NCLEX-PN
Emergency Nursing NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is discharging a client from the ED with a sutured laceration on the right knee. Which information is most important for the nurse to obtain?
Correct Answer: A
Rationale: Tetanus status is critical for lacerations to prevent infection, especially if >5 years since last dose. HCP name, suture removal, and allergies are secondary.
Question 2 of 5
The nurse is caring for a client diagnosed with septic shock who has hypotension, decreased urine output, and cool, pale skin. Which phase of septic shock is the client experiencing?
Correct Answer: A
Rationale: The hypodynamic (cold) phase of septic shock involves hypotension, low urine output, and cool, pale skin due to vasoconstriction. Compensatory is early, hyperdynamic is warm, and progressive involves organ failure.
Question 3 of 5
The nurse is caring for a client diagnosed with septic shock. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: Urinary output of 90 mL/4 hours = 22.5 mL/hour, below 30 mL/hour, indicating renal hypoperfusion, requiring immediate intervention. Fever, tachycardia, and elevated WBC are expected; thirst is less urgent.
Question 4 of 5
Which intervention is the most important for the intensive care unit nurse to implement when performing mouth-to-mouth resuscitation on a client who has pulseless ventricular fibrillation?
Correct Answer: A
Rationale: The jaw thrust opens the airway without neck manipulation, critical in suspected trauma or codes. Covering mouth and nose, oral airways, and shields are secondary or less safe.
Question 5 of 5
Which equipment must be immediately brought to the client’s bedside when a code is called for a client who has experienced a cardiac arrest?
Correct Answer: B
Rationale: A crash cart contains defibrillator, medications, and airway equipment, essential for cardiac arrest. Ventilator, gurney, and oxygen are secondary or supportive.