NCLEX-PN
Emergency and Disaster Nursing NCLEX Questions Questions
Extract:
Question 1 of 5
The charge nurse of the medical-surgical unit secured the crash cart during the code. Which intervention should the charge nurse implement after transferring the client to the intensive care unit?
Correct Answer: C
Rationale: Restocking the crash cart ensures readiness for future emergencies, a priority post-code. Reassignment, family calls, and meetings are secondary.
Question 2 of 5
The client has been brought to the ED by ambulance following a motor-vehicle accident with a flail chest, an intravenous line, and a Heimlich valve. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: A flail chest with a Heimlich valve indicates a pneumothorax; preparing for chest tube insertion stabilizes breathing, the priority. Additional IVs, x-rays, and cardiac monitoring follow.
Question 3 of 5
The male client presents to the emergency department stating he vomited a 'large' amount of bright red blood. Which should the nurse implement first?
Correct Answer: A
Rationale: Hematemesis suggests GI bleeding, requiring immediate IV access for fluids or blood. Vital signs, stool specimens, and CT scans follow stabilization.
Question 4 of 5
The elderly client is brought to the ED complaining of cramps, headache, and weakness after working outside in the sun. The telemetry shows sinus tachycardia. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Heat exhaustion (suggested by symptoms) requires a cool environment to reduce core temperature. Thirst assessment, D5W, and withholding intake are secondary or incorrect.
Question 5 of 5
The client diagnosed with septicemia has the following health-care provider orders. Which HCP order has the highest priority?
Correct Answer: B
Rationale: IV antibiotics are critical in septicemia to combat infection, the primary cause. Diet, x-ray, and glucose checks are secondary to infection control.