A.C.M. Exam 1 questions and answers
already passed
For which client will the nurse choose to perform SBIRT? - correct answer ✔✔Client who
continues to use alcohol. - Iggy 10th Ch. 10
A client is admitted to the ED after reporting being raped. Who is the best team member for the
admitting nurse to contact to provide care for this client? - correct answer ✔✔Forensic nurse
examiner. - Iggy 10th Ch. 10
A client with a gunshot wound is brought to the ED. Which nursing intervention is appropriate? -
correct answer ✔✔Blood & bkdy fluid precautions. - Iggy 10th Ch. 10
A client comes into the ED clutching the chest. Which core competency for ED nurses is the first
one used in this situation? - correct answer ✔✔Performing assessment. - Iggy 10th Ch. 10
There has been an explosion at a local refinery with numerous reported injuries. Which client
does the nurse identify as the priority for treatment? - correct answer ✔✔Older adult with
heavy bleeding. - Iggy 10th Ch. 10
The nurse is caring for a client who may be the victim of domestic violence. When the HCP
discharges the client to home, what is the appropriate nursing action? - correct answer
✔✔Consult with Social Services. - Iggy 10th Ch. 10
An air medical helicopter arrives on the scene of a high-speed motorcycle collision with a train.
The client was not wearing a helmet & is very confused, GSC score = 13. There is an apparent
partial amputation of both hands. Vital signs are stable & airway is secure. Which level of
trauma center would be the most appropriate destination for this client? - correct answer
✔✔Level 1. - Iggy 10th Ch. 10
, The nurse is caring for a client after a motor vehicle crash whose vital signs are BP 110/70, HR
98, R 18, SaO2 98% on room air. After assessing the GCS score as 15, & noting no apparent
injuries other than a seat belt abrasion, what will the nurse do next? - correct answer
✔✔Perform ongoing monitoring. - Iggy 10th Ch. 10
EMS arrives at the scene of an automobile crash. On primary assessment, the driver is found to
be unresponsive, not breathing, & has a grossly deformed left leg with no pulse. What is the
first resuscitation intervention to be performed? - correct answer ✔✔Clear the airway of
secretions. - Iggy 10th Ch. 10
The nurse is caring for a client in the ED who reports speaking English as a 2nd language. Which
nursing intervention is appropriate? - correct answer ✔✔Contacr an interoreter contescted
through the hospital. - Iggy 10th Ch. 10
The nurse routinely screens all clients in the ED for depression. Which client does the nurse
identify at the highest risk for depression? - correct answer ✔✔A 59-year-old Caucasion male. -
Iggy 10th Ch. 10
The nurse is caring for a client with a knife wound. How will the nurse document this type of
injury? - correct answer ✔✔Penetrating. - Iggy 10th Ch. 10
SATA: Resuscitation for a client who sustained cardiac arrest in the ED was unsuccessful. Which
nursing intervention is appropriate when the family members ask to view the body? - correct
answer ✔✔- Cover the client with a sheet, leaving the face exposed.
-Remove lines & indwelling tubes unless a forensic investigation is anticipated.
- Iggy 10th Ch. 10
already passed
For which client will the nurse choose to perform SBIRT? - correct answer ✔✔Client who
continues to use alcohol. - Iggy 10th Ch. 10
A client is admitted to the ED after reporting being raped. Who is the best team member for the
admitting nurse to contact to provide care for this client? - correct answer ✔✔Forensic nurse
examiner. - Iggy 10th Ch. 10
A client with a gunshot wound is brought to the ED. Which nursing intervention is appropriate? -
correct answer ✔✔Blood & bkdy fluid precautions. - Iggy 10th Ch. 10
A client comes into the ED clutching the chest. Which core competency for ED nurses is the first
one used in this situation? - correct answer ✔✔Performing assessment. - Iggy 10th Ch. 10
There has been an explosion at a local refinery with numerous reported injuries. Which client
does the nurse identify as the priority for treatment? - correct answer ✔✔Older adult with
heavy bleeding. - Iggy 10th Ch. 10
The nurse is caring for a client who may be the victim of domestic violence. When the HCP
discharges the client to home, what is the appropriate nursing action? - correct answer
✔✔Consult with Social Services. - Iggy 10th Ch. 10
An air medical helicopter arrives on the scene of a high-speed motorcycle collision with a train.
The client was not wearing a helmet & is very confused, GSC score = 13. There is an apparent
partial amputation of both hands. Vital signs are stable & airway is secure. Which level of
trauma center would be the most appropriate destination for this client? - correct answer
✔✔Level 1. - Iggy 10th Ch. 10
, The nurse is caring for a client after a motor vehicle crash whose vital signs are BP 110/70, HR
98, R 18, SaO2 98% on room air. After assessing the GCS score as 15, & noting no apparent
injuries other than a seat belt abrasion, what will the nurse do next? - correct answer
✔✔Perform ongoing monitoring. - Iggy 10th Ch. 10
EMS arrives at the scene of an automobile crash. On primary assessment, the driver is found to
be unresponsive, not breathing, & has a grossly deformed left leg with no pulse. What is the
first resuscitation intervention to be performed? - correct answer ✔✔Clear the airway of
secretions. - Iggy 10th Ch. 10
The nurse is caring for a client in the ED who reports speaking English as a 2nd language. Which
nursing intervention is appropriate? - correct answer ✔✔Contacr an interoreter contescted
through the hospital. - Iggy 10th Ch. 10
The nurse routinely screens all clients in the ED for depression. Which client does the nurse
identify at the highest risk for depression? - correct answer ✔✔A 59-year-old Caucasion male. -
Iggy 10th Ch. 10
The nurse is caring for a client with a knife wound. How will the nurse document this type of
injury? - correct answer ✔✔Penetrating. - Iggy 10th Ch. 10
SATA: Resuscitation for a client who sustained cardiac arrest in the ED was unsuccessful. Which
nursing intervention is appropriate when the family members ask to view the body? - correct
answer ✔✔- Cover the client with a sheet, leaving the face exposed.
-Remove lines & indwelling tubes unless a forensic investigation is anticipated.
- Iggy 10th Ch. 10
