CM IV, EXAM 1 CHAPTERS 8, 9, 10, Exam Questions
And Answers Verified 100% Correct
A client presents to the ER after prolonged exposure to the cold, the client is shivering, has slurred
speech and is slow to respond to questions, what treatment would the nurse provide for this
client?
a. Administer warmed intravenous fluids to the client.
An Elderly patient fell and hit their head was transported by ambulance, was unconscious at the
scene but is conscious on arrival, triage is urgent, what is the priority assessment the nurse
includes during the primary survey of the patient?
a. Neurological status?
A nurse is at the scene of a lightning strike during a thunderstorm, what is the priority action of the
nurse?
a. Move victims and first responders to a sheltered area
A client presents to the ER after prolonged exposure to the cold, the client is shivering, has slurred
speech and is slow to respond to questions, What treatment would the nurse provide for this client?
b. a. Administer bolus IV fluids
c. b. Dry clothing and warm blankets
d. c. Lavage
e. d. Administer warmed intravenous fluids to the client
.)The nurse is working ER on hot humid day when a hiker is brought in after collapsing. The hiker is
confused and tachycardic temp 105.6. Which IV solution and medication would the nurse
administer?
a. a. Normal saline, methypredinsolone
b. b. Dextrose 5% and benadryl
c. c. Lactate and morphine sulfate
d. d. Normal saline and lorazepam
A man survived a workplace accident that claimed the lives of many of his colleagues several months
ago. The man has recently sought care for the treatment of depression. How should the nurse
best understand the man’s current mental health problem?
a. a. Common response following a disaster
b. b. Most likely feels guilty his actions during the disaster
c. c. The man fails to appreciate the fact that he survived
On a hot humid day several client present to the ER with symptoms of heat exposure which client
will be treated first?
a. a. Client who is anxious and confused
b. b. Hypertensive and tachycardic
c. c. Nausea and vomiting
d. d. normal mental with flu like symptom
A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following
information should the nurse include in the teaching?
, a. a. Apply a tourniquet
b. b. Apply ice
c. c. Raise the extremity above the level of the heart
d. d. Immobilize the extremity with a splint
A nurse has been assigned the role triage nurse after a weather-related disaster. What is the priority
action of the nurse?
a. a. Perform rapid assessments and determine priority of care
b. b. Splint fracture and clean…
c. c. Call additional support
d. d. Provide psychological support
4. On admission to the emergency department a client states that he feels like killing himself.
When planning this client care is it most important for the nurse to coordinate care with which
member of the health care team?
a. Psychiatric crisis nurse
A nurse caring for a client who is vomiting. Which of the following actions should the nurse take
first?
b. a. Administer antiemetic
c. b. Prevent the client from aspirating
d. c. Notify housekeeping
e. d. Give them an emesis basin
A community nurse assesses a client who has an allergy to bees. The client lips are swollen, and
wheezes are audible. Priority action of the nurse?
f. a. Notify the clients next of kin
g. b. Administer EPI pen
h. c. First aid kit and call 911
i. d. Remove the stinger and administer Diphenhydramine
A trauma patient with multiple open wounds is brought the ER in cardiac arrest. Which action would
the nurse do prior to providing advanced cardiac life support?
a. a. Obtain a complete history from the paramedic
b. b. Notify Rapid response team
c. c. Contact on call orthopedic
d. d. Don on PPE
A back-country skier has been airlifted after becoming lost developing hypothermia and frostbite
how should the nurse handle the patient’s frostbites?
a. Immerse affected extremities in water slightly above normal body temperature
Patient was brought to the ER with injuries from a wall that collapsed on his home. A nurse
realized that this patients’ injuries are most likely caused by which of the following. a.
a. Glass
, b. b. Crushing
c. c. Sheering
d. d. Deceleration
A nurse is dining at a restaurant when a woman begins to scream the her partner is choking Which
of the following actions should the nurse take?
a. a. Perform the jaw thrust maneuver
b. b. Ask the patient if he can speak
c. c. Perform chest compressions
d. d. Call 911
The nurse is teaching a wilderness survival class. Which statement by a participant indicates that
additional teaching is needed?
a. a. It is ok to feel a little short of breath when I am climbing but not at
rest
b. b. My partner should let me know right away if my nose turns white
c. c. If I get too cold I can have some brandy
d. d. If I can’t think straight, we should descend to a lower altitude CM
Exam #2 Ch 26, 37, 51
The registered nurse assigns a client who has an open burn wound to a licensed practical nurse
(LPN). Which instruction should the nurse provide to the LPN when assigning this client? a.
Administer the prescribed tetanus toxoid vaccine.
b. Assess the client’s wounds for signs of infection.
c. Encourage the client to breathe deeply every hour.
d. Wash your hands on entering the client’s room.
ANS: D
53.) The nurse teaches burn prevention to a community group. Which statement by a member of the
group should cause the nurse the greatest concern?
a. I get my chimney swept every other year.
b. My hot water heater is set at 120 degrees.
c. Sometimes I wake up at night and smoke.
d. I use a space heater when it gets below zero.
ANS: C
54.) A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive
perspective of his or her appearance?
a. I will allow my spouse to change my dressings.
b. I want to have surgical reconstruction.
c. I will bathe and dress before breakfast.
d. I have secured the pressure dressings as ordered.
ANS: C
55.) The nurse assesses a client who has a severe burn injury. Which statement indicates the client
understands the psychosocial impact of a severe burn injury? a. It is normal to feel some depression.
b. I will go back to work immediately.
, c. I will not feel anger about my situation.
d. Once I get home, things will be normal.
ANS: A
56.) A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing.
Which action should the nurse take first? a. Assess the level of consciousness and pupillary
reactions.
b. Ascertain the time food or liquid was last consumed.
c. Auscultate breath sounds over the trachea and bronchi.
d. Measure abdominal girth and auscultate bowel sounds.
ANS: C
57.) A nurse reviews the laboratory results for a client who was burned 24 hours ago. Which
laboratory result should the nurse report to the health care provider immediately? a. Arterial
pH: 7.32
b. Hematocrit: 52%
c. Serum potassium: 6.5 mEq/L
d. Serum sodium: 131 mEq/L ANS: C
58.) A nurse teaches a client being treated for a full-thickness burn. Which statement should the
nurse include in this clients discharge teaching?
a. You should change the batteries in your smoke detector once a year.
b. Join a program that assists burn clients to reintegration into the community.
c. I will demonstrate how to change your wound dressing for you and your family.
d. Let me tell you about the many options available to you for reconstructive surgery.
ANS: C
59.) A student is caring for a client who suffered massive blood loss after trauma. How does the
student correlate the blood loss with the clients mean arterial pressure (MAP)?
a. It causes vasoconstriction and increased MAP.
b. Lower blood volume lowers MAP.
c. There is no direct correlation to MAP.
d. It raises cardiac output and MAP.
ANS: B
60.) A nurse is caring for a client after surgery. The clients respiratory rate has increased from 12 to
18 breaths/min and the pulse rate increased from 86 to 98 beats/min since they were last
assessed 4 hours ago. What action by the nurse is best? a. Ask if the client needs pain
medication.
b. Assess the clients tissue perfusion further.
c. Document the findings in the clients chart.
d. Increase the rate of the clients IV infusion.
ANS: B
61.) The nurse gets the hand-off report on four clients. Which client should the nurse assess first?
a. Client with a blood pressure change of 128/74 to 110/88 mm Hg
And Answers Verified 100% Correct
A client presents to the ER after prolonged exposure to the cold, the client is shivering, has slurred
speech and is slow to respond to questions, what treatment would the nurse provide for this
client?
a. Administer warmed intravenous fluids to the client.
An Elderly patient fell and hit their head was transported by ambulance, was unconscious at the
scene but is conscious on arrival, triage is urgent, what is the priority assessment the nurse
includes during the primary survey of the patient?
a. Neurological status?
A nurse is at the scene of a lightning strike during a thunderstorm, what is the priority action of the
nurse?
a. Move victims and first responders to a sheltered area
A client presents to the ER after prolonged exposure to the cold, the client is shivering, has slurred
speech and is slow to respond to questions, What treatment would the nurse provide for this client?
b. a. Administer bolus IV fluids
c. b. Dry clothing and warm blankets
d. c. Lavage
e. d. Administer warmed intravenous fluids to the client
.)The nurse is working ER on hot humid day when a hiker is brought in after collapsing. The hiker is
confused and tachycardic temp 105.6. Which IV solution and medication would the nurse
administer?
a. a. Normal saline, methypredinsolone
b. b. Dextrose 5% and benadryl
c. c. Lactate and morphine sulfate
d. d. Normal saline and lorazepam
A man survived a workplace accident that claimed the lives of many of his colleagues several months
ago. The man has recently sought care for the treatment of depression. How should the nurse
best understand the man’s current mental health problem?
a. a. Common response following a disaster
b. b. Most likely feels guilty his actions during the disaster
c. c. The man fails to appreciate the fact that he survived
On a hot humid day several client present to the ER with symptoms of heat exposure which client
will be treated first?
a. a. Client who is anxious and confused
b. b. Hypertensive and tachycardic
c. c. Nausea and vomiting
d. d. normal mental with flu like symptom
A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following
information should the nurse include in the teaching?
, a. a. Apply a tourniquet
b. b. Apply ice
c. c. Raise the extremity above the level of the heart
d. d. Immobilize the extremity with a splint
A nurse has been assigned the role triage nurse after a weather-related disaster. What is the priority
action of the nurse?
a. a. Perform rapid assessments and determine priority of care
b. b. Splint fracture and clean…
c. c. Call additional support
d. d. Provide psychological support
4. On admission to the emergency department a client states that he feels like killing himself.
When planning this client care is it most important for the nurse to coordinate care with which
member of the health care team?
a. Psychiatric crisis nurse
A nurse caring for a client who is vomiting. Which of the following actions should the nurse take
first?
b. a. Administer antiemetic
c. b. Prevent the client from aspirating
d. c. Notify housekeeping
e. d. Give them an emesis basin
A community nurse assesses a client who has an allergy to bees. The client lips are swollen, and
wheezes are audible. Priority action of the nurse?
f. a. Notify the clients next of kin
g. b. Administer EPI pen
h. c. First aid kit and call 911
i. d. Remove the stinger and administer Diphenhydramine
A trauma patient with multiple open wounds is brought the ER in cardiac arrest. Which action would
the nurse do prior to providing advanced cardiac life support?
a. a. Obtain a complete history from the paramedic
b. b. Notify Rapid response team
c. c. Contact on call orthopedic
d. d. Don on PPE
A back-country skier has been airlifted after becoming lost developing hypothermia and frostbite
how should the nurse handle the patient’s frostbites?
a. Immerse affected extremities in water slightly above normal body temperature
Patient was brought to the ER with injuries from a wall that collapsed on his home. A nurse
realized that this patients’ injuries are most likely caused by which of the following. a.
a. Glass
, b. b. Crushing
c. c. Sheering
d. d. Deceleration
A nurse is dining at a restaurant when a woman begins to scream the her partner is choking Which
of the following actions should the nurse take?
a. a. Perform the jaw thrust maneuver
b. b. Ask the patient if he can speak
c. c. Perform chest compressions
d. d. Call 911
The nurse is teaching a wilderness survival class. Which statement by a participant indicates that
additional teaching is needed?
a. a. It is ok to feel a little short of breath when I am climbing but not at
rest
b. b. My partner should let me know right away if my nose turns white
c. c. If I get too cold I can have some brandy
d. d. If I can’t think straight, we should descend to a lower altitude CM
Exam #2 Ch 26, 37, 51
The registered nurse assigns a client who has an open burn wound to a licensed practical nurse
(LPN). Which instruction should the nurse provide to the LPN when assigning this client? a.
Administer the prescribed tetanus toxoid vaccine.
b. Assess the client’s wounds for signs of infection.
c. Encourage the client to breathe deeply every hour.
d. Wash your hands on entering the client’s room.
ANS: D
53.) The nurse teaches burn prevention to a community group. Which statement by a member of the
group should cause the nurse the greatest concern?
a. I get my chimney swept every other year.
b. My hot water heater is set at 120 degrees.
c. Sometimes I wake up at night and smoke.
d. I use a space heater when it gets below zero.
ANS: C
54.) A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive
perspective of his or her appearance?
a. I will allow my spouse to change my dressings.
b. I want to have surgical reconstruction.
c. I will bathe and dress before breakfast.
d. I have secured the pressure dressings as ordered.
ANS: C
55.) The nurse assesses a client who has a severe burn injury. Which statement indicates the client
understands the psychosocial impact of a severe burn injury? a. It is normal to feel some depression.
b. I will go back to work immediately.
, c. I will not feel anger about my situation.
d. Once I get home, things will be normal.
ANS: A
56.) A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing.
Which action should the nurse take first? a. Assess the level of consciousness and pupillary
reactions.
b. Ascertain the time food or liquid was last consumed.
c. Auscultate breath sounds over the trachea and bronchi.
d. Measure abdominal girth and auscultate bowel sounds.
ANS: C
57.) A nurse reviews the laboratory results for a client who was burned 24 hours ago. Which
laboratory result should the nurse report to the health care provider immediately? a. Arterial
pH: 7.32
b. Hematocrit: 52%
c. Serum potassium: 6.5 mEq/L
d. Serum sodium: 131 mEq/L ANS: C
58.) A nurse teaches a client being treated for a full-thickness burn. Which statement should the
nurse include in this clients discharge teaching?
a. You should change the batteries in your smoke detector once a year.
b. Join a program that assists burn clients to reintegration into the community.
c. I will demonstrate how to change your wound dressing for you and your family.
d. Let me tell you about the many options available to you for reconstructive surgery.
ANS: C
59.) A student is caring for a client who suffered massive blood loss after trauma. How does the
student correlate the blood loss with the clients mean arterial pressure (MAP)?
a. It causes vasoconstriction and increased MAP.
b. Lower blood volume lowers MAP.
c. There is no direct correlation to MAP.
d. It raises cardiac output and MAP.
ANS: B
60.) A nurse is caring for a client after surgery. The clients respiratory rate has increased from 12 to
18 breaths/min and the pulse rate increased from 86 to 98 beats/min since they were last
assessed 4 hours ago. What action by the nurse is best? a. Ask if the client needs pain
medication.
b. Assess the clients tissue perfusion further.
c. Document the findings in the clients chart.
d. Increase the rate of the clients IV infusion.
ANS: B
61.) The nurse gets the hand-off report on four clients. Which client should the nurse assess first?
a. Client with a blood pressure change of 128/74 to 110/88 mm Hg
