NCLEX-PN
Emergency and Disaster Nursing NCLEX Questions Questions
Extract:
Question 1 of 5
Which is the primary goal of the ED nurse in caring for a client who has ingested poison?
Correct Answer: A
Rationale: Removing or inactivating the poison (e.g., via lavage or charcoal) prevents absorption, the primary goal. Supportive care, antidotes, and elimination are secondary.
Question 2 of 5
The triage nurse is working in the emergency department. Which client should be assessed first?
Correct Answer: B
Rationale: Chest pain with diaphoresis suggests acute myocardial infarction, a life-threatening emergency requiring immediate assessment. Fractures, headaches, and cuts are less urgent.
Question 3 of 5
The 84-year-old female client is admitted with multiple burn marks on the torso and under the breasts along with contusions in various stages of healing. When questioned by the nurse, the woman denies any problems have occurred. The woman lives with her son and does the housework. Which is the most probable reason the woman denies being abused?
Correct Answer: B
Rationale: Shame often leads elderly abuse victims to deny abuse, especially when dependent on the abuser (e.g., son). Lack of abuse is unlikely given findings, Alzheimer’s is speculative, and sex is unrelated.
Question 4 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.
Question 5 of 5
The nurse is caring for clients on a medical floor. Which client is most likely to experience sudden cardiac death?
Correct Answer: C
Rationale: Ventricular fibrillation is a lethal arrhythmia causing sudden cardiac death if untreated. Atrial fibrillation, bradycardia, and SVT are less immediately fatal.