Emergency Nursing NCLEX Questions | Nurselytic

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Emergency Nursing NCLEX Questions Questions

Extract:


Question 1 of 5

The ED nurse is working triage. Which client should be triaged first?

Correct Answer: A

Rationale: Multiple trauma from an MVA suggests life-threatening injuries, requiring immediate triage. Epigastric pain, fractures, and migraines are less urgent.

Question 2 of 5

The female client presents to the emergency department with facial lacerations and contusions. The spouse will not leave the room during the assessment interview. Which intervention should be the nurse’s first action?

Correct Answer: D

Rationale: Escorting the client to the bathroom provides a private opportunity to assess for abuse safely. Security, discussing injuries, or mentioning police may escalate the situation.

Question 3 of 5

The ED nurse is caring for a female client with a greenstick fracture of the left forearm and multiple contusions on the face, arms, trunk, and legs. The significant other is in the treatment area with the client. Which nursing interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Determine if the client has a plan for safety.
Assess the pulse, temperature, and capillary refill of the left wrist and hand.
Ask the client if she feels safe in her own home.
Request the significant other wait in the waiting room during the examination.
Notify the social worker to consult on the case.

Correct Answer: D,C,A,B,E

Rationale: 1) Request significant other to wait (ensures private assessment); 2) Ask about safety (screens for abuse); 3) Plan for safety (addresses immediate risk); 4) Assess limb (ensures circulation); 5) Notify social worker (coordinates support).

Question 4 of 5

The triage nurse has placed a disaster tag on the client. Which action warrants immediate intervention by the nurse?

Correct Answer: C

Rationale: Removing the disaster tag disrupts identification and tracking, requiring intervention. Documentation, vital signs, and attachment are appropriate.

Question 5 of 5

The ED nurse is caring for a client who had a severe allergic reaction to a bee sting. Which discharge instructions should the nurse discuss with the client?

Correct Answer: A

Rationale: A medical ID bracelet alerts others to the allergy, critical for future emergencies.
Topical steroids don’t prevent anaphylaxis, IV epinephrine is hospital-based, and bright colors attract insects.

Similar Questions

The nurse is caring for a client diagnosed with septic shock. Which assessment data warrant immediate intervention by the nurse?
The nurse in the emergency department administered an intramuscular antibiotic in the left gluteal muscle to the client with pneumonia who is being discharged home. Which intervention should the nurse implement?
The nurse is teaching the client home care instructions for a reimplanted finger after a traumatic amputation. Which information should the nurse include in the teaching?
The male client was found in a parked car with the motor running. The paramedic brought the client to the ED with complaints of a headache, nausea, and dizziness and the client is unable to recall his name or address. On assessment, the nurse notes the buccal mucosa is a cherry-red color. Which intervention should the nurse implement first?
The ED receives a client involved in a motor-vehicle accident. The nurse notes a large hematoma on the right flank. Which intervention should the nurse implement first?

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