ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 72 : Emergency Nursing Questions
Question 1 of 5
A patient with a history of major depression is brought to the ED by her parents. Which of the following nursing actions is most appropriate?
Correct Answer: B
Rationale: Screening for suicidal ideation is critical in depression to assess risk. Physical symptoms are relevant, interviews should be empathetic, and leaving the patient alone risks suicide.
Question 2 of 5
A triage nurse is talking to a patient when the patient begins choking on his lunch. The patient is coughing forcefully. What should the nurse do?
Correct Answer: D
Rationale: A forcefully coughing patient may dislodge the obstruction, so the nurse should stay and encourage without intervening unless obstruction worsens. Abdominal thrusts are for complete obstruction.
Question 3 of 5
You are a floor nurse caring for a patient with alcohol withdrawal syndrome. What would be an appropriate nursing action to minimize the potential for hallucinations?
Correct Answer: C
Rationale: A quiet, well-lit private room reduces sensory overload, minimizing hallucinations in alcohol withdrawal. Analgesics or media may worsen symptoms, and education is inappropriate during acute withdrawal.
Question 4 of 5
An obtunded patient is admitted to the ED after ingesting bleach. The nurse should prepare to assist with what intervention?
Correct Answer: D
Rationale: Diluting bleach ingestion with water is appropriate for corrosive substances. There's no antidote, lavage is contraindicated, and charcoal is ineffective for corrosives.
Question 5 of 5
A 6-year-old is admitted to the ED after being rescued from a pond after falling through the ice while ice skating. What action should the nurse perform while rewarming the patient?
Correct Answer: B
Rationale: Continuous ECG monitoring is essential during hypothermia rewarming to detect arrhythmias. Oral temperatures are unreliable, massage risks tissue damage, and bronchodilators are not indicated.