ADVANCED MEDICAL-SURGICAL NURSING
EXAM SCRIPT 2 GALEN COLLEGE QUIZ
QUESTIONS WITH COMPLETE ANSWERS
◉ Which is a direct result of overcrowding in an emergency
department environment?
Caring for a variety of age groups and cultures.
Ensuring care to both uninsured and underinsured patience.
"Boarding" or holding inpatient patients.
Treating patients with a broad-spectrum of issues, illnesses and
injuries. Answer: "Boarding" or holding inpatient patients.
◉ Which is the best team member to care for a patient admitted to
the emergency department after reporting being raped?
Police officer
Psychiatric crisis nurse
Forensic nurse examiner
Physician or primary health care provider Answer: Forensic nurse
examiner.
,◉ Which core competency for emergency department (ED) nursing
is the first demonstrated when caring for a patient clutching his or
her chest?
Assessment
Priority setting
Communication
Technical and procedural skills Answer: Assessment
◉ What is the best nursing action when preparing to discharge a
patient who denies domestic violence even though it is suspected?
Call the police.
Consult with Social Services.
Discharge the patient as instructed.
Instruct the patient to go to a safe place. Answer: Consult with social
services
◉ Which is an appropriate question to ask when caring for a patient
with traumatic injuries who identifies as a Jehovah's Witness?
"Will you need an interpreter for discharge teaching?"
"Would you like to receive the Sacrament of the Sick?"
, "Do you have an advance directive on file with our institution?"
"Will you consent to a blood transfusion if it is a necessary part of
your care?" Answer: "Will you consent to a blood transfusion if it is a
necessary part of your care?"
◉ Which is the appropriate nursing action when preparing to
administer an IV solution to a critically ill patient in a state of shock
with poor venous access?
Establish intraosseous vascular access.
Keep attempting to insert a peripheral line until successful.
Notify the healthcare provider that an IV solution cannot be given.
Establish an additional access by inserting a 25 gauge needle at the
jugular site. Answer: Establish intraosseous vascular access
◉ Which is an appropriate means of identifying an unconscious
male patient brought to the emergency department (ED)?
The family is asked to provide details about the patient.
The patient is provided a "John Doe" identification tag.
Identification is made after the patient regains consciousness.
The patient is identified by the date and time of arrival to the
hospital. Answer: The patient is provided a "John Doe" identification
tag
EXAM SCRIPT 2 GALEN COLLEGE QUIZ
QUESTIONS WITH COMPLETE ANSWERS
◉ Which is a direct result of overcrowding in an emergency
department environment?
Caring for a variety of age groups and cultures.
Ensuring care to both uninsured and underinsured patience.
"Boarding" or holding inpatient patients.
Treating patients with a broad-spectrum of issues, illnesses and
injuries. Answer: "Boarding" or holding inpatient patients.
◉ Which is the best team member to care for a patient admitted to
the emergency department after reporting being raped?
Police officer
Psychiatric crisis nurse
Forensic nurse examiner
Physician or primary health care provider Answer: Forensic nurse
examiner.
,◉ Which core competency for emergency department (ED) nursing
is the first demonstrated when caring for a patient clutching his or
her chest?
Assessment
Priority setting
Communication
Technical and procedural skills Answer: Assessment
◉ What is the best nursing action when preparing to discharge a
patient who denies domestic violence even though it is suspected?
Call the police.
Consult with Social Services.
Discharge the patient as instructed.
Instruct the patient to go to a safe place. Answer: Consult with social
services
◉ Which is an appropriate question to ask when caring for a patient
with traumatic injuries who identifies as a Jehovah's Witness?
"Will you need an interpreter for discharge teaching?"
"Would you like to receive the Sacrament of the Sick?"
, "Do you have an advance directive on file with our institution?"
"Will you consent to a blood transfusion if it is a necessary part of
your care?" Answer: "Will you consent to a blood transfusion if it is a
necessary part of your care?"
◉ Which is the appropriate nursing action when preparing to
administer an IV solution to a critically ill patient in a state of shock
with poor venous access?
Establish intraosseous vascular access.
Keep attempting to insert a peripheral line until successful.
Notify the healthcare provider that an IV solution cannot be given.
Establish an additional access by inserting a 25 gauge needle at the
jugular site. Answer: Establish intraosseous vascular access
◉ Which is an appropriate means of identifying an unconscious
male patient brought to the emergency department (ED)?
The family is asked to provide details about the patient.
The patient is provided a "John Doe" identification tag.
Identification is made after the patient regains consciousness.
The patient is identified by the date and time of arrival to the
hospital. Answer: The patient is provided a "John Doe" identification
tag
