Emergency Triage Practice | QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED|
GUARANTEED SUCCESS
A car accident involves four vehicles on a remote highway. The nearest emergency department
is 15 minutes away. Which victim should be transported by helicopter to the nearest hospital?
1. A 10-year-old with a simple fracture of the femur who is crying and cannot find his parents.
2. Middle-aged woman with cold, clammy skin and a heart rate of 120 bpm who is unconscious.
3. Middle-aged man with severe asthma and a heart rate of 120 bpm who is having difficulty
breathing.
4. A 70-year-old man with a severe headache who is conscious. 2.
The middle-aged woman is likely in shock. She is classified as a triage level I, requiring
immediate care. The child with moderate trauma is classified as triage level III (urgent and
should be treated within 30 minutes). The man with asthma and the man with the severe
headache are classified as triage level II (emergent) and can be transported by ambulance and
reach the hospital within 15 minutes.
A small airplane crashes in a neighborhood of 10 houses. One of the victims appears to have a
cervical spine injury. What should first aid for this victim include? Select all that apply.
1. Establish an airway with the jaw-thrust maneuver.
2. Immobilize the spine.
3. Logroll the victim to a side-lying position.
,4. Elevate the feet 6 inches (15.2 cm).
5. Place a cervical collar around the neck 1, 2.
The victim of a neck injury should be immobilized and moved as little as possible. It is also
important to ensure an open airway; this can be accomplished with the jaw-thrust maneuver,
which does not require tilting the head. The victim should not be rolled to a side-lying position
nor have his feet elevated. Both actions can cause additional injury to the spinal cord. Placing a
cervical collar causes movement of the spinal column and should not be done as a first-aid
measure
Thirty-two children are brought to the emergency department after a school bus accident. Two
children were killed along with the three people in the car that caused the crash. Before the
victims arrive, in addition to ensuring that the hospital staff are prepared for the emergency,
which step should the nurse anticipate carrying out?
1. Calling the nearest crisis response team.
2. Alerting the news media.
3. Notifying the hospital volunteer office.
4. Calling the school to inform teachers of the
accident. 1.
The children and their families are at risk for experiencing a crisis. Disaster teams are available
for crisis intervention in such emergencies. Usually the news media monitors emergency radio
frequencies and most likely are aware of the accident already. Although volunteers may help in
,some ways, they are not responsible for crisis intervention. Calling the school might be done,
but the emergency issues take precedence.
The nurse in the emergency department is triaging the following victims of an airplane crash.
Prioritize the clients in the order in which they should be treated.
1. A 75-year-old with a 2-inch (5.1-cm) laceration to the left forearm.
2. A 22-year-old with a 2-inch (5.1-cm) laceration to the left temple, slightly confused.
3. A 14-year-old with a 2-inch (5.1-cm) laceration to chin, history of asthma, respirations 26,
audible wheezing.
4. A 22-year-old female, 36 weeks pregnant with contractions every 10 to 15 minutes. 3, 2,
4, 1
The 14-year-old with asthma needs immediate, lifesaving interventions for the wheezing and
should be seen first. The 22-year-old who is confused should be seen next to assess for head
injury; the location of the laceration could indicate a significant blunt force traumatic injury.
The pregnant female requires assessment but is not urgent unless other symptoms appear. The
75-year-old is nonurgent and can wait safely for several hours.
A severe acute respiratory syndrome (SARS) epidemic is suspected in a community of 10,000
people. As clients with SARS are admitted to the hospital, what type of precautions should the
nurse institute?
1. Enteric precautions.
, 2. Hand-washing precautions.
3. Reverse isolation.
4. Standard precautions. 4.
Transmission of SARS can be contained by following standard (universal) precautions, which
include masks, gowns, eye protection, hand washing, and safe disposal of needles and sharps.
The disease is spread by the respiratory, not enteric, route. Hand washing alone is not sufficient
to prevent transmission. Reverse isolation (protection of the client) is not sufficient to prevent
transmission.
Several clients who work in the same building are brought to the emergency department. They
all have fever, headache, a rash over the entire body, and abdominal pain with vomiting and
diarrhea. Upon initial assessment, the nurse finds that each client has low blood pressure and
has developed petechiae in the area where the blood pressure cuff was inflated. Which
isolation precautions should the nurse initiate?
1. Contact isolation with double-gloving and shoe covers.
2. Respiratory isolation with positive pressure rooms.
3. Enteric precautions.
4. Reverse isolation. 1.
The nurse should institute treatment for hemorrhagic fever viruses, including contact isolation
with double-gloving and shoe covers, strict hand hygiene, and protective eyewear. The nurse
should start respiratory isolation with negative pressure rooms, not positive pressure rooms.
GUARANTEED SUCCESS
A car accident involves four vehicles on a remote highway. The nearest emergency department
is 15 minutes away. Which victim should be transported by helicopter to the nearest hospital?
1. A 10-year-old with a simple fracture of the femur who is crying and cannot find his parents.
2. Middle-aged woman with cold, clammy skin and a heart rate of 120 bpm who is unconscious.
3. Middle-aged man with severe asthma and a heart rate of 120 bpm who is having difficulty
breathing.
4. A 70-year-old man with a severe headache who is conscious. 2.
The middle-aged woman is likely in shock. She is classified as a triage level I, requiring
immediate care. The child with moderate trauma is classified as triage level III (urgent and
should be treated within 30 minutes). The man with asthma and the man with the severe
headache are classified as triage level II (emergent) and can be transported by ambulance and
reach the hospital within 15 minutes.
A small airplane crashes in a neighborhood of 10 houses. One of the victims appears to have a
cervical spine injury. What should first aid for this victim include? Select all that apply.
1. Establish an airway with the jaw-thrust maneuver.
2. Immobilize the spine.
3. Logroll the victim to a side-lying position.
,4. Elevate the feet 6 inches (15.2 cm).
5. Place a cervical collar around the neck 1, 2.
The victim of a neck injury should be immobilized and moved as little as possible. It is also
important to ensure an open airway; this can be accomplished with the jaw-thrust maneuver,
which does not require tilting the head. The victim should not be rolled to a side-lying position
nor have his feet elevated. Both actions can cause additional injury to the spinal cord. Placing a
cervical collar causes movement of the spinal column and should not be done as a first-aid
measure
Thirty-two children are brought to the emergency department after a school bus accident. Two
children were killed along with the three people in the car that caused the crash. Before the
victims arrive, in addition to ensuring that the hospital staff are prepared for the emergency,
which step should the nurse anticipate carrying out?
1. Calling the nearest crisis response team.
2. Alerting the news media.
3. Notifying the hospital volunteer office.
4. Calling the school to inform teachers of the
accident. 1.
The children and their families are at risk for experiencing a crisis. Disaster teams are available
for crisis intervention in such emergencies. Usually the news media monitors emergency radio
frequencies and most likely are aware of the accident already. Although volunteers may help in
,some ways, they are not responsible for crisis intervention. Calling the school might be done,
but the emergency issues take precedence.
The nurse in the emergency department is triaging the following victims of an airplane crash.
Prioritize the clients in the order in which they should be treated.
1. A 75-year-old with a 2-inch (5.1-cm) laceration to the left forearm.
2. A 22-year-old with a 2-inch (5.1-cm) laceration to the left temple, slightly confused.
3. A 14-year-old with a 2-inch (5.1-cm) laceration to chin, history of asthma, respirations 26,
audible wheezing.
4. A 22-year-old female, 36 weeks pregnant with contractions every 10 to 15 minutes. 3, 2,
4, 1
The 14-year-old with asthma needs immediate, lifesaving interventions for the wheezing and
should be seen first. The 22-year-old who is confused should be seen next to assess for head
injury; the location of the laceration could indicate a significant blunt force traumatic injury.
The pregnant female requires assessment but is not urgent unless other symptoms appear. The
75-year-old is nonurgent and can wait safely for several hours.
A severe acute respiratory syndrome (SARS) epidemic is suspected in a community of 10,000
people. As clients with SARS are admitted to the hospital, what type of precautions should the
nurse institute?
1. Enteric precautions.
, 2. Hand-washing precautions.
3. Reverse isolation.
4. Standard precautions. 4.
Transmission of SARS can be contained by following standard (universal) precautions, which
include masks, gowns, eye protection, hand washing, and safe disposal of needles and sharps.
The disease is spread by the respiratory, not enteric, route. Hand washing alone is not sufficient
to prevent transmission. Reverse isolation (protection of the client) is not sufficient to prevent
transmission.
Several clients who work in the same building are brought to the emergency department. They
all have fever, headache, a rash over the entire body, and abdominal pain with vomiting and
diarrhea. Upon initial assessment, the nurse finds that each client has low blood pressure and
has developed petechiae in the area where the blood pressure cuff was inflated. Which
isolation precautions should the nurse initiate?
1. Contact isolation with double-gloving and shoe covers.
2. Respiratory isolation with positive pressure rooms.
3. Enteric precautions.
4. Reverse isolation. 1.
The nurse should institute treatment for hemorrhagic fever viruses, including contact isolation
with double-gloving and shoe covers, strict hand hygiene, and protective eyewear. The nurse
should start respiratory isolation with negative pressure rooms, not positive pressure rooms.
