Nursing 2230 Advanced Care management Exam 1
Questions and Answers- Keiser University
,Nursing 2230 Advanced Care management Exam 1 Questions and
Answers- Keiser University
Chapter 08: Concepts of Emergency and Trauma Nursing
1. An emergency room nurse assesses a client who has been raped. With which health care team
member should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
ANS: C
All other members of the health care team listed may be used in the management of this clients
care. However, the forensic nurse examiner is educated to obtain client histories and collect
evidence dealing with the assault, and can offer the counseling and follow-up needed when
dealing with the victim of an assault.
2. The emergency department team is performing cardiopulmonary resuscitation on a client
when the clients spouse arrives at the emergency department. Which action should the nurse
take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team.
ANS: B
If resuscitation efforts are still under way when the family arrives, one or two family members
may be given the opportunity to be present during lifesaving procedures. The other options do
not give the spouse the opportunity to be present for the client or to begin to have closure.
3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should
receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
ANS: C
The client with pale, cool, clammy skin is in shock and needs immediate medical attention. The
mother does not have injuries and so would be the lowest priority. The other two people need
medical attention soon, but not at the expense of a person in shock.
4. While triaging clients in a crowded emergency department, a nurse assesses a client who
presents with symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
,Nursing 2230 Advanced Care management Exam 1 Questions and
Answers- Keiser University
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
, Nursing 2230 Advanced Care management Exam 1 Questions and
Answers- Keiser University
ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens should be placed in
a negative- pressure room to prevent contamination of staff, clients, and family members in the
crowded emergency department.
5. A nurse is triaging clients in the emergency department (ED). Which client should the nurse
prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 F
ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and would be
triaged immediately to a treatment room in the ED. The other clients are more stable.
6. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately
paired with the level of the trauma center?
a. Level I Located within remote areas and provides advanced life support within resource
capabilities
b. Level II Located within community hospitals and provides care to most injured clients
c. Level III Located in rural communities and provides only basic care to clients
d. Level IV Located in large teaching hospitals and provides a full continuum of trauma care
for all clients
ANS: B
Level I trauma centers are usually located in large teaching hospital systems and provide a full
continuum of trauma care for all clients. Both Level II and Level III facilities are usually located in
community hospitals. These trauma centers provide care for most clients and transport to Level I
centers when client needs exceed resource capabilities. Level IV trauma centers are usually
located in rural and remote areas. These centers provide basic care, stabilization, and advanced
life support while transfer arrangements to higher-level trauma centers are made.
7. Emergency medical technicians arrive at the emergency department with an unresponsive
client who has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
c. Place the client on a cardiac monitor.
d. Assess for the best neurologic response.
ANS: A
The highest-priority intervention in the primary survey is to establish that the client is breathing
adequately. Even though this client has an oxygen mask on, he or she may not be breathing, or
may be breathing inadequately with the device in place.
8. A trauma client with multiple open wounds is brought to the emergency department in cardiac
arrest. Which action should the nurse take prior to providing advanced cardiac life support?
Questions and Answers- Keiser University
,Nursing 2230 Advanced Care management Exam 1 Questions and
Answers- Keiser University
Chapter 08: Concepts of Emergency and Trauma Nursing
1. An emergency room nurse assesses a client who has been raped. With which health care team
member should the nurse collaborate when planning this clients care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse
ANS: C
All other members of the health care team listed may be used in the management of this clients
care. However, the forensic nurse examiner is educated to obtain client histories and collect
evidence dealing with the assault, and can offer the counseling and follow-up needed when
dealing with the victim of an assault.
2. The emergency department team is performing cardiopulmonary resuscitation on a client
when the clients spouse arrives at the emergency department. Which action should the nurse
take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team.
ANS: B
If resuscitation efforts are still under way when the family arrives, one or two family members
may be given the opportunity to be present during lifesaving procedures. The other options do
not give the spouse the opportunity to be present for the client or to begin to have closure.
3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should
receive care first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg
ANS: C
The client with pale, cool, clammy skin is in shock and needs immediate medical attention. The
mother does not have injuries and so would be the lowest priority. The other two people need
medical attention soon, but not at the expense of a person in shock.
4. While triaging clients in a crowded emergency department, a nurse assesses a client who
presents with symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
,Nursing 2230 Advanced Care management Exam 1 Questions and
Answers- Keiser University
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.
, Nursing 2230 Advanced Care management Exam 1 Questions and
Answers- Keiser University
ANS: C
A client with signs and symptoms of tuberculosis or other airborne pathogens should be placed in
a negative- pressure room to prevent contamination of staff, clients, and family members in the
crowded emergency department.
5. A nurse is triaging clients in the emergency department (ED). Which client should the nurse
prioritize to receive care first?
a. A 22-year-old with a painful and swollen right wrist
b. A 45-year-old reporting chest pain and diaphoresis
c. A 60-year-old reporting difficulty swallowing and nausea
d. An 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101 F
ANS: B
A client experiencing chest pain and diaphoresis would be classified as emergent and would be
triaged immediately to a treatment room in the ED. The other clients are more stable.
6. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately
paired with the level of the trauma center?
a. Level I Located within remote areas and provides advanced life support within resource
capabilities
b. Level II Located within community hospitals and provides care to most injured clients
c. Level III Located in rural communities and provides only basic care to clients
d. Level IV Located in large teaching hospitals and provides a full continuum of trauma care
for all clients
ANS: B
Level I trauma centers are usually located in large teaching hospital systems and provide a full
continuum of trauma care for all clients. Both Level II and Level III facilities are usually located in
community hospitals. These trauma centers provide care for most clients and transport to Level I
centers when client needs exceed resource capabilities. Level IV trauma centers are usually
located in rural and remote areas. These centers provide basic care, stabilization, and advanced
life support while transfer arrangements to higher-level trauma centers are made.
7. Emergency medical technicians arrive at the emergency department with an unresponsive
client who has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
b. Insert a large-bore intravenous line.
c. Place the client on a cardiac monitor.
d. Assess for the best neurologic response.
ANS: A
The highest-priority intervention in the primary survey is to establish that the client is breathing
adequately. Even though this client has an oxygen mask on, he or she may not be breathing, or
may be breathing inadequately with the device in place.
8. A trauma client with multiple open wounds is brought to the emergency department in cardiac
arrest. Which action should the nurse take prior to providing advanced cardiac life support?
