Emergency Nursing NCLEX Questions

Extract:

Question 1 of 5

According to the North Atlantic Treaty Organization (NATO) triage system, which situation is considered a level red (Priority 1)?

Correct Answer: D

Rationale: NATO red (Priority 1) indicates life-threatening injuries survivable with immediate intervention (e.g., tension pneumothorax). Extensive injuries are black, minor are green, and significant but delayed are yellow.

Question 2 of 5

The nurse is assessing the client who suffered a near-drowning event. Which data require immediate intervention?

A. The onset of pink, frothy sputum. B. An oral temperature of 97°F. C. An alcohol level of 100 mg/dL. D. A heart rate of 100 beats/min.

Correct Answer: A

Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication requiring immediate intervention. Normal temperature, alcohol levels, and tachycardia are less urgent.

Question 3 of 5

The nurse is teaching a class on bioterrorism and is discussing personal protective equipment (PPE). Which statement is the most important fact for the nurse to share with the participants?

A. Health-care facilities should keep masks at entry doors. B. The respondent should be trained in the proper use of PPE. C. No single combination of PPE protects against all hazards. D. The EPA has divided PPE into four levels of protection.

Correct Answer: B

Rationale: Proper PPE training ensures safe use, critical for protection. Mask placement, hazard specificity, and EPA levels are secondary.

Question 4 of 5

The CPR instructor is discussing an automated external defibrillator (AED) during class. Which statement best describes an AED?

A. It analyzes the rhythm and shocks the client in ventricular fibrillation. B. The client will be able to have synchronized cardioversion with the AED. C. It will keep the health-care provider informed of the client’s oxygen level. D. The AED will perform cardiac compressions on the client.

Correct Answer: A

Rationale: An AED analyzes rhythms and delivers shocks for ventricular fibrillation or pulseless ventricular tachycardia. Cardioversion, oxygen monitoring, and compressions are not AED functions.

Question 5 of 5

The male client was found in a parked car with the motor running. The paramedic brought the client to the ED with complaints of a headache, nausea, and dizziness and the client is unable to recall his name or address. On assessment, the nurse notes the buccal mucosa is a cherry-red color. Which intervention should the nurse implement first?

A. Check the client’s oxygenation level with a pulse oximeter. B. Apply oxygen via nasal cannula at 100%. C. Obtain a psychiatric consult to determine if this was a suicide attempt. D. Prepare the client for transfer to a facility with a hyperbaric chamber.

Correct Answer: B

Rationale: Cherry-red mucosa suggests carbon monoxide (CO) poisoning; 100% oxygen via non-rebreather mask is the first intervention to displace CO. Pulse oximetry is unreliable, psychiatric consults are secondary, and hyperbaric transfer follows initial stabilization.

Emergency Nursing NCLEX Questions | Nurselytic

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