NCLEX-PN
Emergency Nursing NCLEX Questions
Extract:
Question 1 of 5
Which statement explains the scientific rationale for having emergency suction equipment available during resuscitation efforts?
Correct Answer: C
Rationale: Suction equipment clears vomit or secretions, ensuring a patent airway during resuscitation. Gastric distention, intubation, and HCP protection are secondary concerns.
Question 2 of 5
The triage nurse in a large trauma center has been notified of an explosion in a major chemical manufacturing plant. Which action should the nurse implement first when the clients arrive at the emergency department?
Correct Answer: C
Rationale: Removing contaminated clothing and showering prevents ongoing chemical exposure, the first priority. Triage follows, washing is part of decontamination, and assuming decontamination is unsafe.
Question 3 of 5
The nurse writes a nursing diagnosis of 'risk for injury as a result of physical abuse by spouse' for a client. Which is an appropriate goal for this client?
Correct Answer: B
Rationale: Admitting abuse and seeking help is a realistic goal to reduce injury risk. Distrust, confronting the spouse, or staying are unsafe or neutral.
Question 4 of 5
The client is admitted into the emergency department with diaphoresis, pale clammy skin, and BP of 90/70. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Hypovolemic shock (suggested by symptoms) requires immediate IV access for fluid resuscitation. Dopamine requires IV access, ABGs are diagnostic, and urinary catheter monitors output but is secondary.
Question 5 of 5
The ED nurse is caring for a client diagnosed with multiple rib fractures. Which data should the nurse include in the assessment?
Correct Answer: C
Rationale: Symmetrical chest movement assesses for complications like pneumothorax or flail chest in rib fractures. Orientation, medications, and meal timing are secondary.