction of an open fracture of the right
radius requires notification of the health care provider?
A patient with massive trauma and possible spinal cord hypotension and warm extremities
injury is admitted to the emergency department (ED).
Which assessment finding by the nurse will help
confirm a diagnosis of neurogenic shock?
The emergency department (ED) nurse receives Two 16 garage IV catheters
report that a seriously injured patient involved in a
motor vehicle crash is being transported to the facility
with an estimated arrival in 5 minutes. In preparation
for the patient's arrival, the nurse will obtain?
A patient who has been involved in a motor vehicle Provide O2 at 100% per non-re- breather mask.
crash arrives in the emergency department (ED) with
cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should
the nurse implement first?
During the primary assessment of a victim of a motor ABC; Observe the patient's respiratory effort.
vehicle collision, the nurse determines that the patient
has an unobstructed airway. Which action should the
nurse take next?
A 19-yr-old patient is brought to the emergency TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).
department (ED) with multiple lacerations and tissue
avulsion of the left hand. When asked about tetanus
immunization, the patient denies having any previous
What is the increased intracranial pressure (ICP) a.Mannitol
treatment? MDH b.Dexamethasone (corticosteroid)
c. Hypertonic solution (0.9% NaCl preferred)
Patient with hemorrhage and is showing signs of hypov- a.Packed RBCs
olemic shock, what do you expect to do: (SATA): b.2 Large IV bore
c. Hct and Hbg
d.Colloid IV fluids
A patient who has had open reduction and internal Maintain leg in neutral position; remove anything tight and loosen it up and
fixation of leftlower leg fractures continues to prepare for imaging diagnostic
complain of severe pain in theleg 15 minutes after
receiving the prescribed IV morphine. Pulses are faintly
palpable and the foot is cool to the touch. Which
actionshould the nurse take next?
A patient with a complex pelvic fracture from a motor Abdomen is distended and bowel sounds are absent
vehiclecrash is on bed rest. Which nursing assessment
finding indicatesa potential complication of the
fracture?
The nurses discharge teaching for a patient who has How and when to cut the wires
had a repairof a fractured mandible will include
information about?
After the health care provider recommends "Tell me what you know about your options for treatment"
amputation for a patient who has non healing
ischemic foot ulcers, the patient tells the nurse that
he would rather die than have an amputation. Which
response by the nurse is best?
, Which information obtained by the nurse about a patient has been incontinent of urine and stool
patient with a lumbar vertebral compression fracture
requires an immediate report to the health care
provider?
When a patient arrives in the emergency department Use a cervical collar to stabilize the spine.
with a facial fracture, which action will the nurse take
first?
When caring for a patient who is using Buck's traction Ensure the weight for the traction is hanging freely.
after a hip fracture, which action can the nurse
delegate to unlicensed assistive personnel (UAP)?
Which assessment finding for a patient who has had Temperature 101.4 (38.6 C)
surgical reduction of an open fracture of the right
radius requires notification of the health care provider?
A patient with massive trauma and possible spinal cord hypotension and warm extremities
injury is admitted to the emergency department (ED).
Which assessment finding by the nurse will help
confirm a diagnosis of neurogenic shock?
The emergency department (ED) nurse receives Two 16 garage IV catheters
report that a seriously injured patient involved in a
motor vehicle crash is being transported to the facility
with an estimated arrival in 5 minutes. In preparation
for the patient's arrival, the nurse will obtain?
A patient who has been involved in a motor vehicle Provide O2 at 100% per non-re- breather mask.
crash arrives in the emergency department (ED) with
cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should
the nurse implement first?
During the primary assessment of a victim of a motor ABC; Observe the patient's respiratory effort.
vehicle collision, the nurse determines that the patient
has an unobstructed airway. Which action should the
nurse take next?
A 19-yr-old patient is brought to the emergency TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).
department (ED) with multiple lacerations and tissue
avulsion of the left hand. When asked about tetanus
immunization, the patient denies having any previous
