NCLEX-PN
Emergency and Disaster Nursing NCLEX Questions Questions
Extract:
Question 1 of 5
The elderly client is brought to the ED complaining of cramps, headache, and weakness after working outside in the sun. The telemetry shows sinus tachycardia. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Heat exhaustion (suggested by symptoms) requires a cool environment to reduce core temperature. Thirst assessment, D5W, and withholding intake are secondary or incorrect.
Question 2 of 5
Which signs/symptoms should the nurse assess in the client who has been exposed to the anthrax bacillus via the skin?
Correct Answer: B
Rationale: Cutaneous anthrax presents with edema, pruritus, and a small ulcerated vesicle that becomes necrotic. Scabby vesicles, brownish-pink spots, and purple spots are not typical.
Question 3 of 5
The nurse is teaching a class on bioterrorism. Which statement is the scientific rationale for designating a specific area for decontamination?
Correct Answer: D
Rationale: Decontamination areas prevent secondary contamination to HCPs, the primary rationale. Privacy, isolation, and supply stocking are secondary benefits.
Question 4 of 5
The nurse is teaching CPR to a class. Which statement best explains the definition of sudden cardiac death?
Correct Answer: C
Rationale: Sudden cardiac death is defined as death within 1 hour of cardiovascular symptoms, often due to arrhythmias. Ventilator removal, declaration time, and ischemia are related but not definitional.
Question 5 of 5
The nurse in the emergency department has admitted five (5) clients in the last two (2) hours with complaints of fever and gastrointestinal distress. Which question is most appropriate for the nurse to ask each client to determine if there is a bioterrorism threat?
Correct Answer: B
Rationale: Asking about recent locations identifies potential common exposure points, critical for bioterrorism. Power lines, food intake, and comorbidities are less relevant.