Questions with Verified Answers |
Expert Graded A+
1. What is healthcare reform (HCR)? - ANSWER Political initiatives
implemented to optimize healthcare spending.
2. What are some strategies used in healthcare reform? - ANSWER Hospital
mergers and clinic closures.
3. What impact does healthcare reform have on emergency room wait times? -
ANSWER It leads to longer wait times due to increased patient volume and
limited access to primary care.
4. What is moral distress in nursing? - ANSWER The inconsistency between a
nurse's beliefs and their actions in practice.
5. What does the acronym SAMPLE stand for in emergency assessments? -
ANSWER Signs/Symptoms, Allergies, Medications, Past medical history,
Last oral intake, Events leading up to the present illness/injury.
6. What is the role of family presence during emergency assessments? -
ANSWER To provide support and assist in gathering patient history and
information.
7. What is the purpose of the 'Journey' in emergency nursing? - ANSWER To
prioritize clinical goals for patient disposition and organize treatment plans.
,8. What are the key components of a focused system assessment? - ANSWER
Includes neurological, respiratory, cardiovascular, abdominal, and
musculoskeletal assessments.
9. What is the significance of the GCS in neurological assessments? -
ANSWER The Glasgow Coma Scale (GCS) assesses a patient's level of
consciousness and neurological function.
10.What does the acronym AVPU stand for in primary assessments? -
ANSWER Alert, Verbal response, Pain response, Unresponsive.
11.What are common signs of respiratory distress in patients? - ANSWER Use
of accessory muscles, nasal flaring, retractions, and abnormal airway sounds.
12.What is the purpose of auscultation in cardiovascular assessments? -
ANSWER To listen for heart sounds, rhythm, and any abnormal sounds such
as murmurs or rubs.
13.What does the term 'disposition' refer to in emergency nursing? - ANSWER
The plan for patient care after assessment, including treatment, transfer, or
discharge.
14.What does the acronym ABCDE stand for in respiratory assessment? -
ANSWER Airway, Breathing, Circulation, Disability, Exposure
15.What is the purpose of a focused respiratory assessment? - ANSWER To
evaluate breathlessness, distress, cyanosis, supplemental oxygen needs, and
speech patterns.
,16.What is peripheral cyanosis? - ANSWER Cyanosis resulting from
vasoconstriction, reduced cardiac output, or vascular occlusion.
17.What indicates central cyanosis? - ANSWER An increased amount of
hemoglobin not bound to oxygen, best assessed by observing the oral
mucosa, lips, and tongue.
18.What are normal breath sounds? - ANSWER Vesicular, bronchovesicular,
and bronchial sounds.
19.What are the types of visceral pain? - ANSWER Tension pain,
inflammatory pain, and ischemic pain.
20.What causes tension pain? - ANSWER Increased forcefulness of peristaltic
contraction often due to obstructing tumors, adhesions, or constipation.
21.How is inflammatory pain characterized? - ANSWER It starts deep and
poorly localized, but increases in severity and eventually localizes.
22.What is ischemic pain? - ANSWER The least common and most serious
type of pain, characterized by sudden onset and not relieved by analgesia.
23.What is the Canadian Triage Acuity Scale (CTAS)? - ANSWER A scale
used to prioritize patients in the emergency department based on urgency:
Levels 1 (Resuscitation) to 5 (non-urgent).
24.What is the primary assessment in emergency nursing? - ANSWER A quick
evaluation to identify immediate life threats, including airway, breathing,
and circulation.
, 25.What does the Pediatric Assessment Triangle (PAT) evaluate? - ANSWER
Appearance, work of breathing, and circulation to the skin.
26.What is the LOTARP pneumonic used for? - ANSWER To guide the
history of presenting illness in adults: Location, Onset, Type,
Alleviating/Aggravating factors, Radiation, and Precipitating events.
27.What does the CIAMPEDS acronym stand for in pediatric assessments? -
ANSWER Chief complaint, Immunizations, Allergies, Medications, Past
history, Events surrounding illness, Diet/Diapers.
28.What are the components of adult subjective history in emergency nursing? -
ANSWER Biographical info, chief complaint, history of present illness, past
health history, personal history, and family history.
29.What is the significance of pain management in emergency nursing? -
ANSWER Pain management is crucial, especially in pediatrics, as pain can
impair the ability to assess patients.
30.What is the first step in assessing an unstable patient? - ANSWER Ensure
the airway is patent and prepare for potential interventions.
31.What does the secondary assessment involve? - ANSWER A
comprehensive physical examination and focused system assessments after
the primary assessment.
32.What is the importance of reassessing patients after interventions? -
ANSWER To determine if there are any improvements in the patient's
condition.