Emergency Nursing NCLEX Questions

Extract:

Question 1 of 5

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?

Correct Answer: C

Rationale: Waiting 30 minutes post-antibiotic monitors for allergic reactions, critical for safety. Allergies should be checked pre-administration, sputum is diagnostic, and warm washcloths are not standard.

Question 2 of 5

The nurse is assessing the client who suffered a near-drowning event. Which data require immediate intervention?

A. The onset of pink, frothy sputum. B. An oral temperature of 97°F. C. An alcohol level of 100 mg/dL. D. A heart rate of 100 beats/min.

Correct Answer: A

Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication requiring immediate intervention. Normal temperature, alcohol levels, and tachycardia are less urgent.

Question 3 of 5

The CPR instructor is discussing an automated external defibrillator (AED) during class. Which statement best describes an AED?

A. It analyzes the rhythm and shocks the client in ventricular fibrillation. B. The client will be able to have synchronized cardioversion with the AED. C. It will keep the health-care provider informed of the client’s oxygen level. D. The AED will perform cardiac compressions on the client.

Correct Answer: A

Rationale: An AED analyzes rhythms and delivers shocks for ventricular fibrillation or pulseless ventricular tachycardia. Cardioversion, oxygen monitoring, and compressions are not AED functions.

Question 4 of 5

According to the North Atlantic Treaty Organization (NATO) triage system, which situation is considered a level red (Priority 1)?

A. Injuries are extensive and chances of survival are unlikely. B. Injuries are minor and treatment can be delayed hours to days. C. Injuries are significant but can wait hours without threat to life or limb. D. Injuries are life threatening but survivable with minimal interventions.

Correct Answer: D

Rationale: NATO red (Priority 1) indicates life-threatening injuries survivable with immediate intervention (e.g., tension pneumothorax). Extensive injuries are black, minor are green, and significant but delayed are yellow.

Question 5 of 5

Which situation warrants the nurse obtaining information from a material safety data sheet (MSDS)?

A. The custodian spilled a chemical solvent in the hallway. B. A visitor slipped and fell on the floor that had just been mopped. C. A bottle of antineoplastic agent broke on the client’s floor. D. The nurse was stuck with a contaminated needle in the client’s room.

Correct Answer: A

Rationale: MSDS provides handling and exposure information for chemical spills like solvents. Antineoplastic spills require specific protocols, and needle sticks or falls involve infection control or safety protocols, not MSDS.

Emergency Nursing NCLEX Questions | Nurselytic

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