NCLEX PN - Emergency Situations / BLS and
CPR /Comprehensive Questions and Answers
a mother calls a neighborhood nurse and tells the nurse that her 3 year old child had
just ingested liquid furniture polish.
which action should the nurse instruct the mother to take first?
a) induce vomiting
b) call an ambulance
c) call the poison control center
d) bring the child to the emergency department Answ - c) call the poison control center
rationale
if a poisoning occurs, the poison control center should be contacted immediately.
vomiting should not be induced without instructions to do so if the victim is unconscious
or the substance ingested is a strong corrosive or petroleum product.
bringing the child to the emergency department or calling an ambulance would not be
the initial action because this would delay treatment.
the poison control center may advise the mother to bring the child to the emergency
department; if this is the case, the mother should call an ambulance.
the nursing instructor asks a nursing student to describe the procedure for relieving an
airway obstruction on an unconscious pregnant woman at 8 months' gestation.
how should the student describe the procedure correctly?
a) place the hands in the pelvis to perform the thrusts
b) perform abdominal thrusts until the object is dislodged
c) perform left lateral abdominal thrusts until the object is dislodged
d) place a rolled blanket under the right abdominal flank and hip area Answ - d) place a
rolled blanket under the right abdominal flank and hip area
rationale
to relieve an airway obstruction on an unconscious woman in an advanced stage of
pregnancy, the woman is placed on her back.
a wedge, such as a pillow or rolled blanket, is placed under the right abdominal flank
and hip to displace the uterus to the left side of the abdomen.
the other options are incorrect and can cause harm to the woman and the fetus.
, the nurse on the day shift walks into a client's room and finds the client unresponsive.
the client is not breathing and does not have a pulse, and the nurse immediately calls
out for help.
the next nursing action is which?
a) deliver breaths
b) give the client oxygen
c) start chest compressions
d) ventilate with a mouth-to-mask device Answ - c) start chest compression
rationale
the nurse would follow CAB: compressions, airway and breathing.
therefore, the next nursing action would be to start chest compressions.
the nurse witnesses a neighbor's husband sustain a fall from the roof of his house.
the nurse rushes to the victim and determines the need to open the airway.
the nurse opens the airway in this victim with the use of which method?
a) flexed position
b) head tilt-chin left
c) jaw thrust maneuver
d) modified head tilt-chin lift Answ - c) jaw thrust maneuver
rationale
if a neck injury is suspected, the jaw thrust maneuver is used to open the airway.
the head tilt-chin lift produces hyperextension of the neck and could cause
complications if a neck injury is present.
a flexed position is an inappropriate position for opening the airway
the nurse understands that which is a correct guideline for adult CPR for a health care
provider?
a) one breath should be given for every 5 compressions
b) two breaths should be given for every 15 compressions
c) initially, two quick breaths should be given as rapidly as possible
CPR /Comprehensive Questions and Answers
a mother calls a neighborhood nurse and tells the nurse that her 3 year old child had
just ingested liquid furniture polish.
which action should the nurse instruct the mother to take first?
a) induce vomiting
b) call an ambulance
c) call the poison control center
d) bring the child to the emergency department Answ - c) call the poison control center
rationale
if a poisoning occurs, the poison control center should be contacted immediately.
vomiting should not be induced without instructions to do so if the victim is unconscious
or the substance ingested is a strong corrosive or petroleum product.
bringing the child to the emergency department or calling an ambulance would not be
the initial action because this would delay treatment.
the poison control center may advise the mother to bring the child to the emergency
department; if this is the case, the mother should call an ambulance.
the nursing instructor asks a nursing student to describe the procedure for relieving an
airway obstruction on an unconscious pregnant woman at 8 months' gestation.
how should the student describe the procedure correctly?
a) place the hands in the pelvis to perform the thrusts
b) perform abdominal thrusts until the object is dislodged
c) perform left lateral abdominal thrusts until the object is dislodged
d) place a rolled blanket under the right abdominal flank and hip area Answ - d) place a
rolled blanket under the right abdominal flank and hip area
rationale
to relieve an airway obstruction on an unconscious woman in an advanced stage of
pregnancy, the woman is placed on her back.
a wedge, such as a pillow or rolled blanket, is placed under the right abdominal flank
and hip to displace the uterus to the left side of the abdomen.
the other options are incorrect and can cause harm to the woman and the fetus.
, the nurse on the day shift walks into a client's room and finds the client unresponsive.
the client is not breathing and does not have a pulse, and the nurse immediately calls
out for help.
the next nursing action is which?
a) deliver breaths
b) give the client oxygen
c) start chest compressions
d) ventilate with a mouth-to-mask device Answ - c) start chest compression
rationale
the nurse would follow CAB: compressions, airway and breathing.
therefore, the next nursing action would be to start chest compressions.
the nurse witnesses a neighbor's husband sustain a fall from the roof of his house.
the nurse rushes to the victim and determines the need to open the airway.
the nurse opens the airway in this victim with the use of which method?
a) flexed position
b) head tilt-chin left
c) jaw thrust maneuver
d) modified head tilt-chin lift Answ - c) jaw thrust maneuver
rationale
if a neck injury is suspected, the jaw thrust maneuver is used to open the airway.
the head tilt-chin lift produces hyperextension of the neck and could cause
complications if a neck injury is present.
a flexed position is an inappropriate position for opening the airway
the nurse understands that which is a correct guideline for adult CPR for a health care
provider?
a) one breath should be given for every 5 compressions
b) two breaths should be given for every 15 compressions
c) initially, two quick breaths should be given as rapidly as possible
