NCLEX-PN
Emergency Nursing NCLEX Questions
Extract:
Question 1 of 5
The client with a temperature of 94°F is being treated in the ED. Which intervention should the nurse implement to directly elevate the client’s temperature?
Correct Answer: B
Rationale: A warm air blanket (e.g., Bair Hugger) directly raises core temperature in hypothermia. Removing clothing, changing gowns, or room temperature are less effective.
Question 2 of 5
The client is diagnosed with neurogenic shock. Which signs/symptoms should the nurse assess in this client?
Correct Answer: B
Rationale: Neurogenic shock causes bradycardia due to loss of sympathetic tone. Cool, moist skin is typical of hypovolemic shock, wheezing suggests anaphylaxis, and decreased bowel sounds are non-specific.
Question 3 of 5
The nurse in a disaster is triaging the following clients. Which client should be triaged as an Expectant Category, Priority 4, and color black?
Correct Answer: B
Rationale: Expectant (black) category includes unresponsive clients with minimal survival chance (e.g., severe head injury). Sucking chest wounds (red), abdominal wounds (yellow), and sprains (green) are higher priority.
Question 4 of 5
The school nurse is caring for a child with a deep laceration. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Direct pressure controls bleeding, the priority in deep lacerations. Cleaning, gloves, and parental notification follow hemostasis.
Question 5 of 5
The client has ingested a corrosive solution containing lye. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Lye is corrosive, risking airway edema; assessing for compromise is critical. Ipecac is contraindicated, NG tubes are for non-corrosives, and water/milk may delay care.