Adult Health NEWEST 2025 ACTUAL EXAM
ADULT HEALTH NEWEST 2025 ACTUAL EXAM WITH COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND NEW!!
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.
DIF: Applying/Application REF: 123
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
A nurse is evaluating levels and functions of trauma centers. Which function is
appropriately paired with the
level of the trauma center?
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, Adult Health NEWEST 2025 ACTUAL EXAM
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.
DIF: Remembering/Knowledge REF: 127
KEY: Trauma center| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
Emergency medical technicians arrive at the emergency department with an
unresponsive client who has an
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, Adult Health NEWEST 2025 ACTUAL EXAM
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.
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
Care 9e 51
DIF: Applying/Application REF: 128
KEY: Primary survey| emergency nursing
MSC: Integrated Process: Nursing Process: Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
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?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
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, Adult Health NEWEST 2025 ACTUAL EXAM
d. Obtain a complete history from the paramedic. ANS: B
Nurses must recognize and plan for a high risk of contamination with blood and
body fluids when engaging in
trauma resuscitation. Standard Precautions should be taken in all resuscitation
situations and at other times
when exposure to blood and body fluids is likely. Proper attire consists of an
impervious cover gown, gloves,
eye protection, a facemask, a surgical cap, and shoe covers.
DIF: Applying/Application REF: 128
KEY: Infection control| Standard Precautions| emergency nursing| staff safety
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
A nurse is triaging clients in the emergency department. Which client should be
considered urgent?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102 F
d. A 50-year-old male with new-onset confusion and slurred speech ANS: C
A client with a cough and a temperature of 102 F is urgent. This client is at risk for
deterioration and needs to
be seen quickly, but is not in an immediately life-threatening situation. The client
with a chest stab wound and
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ADULT HEALTH NEWEST 2025 ACTUAL EXAM WITH COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND NEW!!
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.
DIF: Applying/Application REF: 123
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
A nurse is evaluating levels and functions of trauma centers. Which function is
appropriately paired with the
level of the trauma center?
1|Page
, Adult Health NEWEST 2025 ACTUAL EXAM
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.
DIF: Remembering/Knowledge REF: 127
KEY: Trauma center| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
Emergency medical technicians arrive at the emergency department with an
unresponsive client who has an
2|Page
, Adult Health NEWEST 2025 ACTUAL EXAM
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.
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
Care 9e 51
DIF: Applying/Application REF: 128
KEY: Primary survey| emergency nursing
MSC: Integrated Process: Nursing Process: Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
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?
a. Contact the on-call orthopedic surgeon.
b. Don personal protective equipment.
c. Notify the Rapid Response Team.
3|Page
, Adult Health NEWEST 2025 ACTUAL EXAM
d. Obtain a complete history from the paramedic. ANS: B
Nurses must recognize and plan for a high risk of contamination with blood and
body fluids when engaging in
trauma resuscitation. Standard Precautions should be taken in all resuscitation
situations and at other times
when exposure to blood and body fluids is likely. Proper attire consists of an
impervious cover gown, gloves,
eye protection, a facemask, a surgical cap, and shoe covers.
DIF: Applying/Application REF: 128
KEY: Infection control| Standard Precautions| emergency nursing| staff safety
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
A nurse is triaging clients in the emergency department. Which client should be
considered urgent?
a. A 20-year-old female with a chest stab wound and tachycardia
b. A 45-year-old homeless man with a skin rash and sore throat
c. A 75-year-old female with a cough and a temperature of 102 F
d. A 50-year-old male with new-onset confusion and slurred speech ANS: C
A client with a cough and a temperature of 102 F is urgent. This client is at risk for
deterioration and needs to
be seen quickly, but is not in an immediately life-threatening situation. The client
with a chest stab wound and
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