1|Page
NR341 Complex Adult Health – Exam 1 Study Guide &
Textbook Notes 2025/ 2026 with Correct Answers and
Key Concepts| VERIFIED EXAM!!!|NEWEST
VERSION!!!
1. An emergency room nurse assesses a client who has
been raped. With which health care team member
should the nurse collaborate when planning this clients
care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse - Answer-ANS: C
All other members of the health care team listed may be
used in the management of this clients care. However,
the forensic nurse examiner is educated to obtain client
histories and collect evidence dealing with the assault,
and can offer the counseling and follow-up needed when
dealing with the victim of an assault.
DIF: Understanding/Comprehension REF: 118
KEY: Interdisciplinary team| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
,2|Page
NOT: Client Needs Category: Safe and Effective Care
Environment: Management of Care
2. The emergency department team is performing
cardiopulmonary resuscitation on a client when the clients
spouse arrives at the emergency department. Which
action should the nurse take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the
resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team. -
Answer-ANS: B
If resuscitation efforts are still under way when the family
arrives, one or two family members may be given
the opportunity to be present during lifesaving procedures.
The other options do not give the spouse the
opportunity to be present for the client or to begin to have
closure.
DIF: Applying/Application REF: 126
KEY: Death| emergency nursing MSC: Integrated Process:
Caring
,3|Page
NOT: Client Needs Category: Psychosocial Integrity
3. An emergency room nurse is triaging victims of a multi-
casualty event. Which client should receive care
first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg -
Answer-ANS: C
The client with pale, cool, clammy skin is in shock and
needs immediate medical attention. The mother does
not have injuries and so would be the lowest priority. The
other two people need medical attention soon, but
not at the expense of a person in shock.
DIF: Applying/Application REF: 129
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process:
Implementation
NOT: Client Needs Category: Safe and Effective Care
Environment: Management of Care
, 4|Page
4. While triaging clients in a crowded emergency
department, a nurse assesses a client who presents with
symptoms of tuberculosis. Which action should the nurse
take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity. - Answer-ANS:
C
A client with signs and symptoms of tuberculosis or other
airborne pathogens should be placed in a
negativepressure room to prevent contamination of staff,
clients, and family members in the crowded emergency
department.
DIF: Applying/Application REF: 120
KEY: Infection control| Transmission-Based Precautions|
emergency nursing| staff safety
MSC: Integrated Process: Nursing Process:
Implementation
NOT: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
NR341 Complex Adult Health – Exam 1 Study Guide &
Textbook Notes 2025/ 2026 with Correct Answers and
Key Concepts| VERIFIED EXAM!!!|NEWEST
VERSION!!!
1. An emergency room nurse assesses a client who has
been raped. With which health care team member
should the nurse collaborate when planning this clients
care?
a. Emergency medicine physician
b. Case manager
c. Forensic nurse examiner
d. Psychiatric crisis nurse - Answer-ANS: C
All other members of the health care team listed may be
used in the management of this clients care. However,
the forensic nurse examiner is educated to obtain client
histories and collect evidence dealing with the assault,
and can offer the counseling and follow-up needed when
dealing with the victim of an assault.
DIF: Understanding/Comprehension REF: 118
KEY: Interdisciplinary team| emergency nursing
MSC: Integrated Process: Nursing Process: Planning
,2|Page
NOT: Client Needs Category: Safe and Effective Care
Environment: Management of Care
2. The emergency department team is performing
cardiopulmonary resuscitation on a client when the clients
spouse arrives at the emergency department. Which
action should the nurse take first?
a. Request that the clients spouse sit in the waiting room.
b. Ask the spouse if he wishes to be present during the
resuscitation.
c. Suggest that the spouse begin to pray for the client.
d. Refer the clients spouse to the hospitals crisis team. -
Answer-ANS: B
If resuscitation efforts are still under way when the family
arrives, one or two family members may be given
the opportunity to be present during lifesaving procedures.
The other options do not give the spouse the
opportunity to be present for the client or to begin to have
closure.
DIF: Applying/Application REF: 126
KEY: Death| emergency nursing MSC: Integrated Process:
Caring
,3|Page
NOT: Client Needs Category: Psychosocial Integrity
3. An emergency room nurse is triaging victims of a multi-
casualty event. Which client should receive care
first?
a. A 30-year-old distraught mother holding her crying child
b. A 65-year-old conscious male with a head laceration
c. A 26-year-old male who has pale, cool, clammy skin
d. A 48-year-old with a simple fracture of the lower leg -
Answer-ANS: C
The client with pale, cool, clammy skin is in shock and
needs immediate medical attention. The mother does
not have injuries and so would be the lowest priority. The
other two people need medical attention soon, but
not at the expense of a person in shock.
DIF: Applying/Application REF: 129
KEY: Triage| emergency nursing
MSC: Integrated Process: Nursing Process:
Implementation
NOT: Client Needs Category: Safe and Effective Care
Environment: Management of Care
, 4|Page
4. While triaging clients in a crowded emergency
department, a nurse assesses a client who presents with
symptoms of tuberculosis. Which action should the nurse
take first?
a. Apply oxygen via nasal cannula.
b. Administer intravenous 0.9% saline solution.
c. Transfer the client to a negative-pressure room.
d. Obtain a sputum culture and sensitivity. - Answer-ANS:
C
A client with signs and symptoms of tuberculosis or other
airborne pathogens should be placed in a
negativepressure room to prevent contamination of staff,
clients, and family members in the crowded emergency
department.
DIF: Applying/Application REF: 120
KEY: Infection control| Transmission-Based Precautions|
emergency nursing| staff safety
MSC: Integrated Process: Nursing Process:
Implementation
NOT: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
