NUR 213 Test 4 Exam Questions with Solved Answers
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 client's care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse: c. Forensic nurse examiner
All other members of the health care team listed may be used in the
management of this client's 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
resuscita- tion on a client when the client's spouse arrives at the emergency
department. Which action should the nurse take first?
a. Request that the client's 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 client's spouse to the hospital's crisis team.: b. Ask the
spouse if he wishes to be present during the resuscitation.
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: c. A 26-year-old
male who has pale, cool, clammy skin
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 as-
sesses 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.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.: c. Transfer the client to a
nega- tive-pressure room.
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: b. A 45-year-old reporting chest pain and diaphoresis
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: b. Level II - Located within
community hospitals and provides care to most injured clients
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 Leve
I centers when client needs exceed
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 client's care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse: c. Forensic nurse examiner
All other members of the health care team listed may be used in the
management of this client's 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
resuscita- tion on a client when the client's spouse arrives at the emergency
department. Which action should the nurse take first?
a. Request that the client's 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 client's spouse to the hospital's crisis team.: b. Ask the
spouse if he wishes to be present during the resuscitation.
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: c. A 26-year-old
male who has pale, cool, clammy skin
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 as-
sesses 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.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity.: c. Transfer the client to a
nega- tive-pressure room.
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: b. A 45-year-old reporting chest pain and diaphoresis
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: b. Level II - Located within
community hospitals and provides care to most injured clients
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 Leve
I centers when client needs exceed
