Emergency Nursing NCLEX Questions

Extract:

Question 1 of 5

The nurse is working at a facility where an Ebola client has been admitted. Which action should the nurse take?

Correct Answer: A

Rationale: Consulting the nurse manager ensures adherence to Ebola-specific infection control (e.g., PPE, isolation). Resigning, watching news, or participating in reports are inappropriate.

Question 2 of 5

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

A. The nurse documents the tag number in the disaster log. B. The unlicensed assistive personnel documents vital signs on the tag. C. The health-care provider removes the tag to examine the limb. D. The LPN securely attaches the tag to the client’s foot.

Correct Answer: C

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

Question 3 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?

A. Perform the jaw thrust maneuver to open the airway. B. Use the mouth to cover the client’s mouth and nose. C. Insert an oral airway prior to performing mouth to mouth. D. Use a pocket mouth shield to cover the client’s mouth.

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 4 of 5

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

A. A client who has multiple injuries from a motor-vehicle accident. B. A client complaining of epigastric pain and nausea after eating. C. An elderly client who fell and fractured the left femoral neck. D. The client suffering from a migraine headache and nausea.

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 5 of 5

The ED nurse is caring for the client who has taken an overdose of cocaine. Which intervention should the nurse delegate to the unlicensed assistive personnel (UAP)?

A. Evaluate the airway and breathing. B. Monitor the rate of intravenous fluids. C. Place the cardiac monitor on the client. D. Transfer the client to the intensive care unit.

Correct Answer: C

Rationale: Placing a cardiac monitor is a technical task delegable to UAPs. Airway evaluation, IV monitoring, and transfers require nursing judgment.

Emergency Nursing NCLEX Questions | Nurselytic

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