ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 72 : Emergency Nursing Questions
Question 1 of 5
A patient is admitted to the ED after being involved in a motor vehicle accident. The patient has multiple injuries. After establishing an airway and adequate ventilation, the ED team should prioritize what aspect of care?
Correct Answer: A
Rationale: Controlling hemorrhage restores cardiac output, a priority after airway and ventilation. Neurologic assessment and fracture splinting follow, and cognitive effects are assessed later.
Question 2 of 5
A patient with multiple trauma is brought to the ED by ambulance after a fall while rock climbing. What is a responsibility of the ED nurse in this patient's care?
Correct Answer: C
Rationale: Ensuring IV access is a key ED nursing role for administering fluids or medications. Intubation is for specialized providers, family notification is not a nurse's role, and specimen delivery is handled by others.
Question 3 of 5
A patient has been brought to the ED after suffering genitourinary trauma in an assault. Initial assessment reveals that the patient's bladder is distended. What is the nurse's most appropriate action?
Correct Answer: D
Rationale: Await orders following the urologist's assessment. Urethral injury may contraindicate catheterization, so urologic consultation is needed first. Withholding fluids is secondary.
Question 4 of 5
The triage nurse is working in an ED. A homeless person is admitted during a blizzard with complaints, being unable to reach his feet and lower legs. Core temperature is noted at 33.2°C (91.8°F). The patient is intoxicated with alcohol at the time of admission and is visibly malnourished. What is the triage priority for the nurse in the care of this patient?
Correct Answer: A
Rationale:
A) Addressing hypothermia is the priority. Hypothermia is a systemic, life-threatening condition requiring immediate treatment, while frostbite, intoxication, and alcohol abuse are less acute.
Question 5 of 5
A patient is brought to the ED by friends. The friends tell the nurse that the patient was using cocaine at a party. On arrival to the ED the patient is in visible distress with an axillary temperature of 40.1°C (104.2°F). What would be the priority nursing action for this patient?
Correct Answer: C
Rationale: Ensuring airway and ventilation is the priority in cocaine-induced hyperthermia, as respiratory compromise is life-threatening. Cardiovascular monitoring, antipyretics, and seizure prevention follow.