Emergency Nursing NCLEX

Extract:

Question 1 of 5

During a disaster, a local news reporter comes to the emergency department requesting information about the victims. Which action is most appropriate for the nurse to implement?

Correct Answer: B

Rationale: Directing the reporter to the command post ensures controlled information release, adhering to HIPAA. Escorting off, citing HIPAA, or requesting to stay out are less collaborative.

Question 2 of 5

The occupational health nurse is called to the scene of a traumatic amputation of a finger. Which intervention should the nurse implement prior to sending the client to the ED? Select all that apply.

A. Rinse the amputated finger with sterile normal saline. B. Place the amputated finger in a sealed and watertight plastic bag. C. Place the amputated finger into iced saline solution. D. Wrap the amputated finger in saline-moistened gauze dressings. E. Replace the amputated finger on the hand and wrap with gauze.

Correct Answer: A,B,D

Rationale: Rinsing with saline, wrapping in moist gauze, and sealing in a plastic bag preserve the amputated finger for reimplantation. Iced saline damages tissue, and replacing on the hand is incorrect.

Question 3 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 Promiscuity, nymphomania, or prostitution are less likely or outdated terms.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 4 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.

Question 5 of 5

The charge nurse is making assignments. Which client should be assigned to the most experienced nurse?

A. The client diagnosed with a snake bite who is receiving antivenin. B. The client who swallowed a lye preparation and is being discharged. C. The client who is angry the suicide attempt did not work. D. The client who required skin grafting after a chemical spill.

Correct Answer: A

Rationale: Antivenin administration for snake bites requires close monitoring for anaphylaxis and dosing, best handled by an experienced nurse. Lye ingestion discharge, psychiatric issues, and grafts are less acute.

Emergency Nursing NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN