Emergency Nursing NCLEX

Question 1 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical floor. Which action by the UAP warrants intervention by the nurse?

A. The UAP places a urine specimen in a biohazard bag in the hallway.B. The UAP uses the alcohol foam hand cleanser after removing gloves.C. The UAP puts soiled linen in a plastic bag in the client’s room.D. The UAP obtains a disposable stethoscope for a client in an isolation room.

Correct Answer: A

Rationale: Urine specimens are not biohazardous unless visibly bloody; placing in a biohazard bag is incorrect and requires intervention. Hand cleansing, linen handling, and stethoscope use are appropriate.

Question 2 of 5

A gang war has resulted in 12 young males being brought to the emergency department. Which action by the nurse is priority when a gang member points a gun at a rival gang member in the trauma room?

A. Attempt to talk to the person who has the gun.B. Explain to the person the police are coming.C. Stand between the client and the man with the gun.D. Get out of the line of fire and protect self.

Correct Answer: D

Rationale: Self-protection by exiting the line of fire prioritizes nurse safety, allowing for security intervention. Talking, explaining police arrival, or standing between risks harm.

Question 3 of 5

A student reports to the school nurse with complaints of stinging and burning from a wasp sting. Which intervention should the nurse implement?

A. Grasp the stinger and pull it out.B. Apply a warm, moist soak to the area.C. Cleanse the site with alcohol.D. Apply an ice pack to the site.

Correct Answer: D

Rationale: An ice pack reduces pain and swelling from a wasp sting. Removing the stinger is unnecessary (wasps don’t leave stingers), warm soaks increase swelling, and alcohol is ineffective.

Question 4 of 5

The nurse working in a homeless shelter identifies an adolescent female sexually aggressive toward some of the males in the shelter. Which is the most common cause for this behavior?

A. The client is acting in a learned behavior pattern to get attention.B. The client had to leave home because of promiscuous behavior.C. The client has a psychiatric disorder called nymphomania.D. The client is a prostitute and is trying to get customers.

Correct Answer: A

Rationale: Sexual aggression in adolescents often reflects learned behavior from past abuse or trauma, seeking attention or control. Promiscuity, nymphomania, or prostitution are less likely or outdated terms.

Question 5 of 5

The charge nurse has been notified that a disaster has occurred and that all possible clients should be discharged so the floor can receive the casualties. Which client should not be discharged?

A. The 13-year-old client who is scheduled for a tonsillectomy.B. The 42-year-old client scheduled for an abdominal aorta aneurysm dissection.C. The 76-year-old client diagnosed with a pulmonary embolus whose INR is 2.9.D. The 80-year-old client who is refusing to assist in activities of daily living.

Correct Answer: C

Rationale: A pulmonary embolus with INR 2.9 (therapeutic) requires ongoing anticoagulation and monitoring, precluding discharge.
Tonsillectomy, aneurysm surgery, and ADL refusal are less acute.

Emergency Nursing NCLEX | Nurselytic

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NCLEX-PN

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