EXAM 1 NSG 444 2026 PRACTICE TEST WITH
STEP BY STEP SOLUTIONS
◉ A group of people arrive at the emergency department by private
car. The all have periorbital swelling, coughing and tightness in the
throat. There is a strong odor emanating from their clothes. They
report exposure to a "gas bomb" that was set off in their house.
Which action is the priority?
a) measure vital signs and listen to lung sounds
b) direct patient to the decontamination area
c) alert security about possible terrorism activity
d) direct patient to cold or clean zones for immediate treatment.
Answer: B.
Decontamination in a specified area is the priority. Performing
assessments delay decontamination and does not protect the total
environment. Personnel should do personal protective equipment
before assisting with decontamination or assessing the patients. The
patients must undergo decontamination before entering cold or
clean areas. The nurse should notify the charge nurse or nurse
manager about communicating with security regarding potential
terrorist activities.
◉ The nurse is working in the triage area of an emergency
department, and the following four patients approach the triage
,desk at the same time. List the order in which the nurse will assess
these patients.
1. An ambulatory, dazed 25 year old with a bandaged head wound
2. An irritable newborn with fever, petechiae, and nuchal ridgity
3. A 35 year old jogger with a tqisted ankle who has a pedal pulse
and no deformity
4. A 50 year old woman with moderate abdominal pain and
occasional vomiting
a. 2, 1, 4, 3
b. 3, 4, 2, 1
c. 2, 4, 1, 3
d. 4, 2, 1, 3. Answer: A.
◉ The charge nurse in an emergency department (ED) must assign
two staff members to cover the triage area. Which team is best for
this assignment?
a. an advanced practice nurse and an experienced RN
b. an experienced LPN/LVN and an inexperienced RN
c. an experienced RN and inexperienced RN
d. an experienced RN and an experienced assistive personnel (AP).
Answer: A.
Triage requires at least one experienced RN. Advanced practice
nurses can perform medical screening exams, and this expedites
, treatment and decreases overall time spent in the ED. Pairing an
experienced RN with an inexperienced RN provides opportunities
for mentoring. This would be the second-best choice. Pairing an
experienced RN with an experienced AP is an option if licensed staff
is unavailable because the AP can measure vital signs and assist in
transporting. An LPN/LVN should not perform the initial patient
assessment or decision making, the expertise of the LPN/LVN could
be used elsewhere in a busy ED.
◉ Which statement below is incorrect about the yellow triage tag
color regarding a disaster situation?
a. a survivor with this tag color is seen after patients with the green
tag color
b. a survivor with this tag color can have treatment delayed for an
hour or less
c. a survivor with this tag color has serious injuries that could
eventually lead to the compromise of breathing, circulation, or
mental status, especially if treatment is delayed more than an hour
or so
d. a survivor with this tag color has second priority for treatment of
injuries. Answer: A.
This statement is INCORRECT. It should say: A survivor with this tag
color is seen after patients with the RED (not green) tag color
◉ what phase of emergency management includes exercises and
drills?
STEP BY STEP SOLUTIONS
◉ A group of people arrive at the emergency department by private
car. The all have periorbital swelling, coughing and tightness in the
throat. There is a strong odor emanating from their clothes. They
report exposure to a "gas bomb" that was set off in their house.
Which action is the priority?
a) measure vital signs and listen to lung sounds
b) direct patient to the decontamination area
c) alert security about possible terrorism activity
d) direct patient to cold or clean zones for immediate treatment.
Answer: B.
Decontamination in a specified area is the priority. Performing
assessments delay decontamination and does not protect the total
environment. Personnel should do personal protective equipment
before assisting with decontamination or assessing the patients. The
patients must undergo decontamination before entering cold or
clean areas. The nurse should notify the charge nurse or nurse
manager about communicating with security regarding potential
terrorist activities.
◉ The nurse is working in the triage area of an emergency
department, and the following four patients approach the triage
,desk at the same time. List the order in which the nurse will assess
these patients.
1. An ambulatory, dazed 25 year old with a bandaged head wound
2. An irritable newborn with fever, petechiae, and nuchal ridgity
3. A 35 year old jogger with a tqisted ankle who has a pedal pulse
and no deformity
4. A 50 year old woman with moderate abdominal pain and
occasional vomiting
a. 2, 1, 4, 3
b. 3, 4, 2, 1
c. 2, 4, 1, 3
d. 4, 2, 1, 3. Answer: A.
◉ The charge nurse in an emergency department (ED) must assign
two staff members to cover the triage area. Which team is best for
this assignment?
a. an advanced practice nurse and an experienced RN
b. an experienced LPN/LVN and an inexperienced RN
c. an experienced RN and inexperienced RN
d. an experienced RN and an experienced assistive personnel (AP).
Answer: A.
Triage requires at least one experienced RN. Advanced practice
nurses can perform medical screening exams, and this expedites
, treatment and decreases overall time spent in the ED. Pairing an
experienced RN with an inexperienced RN provides opportunities
for mentoring. This would be the second-best choice. Pairing an
experienced RN with an experienced AP is an option if licensed staff
is unavailable because the AP can measure vital signs and assist in
transporting. An LPN/LVN should not perform the initial patient
assessment or decision making, the expertise of the LPN/LVN could
be used elsewhere in a busy ED.
◉ Which statement below is incorrect about the yellow triage tag
color regarding a disaster situation?
a. a survivor with this tag color is seen after patients with the green
tag color
b. a survivor with this tag color can have treatment delayed for an
hour or less
c. a survivor with this tag color has serious injuries that could
eventually lead to the compromise of breathing, circulation, or
mental status, especially if treatment is delayed more than an hour
or so
d. a survivor with this tag color has second priority for treatment of
injuries. Answer: A.
This statement is INCORRECT. It should say: A survivor with this tag
color is seen after patients with the RED (not green) tag color
◉ what phase of emergency management includes exercises and
drills?
