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During the primary assessment of a patient with multiple trauma, the nurse
observes that the patient’s right pedal pulses are absent, and the leg is swollen.
The nurse’s first action should be to
A.Initiate isotonic fluid infusion through two large-bore IV lines
B.Send blood to the lab for a complete blood count (CBC)
C.Finish the airway, breathing, circulation, disability survey
D.Assess further for a cause of the decreased circulation
When caring for a patient with head and neck trauma after a motorcycle
accident, the emergency department nurse’s first action should be to
A.Suction the mouth and oropharynx
B.Immobilize the cervical spine
C.Administer supplemental oxygen
D.Obtain venous access
A patient has been brought to the emergency department with a gunshot wound
to the abdomen. In obtaining a history of the incident to determine possible
injuries, the nurse asks
NURSING 431 Midterm Review Exam Questions and
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,NURSING 431 Midterm Review Exam Questions and
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A.“Where did the incident occur?”
B.“What direction did the bullet enter the body?”
C.“How long ago did the incident happen?”
D.“What emergency care was started at the scene?”
NURSING 431 Midterm Review Exam Questions and
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,NURSING 431 Midterm Review Exam Questions and
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A 67-year-old patient who has fallen from a ladder is transported to the
emergency department by ambulance. The patient is unconscious on arrival and
accompanies by family members.
During the primary survey of the patient, the nurse should
A.Assess a full set of vital signs
B.Obtain a Glascow Coma Scale score
C.Attach a cardiac ECG monitor
D.Ask about chronic medical conditions
A nurse in community health in California has been working with a 6-year-old child
that was rescued from a mudslide. The nurse will observe the child for which of
the following stress effects? (Select all that apply.)
A.Bed-wetting episodes
B.Desire to return to school
C.Fantasies of denial
D.Increased playfulness with peers
E.Thumb sucking
NURSING 431 Midterm Review Exam Questions and
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, NURSING 431 Midterm Review Exam Questions and
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Which of the following statements accurately describe the stress reaction phases a
community may experience during a disaster response? (Select all that apply.)
A.Disillusionment and reconstruction is most associated with response efforts.
B.During the Heroic phase, there is overwhelming need for people to do
whatever they can to help others survive the disaster.
C.In the Honeymoon phase, survivors may be rejoicing in that their lives and the
lives of loved ones have been spared.
D.Disillusionment is the longest phase in the stress reaction process.
E.The Disillusionment phase occurs after time elapses and people begin
to notice that additional help and reinforcement may not be immediately
forthcoming.
The recovery phase of a disaster can take a very long time. Nurses need to be
aware that despite effective disaster preparedness and response efforts:
A.environmental hazards are minimal.
B.individuals must ultimately recover on their own.
C.the government provides economic support.
D.religious organizations must bear the burden of the community.
NURSING 431 Midterm Review Exam Questions and
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