NCLEX-PN
Emergency Nursing NCLEX Questions
Extract:
Question 1 of 5
The ED nurse is caring for a client diagnosed with multiple rib fractures. Which data should the nurse include in the assessment?
Correct Answer: C
Rationale: Symmetrical chest movement assesses for complications like pneumothorax or flail chest in rib fractures. Orientation, medications, and meal timing are secondary.
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 health-care facility has been notified an alleged inhalation anthrax exposure has occurred at the local post office. Which category of personal protective equipment (PPE) should the response team wear?
Correct Answer: C
Rationale: Level C PPE (respirator and protective suit) is appropriate for inhalation anthrax, balancing protection and mobility. Level A is for highest risk, Level B for chemical hazards, and Level D is minimal.
Question 4 of 5
Which question is an appropriate interview question for the nurse to use with clients involved in abuse?
Correct Answer: D
Rationale: Asking about a safety plan is non-judgmental and empowers the client. Accusatory, alcohol-focused, or blame-oriented questions hinder trust.
Question 5 of 5
The triage nurse in a large trauma center has been notified of an explosion in a major chemical manufacturing plant. Which action should the nurse implement first when the clients arrive at the emergency department?
Correct Answer: C
Rationale: Removing contaminated clothing and showering prevents ongoing chemical exposure, the first priority. Triage follows, washing is part of decontamination, and assuming decontamination is unsafe.