NUR 265 EXAM 4 2025 UPDATE QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
HAPE - answerstreat with tadalafil and sildenafil
RED: EMERGENT - answers-airway obstruction
-shock
-severed legs
-chest pain SOB
-hemorrhage
YELLOW: can wait a short time - answers-open fracture with distal pulses
-large wounds
-require hospitalization
GREEN: non-urgent - answers-walking wounded
-closed fracture
-sprains
-abrasions
-contusions
BLACK: EXPECTED TO DIE - answers-lethal injuries
-massive bleeding
-extensive full thickness burns
-massive head trauma
-high cervical spine injury
,sepsis: assess - answerslow grade fever and mild hypotension are EARLY
-tachypnea and tachycardia
-low HCT, HGB, platelets, fibrinogen levels
ARDS: assess - answers-rapid onset of severe dyspnea
-refractory to O2 therapy
-struggling to breath
-hypoxemia is EARLY indicator!!!
John brown is burned over 90% of his body and is barely breathing. He is intubated and IV
fluids were started at the scene
*mass casualty example - answersBLACK: EMERGENT
Mr. Miller, the van driver has a deep and long bleeding laceration on his forehead, is
complaining of severe chest pain radiating down his left arm, SOA, nausea, and a headache
*mass casualty example - answersRED: EMERGENT
Patty Miller is complaining of severe pain in her right leg (her femur bone is protruding
through her skin) and bleeding, and her right arm as well as her neck is hurting
*mass casualty example - answersYELLOW: URGENT
,Sam Miller who did not have a seat belt on is complaining of chest and back pain. He has
what appears to be ribs protruding through his right chest wall. He has no breath sounds on
that side when assessed.
*mass casualty example - answersRED: EMERGENT
Tom Smith was back in the third seat and was hanging half way out of the vehicle and
unconcious. When he arrived, blood was coming out of his LEFT ear, legs mangled, and a
gaping hole in his abdomen with blood everywhere
*mass casualty example - answersBLACK: NON-URGENT
Mrs. Tipton has no visible injuries. You are able to assess her orientation. She has a blank
stare on her face. You ask her questions and give her commands, and no response is given.
She is not moaning or making any noise, only staring straight ahead.
*mass caualty example - answersYELLOW: URGENT
Mr. Gulliver believes his leg is broken. He tells you that he is in a great deal of pain and is
unable to stand on his leg. The fire department had to remove him from the bus because he
was pinned behind the steering wheel. The airbag inflated but there were no visible injuries
caused by the airbag that can be seen.
*mass casualty example - answersGREEN: NON-URGENT
Lupus: Hallmark sign - answersbutterfly rash on face
Lupus: Indication of flare - answersFever and fatigue
, *also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - answers-Falls precautions
-treat pain with tylenol and NSAIDS (monitor kidney function)
-AVOID SUNLIGHT
-REPORT FLARE IMMEDIATELY
-clean skin with mild soap and pat dry and apply lotion
Lupus: medical management - answers-hydroxychloroquine(anti-malarial) decreases absorption
of UV light
Scleroderma - answersinflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign - answersHard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: Assess - answersSwallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - answersaspiration precautions (keep HOB at 60 degrees during
meals and after)
skin protection measures
ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
HAPE - answerstreat with tadalafil and sildenafil
RED: EMERGENT - answers-airway obstruction
-shock
-severed legs
-chest pain SOB
-hemorrhage
YELLOW: can wait a short time - answers-open fracture with distal pulses
-large wounds
-require hospitalization
GREEN: non-urgent - answers-walking wounded
-closed fracture
-sprains
-abrasions
-contusions
BLACK: EXPECTED TO DIE - answers-lethal injuries
-massive bleeding
-extensive full thickness burns
-massive head trauma
-high cervical spine injury
,sepsis: assess - answerslow grade fever and mild hypotension are EARLY
-tachypnea and tachycardia
-low HCT, HGB, platelets, fibrinogen levels
ARDS: assess - answers-rapid onset of severe dyspnea
-refractory to O2 therapy
-struggling to breath
-hypoxemia is EARLY indicator!!!
John brown is burned over 90% of his body and is barely breathing. He is intubated and IV
fluids were started at the scene
*mass casualty example - answersBLACK: EMERGENT
Mr. Miller, the van driver has a deep and long bleeding laceration on his forehead, is
complaining of severe chest pain radiating down his left arm, SOA, nausea, and a headache
*mass casualty example - answersRED: EMERGENT
Patty Miller is complaining of severe pain in her right leg (her femur bone is protruding
through her skin) and bleeding, and her right arm as well as her neck is hurting
*mass casualty example - answersYELLOW: URGENT
,Sam Miller who did not have a seat belt on is complaining of chest and back pain. He has
what appears to be ribs protruding through his right chest wall. He has no breath sounds on
that side when assessed.
*mass casualty example - answersRED: EMERGENT
Tom Smith was back in the third seat and was hanging half way out of the vehicle and
unconcious. When he arrived, blood was coming out of his LEFT ear, legs mangled, and a
gaping hole in his abdomen with blood everywhere
*mass casualty example - answersBLACK: NON-URGENT
Mrs. Tipton has no visible injuries. You are able to assess her orientation. She has a blank
stare on her face. You ask her questions and give her commands, and no response is given.
She is not moaning or making any noise, only staring straight ahead.
*mass caualty example - answersYELLOW: URGENT
Mr. Gulliver believes his leg is broken. He tells you that he is in a great deal of pain and is
unable to stand on his leg. The fire department had to remove him from the bus because he
was pinned behind the steering wheel. The airbag inflated but there were no visible injuries
caused by the airbag that can be seen.
*mass casualty example - answersGREEN: NON-URGENT
Lupus: Hallmark sign - answersbutterfly rash on face
Lupus: Indication of flare - answersFever and fatigue
, *also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - answers-Falls precautions
-treat pain with tylenol and NSAIDS (monitor kidney function)
-AVOID SUNLIGHT
-REPORT FLARE IMMEDIATELY
-clean skin with mild soap and pat dry and apply lotion
Lupus: medical management - answers-hydroxychloroquine(anti-malarial) decreases absorption
of UV light
Scleroderma - answersinflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign - answersHard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: Assess - answersSwallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - answersaspiration precautions (keep HOB at 60 degrees during
meals and after)
skin protection measures
