NCLEX-PN
Emergency Nursing NCLEX Questions
Extract:
Question 1 of 5
The ED nurse is caring for a male client admitted with carbon monoxide poisoning. Which intervention requires the nurse to notify the rapid response team?
Correct Answer: D
Rationale: Stridor indicates airway obstruction, and dizziness suggests worsening CO toxicity, requiring rapid response. Black sputum, suicidal intent, and 94% SpO2 are less acute.
Question 2 of 5
The nurse is providing first aid to a victim of a poisonous snake bite. Which intervention should be the nurse’s first action?
Correct Answer: D
Rationale: Immobilizing the limb and removing constrictive items (e.g., jewelry) prevents venom spread and swelling, the first action.
Tourniquets, cutting, and steroids are outdated or secondary.
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
The nurse writes a nursing diagnosis of 'risk for injury as a result of physical abuse by spouse' for a client. Which is an appropriate goal for this client?
Correct Answer: B
Rationale: Admitting abuse and seeking help is a realistic goal to reduce injury risk. Distrust, confronting the spouse, or staying are unsafe or neutral.
Question 5 of 5
A gang war has resulted in 12 young males being brought to the emergency department. Which action by the nurse is priority when a gang member points a gun at a rival gang member in the trauma room?
Correct Answer: D
Rationale: Self-protection by exiting the line of fire prioritizes nurse safety, allowing for security intervention. Talking, explaining police arrival, or standing between risks harm.