NCLEX-PN
Emergency and Disaster Nursing NCLEX Questions Questions
Extract:
Question 1 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.
Question 2 of 5
The nursing administrator responds to a code situation. When assessing the situation, which role must the administrator ensure is performed for legal purposes and continuity of care of the client?
Correct Answer: D
Rationale: Accurate code documentation is critical for legal accountability and continuity of care. Ventilation, compressions, and medications are clinical priorities but less legally binding.
Question 3 of 5
The unlicensed assistive personnel (UAP) is performing cardiac compressions on an adult client during a code. Which behavior warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Compressions should depress the sternum 2–2.4 inches; 0.5–1 inch is inadequate, requiring intervention. Correct hand placement, rescue breathing, and relief requests are appropriate.
Question 4 of 5
The nurse caring for a client with sepsis writes the client diagnosis of 'alteration in comfort R/T chills and fever.' Which intervention should be included in the plan of care?
Correct Answer: D
Rationale: Antipyretics (e.g., acetaminophen) address fever and chills, improving comfort. Ambulation, lab monitoring, and compression devices address other sepsis concerns, not comfort.
Question 5 of 5
The triage nurse is working in the emergency department. Which client should be assessed first?
Correct Answer: B
Rationale: Chest pain with diaphoresis suggests acute myocardial infarction, a life-threatening emergency requiring immediate assessment. Fractures, headaches, and cuts are less urgent.